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  "Prader-Willi syndrome"
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  ],
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  answer: 1
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- }
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  {
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  question: "41. A 55-year-old male presents with progressive muscle weakness, dry mouth and blurred vision. His weakness improves with repeated muscle use. He has a history of smoking for 30 years. Which of the following is the most likely underlying cause of his symptoms?",
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  options: ["Antibodies against acetylcholine", "Antibodies against presynaptic voltage-gated calcium channels", "Autoimmune destruction of muscle fibres", "Demyelination of peripheral nerves"],
 
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  "Prader-Willi syndrome"
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  ],
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  answer: 1
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+ },
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  {
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  question: "41. A 55-year-old male presents with progressive muscle weakness, dry mouth and blurred vision. His weakness improves with repeated muscle use. He has a history of smoking for 30 years. Which of the following is the most likely underlying cause of his symptoms?",
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  options: ["Antibodies against acetylcholine", "Antibodies against presynaptic voltage-gated calcium channels", "Autoimmune destruction of muscle fibres", "Demyelination of peripheral nerves"],