A 60-year-old patient is admitted with significant eye ptosis and progressive coughing and choking while eating solid foods. The nurse realizes this patient is demonstrating signs of __________ muscular dystrophy
1. Oculopharyngeal
2. Duchenne
3. Becker
4. Myotonic
Oculopharyngeal
Rationale: Oculopharyngeal muscular dystrophy usually affects people in their 50s or 60s and is characterized by eyelid weakness and pharyngeal muscle weakness that causes the symptoms of coughing and choking when eating foods. Duchenne muscular dystrophy is typically diagnosed in a young child. Becker muscular dystrophy does not usually manifest until the person is in his teens or young adulthood. Myotonic muscular dystrophy is a multisystem illness that has additional presenting symptoms that affect the respiratory, gastrointestinal, and endocrine systems. Half of the people with myotonic muscular dystrophy are usually diagnosed by age 20, with additional individuals diagnosed by age 50.
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