ABPN Neuromuscular Medicine Practice Questions - ABPN Neuromuscular Medicine Subspecialty Certification Examination Exam

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A 58-year-old develops acute, painful right footdrop, then within 3 weeks loses left ulnar function and right median function. ESR 95, p-ANCA positive. Sural nerve biopsy is most likely to show:

Onion-bulb formations and segmental demyelination Transmural inflammatory infiltrate of epineurial vessels with fibrinoid necrosis Amyloid deposits with apple-green birefringence Tomaculous (sausage-shaped) myelin thickenings

Correct Answer:

Transmural inflammatory infiltrate of epineurial vessels with fibrinoid necrosis

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