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FacultyObservationHandbook May 30 Revision DOC  Form

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Okay, this is a absolutely bread and butter USMLE question, and it also happens to be one of my favorite topics. A 32-year-old female presents to the clinic with the complaint of excessive fatigue for the past few weeks. After returning home from the office, she feels too tired to climb up the stairs or even comb her hair or even chew food. She has occasionally experienced double vision. She denies having any fever, cough, weight loss, night sweats, or snoring. Past medical history is unremarkable. Physical examination reveals a blood pressure of 124/86, a heart rate of 85, a respiratory rate of 14 and a temperature of 37°Celsius and a body mass index of 22.6. On physical examination, the patient’s right upper eyelid is slightly drooping compared to the left side. Her eye movements are normal. Flexion of the neck is mildly weak. Muscle strength is 5/5 on all four limbs. When she is asked to alternate flexion and extension of her arm continuously for five minutes, power in the proxim

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