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Anaesthesia · Complications: malignant hyperthermia association
Sample itemSusceptibility to malignant hyperthermia is associated with which congenital myopathy?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Central core disease
Central core disease is linked to RYR1 mutations and has a strong association with MH. The gold standard diagnostic test is the in vitro caffeine-halothane contracture test on a muscle biopsy.
Option by option
A. Guillain-Barre syndrome
Guillain-Barre is an acquired neuropathy.
B. Myasthenia gravis
Myasthenia gravis is an acquired autoimmune disease.
C. Central core disease (correct)
Correct. Central core disease shares the RYR1 gene.
D. Duchenne muscular dystrophy only
Duchenne dystrophy is linked to rhabdomyolysis and hyperkalaemia with volatile agents or suxamethonium, though not classically MH.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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