A 46-Year-Old Man Comes to the Emergency Department Due to Worsening

question 19

Multiple Choice

A 46-year-old man comes to the emergency department due to worsening blurry vision, difficulty swallowing, and dry mouth for the past hour.  He has also been having nausea and abdominal discomfort but has no headache or fever.  The patient has no prior medical conditions and takes no medications.  He smokes a pack of cigarettes daily but does not use alcohol or illicit drugs.  The patient has not traveled recently but attended a community potluck event yesterday where he sampled home-canned foods.  Physical examination shows bilateral ptosis and sluggish pupillary response.  Which of the following steps in neuromuscular transmission is most likely affected in this patient?

• A)A
• B)B
• C)C
• D)D
• E)E

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Definitions:

Autobiographical Sharing

The act of recounting personal life events and experiences to others, which plays a significant role in social bonding and mental health.

Cultural Values

The core principles and standards shared by a group that influence behaviors and beliefs within that society.

Personal Values

Fundamental beliefs that guide and motivate attitudes and actions, shaping an individual's behavior and perceptions.

Individualism

A social theory advocating the freedom, rights, or independent action of the individual.