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The diagnostic process may involve: a physical and neurological examination to look for common signs of MG ice pack test, which is used to elicit temporary improvements in muscle strength and thereby identify the presence of MG a blood test to look for known MG-causing autoantibodies, such as those against AChRs or MuSK repetitive nerve stimulation tests to assess a nerve cells ability to transmit a signal to a muscle, which is diminished in MG with repetitive stimulation single fiber electromyography, the most sensitive diagnostic test for MG, which measures the response of individual muscle fibers to stimulation imaging scans, including MRI or CT scans, to look for abnormalities in the thymus gland and rule out other conditions that may cause similar symptoms to MG pulmonary function tests, which can be used to assess a persons risk of respiratory failure and myasthenic crisis, or facilitate the diagnosis of patients with more severe forms of MG who experience respiratory symptoms early on in the course of the disease

Biochem J 360:116 Zhang H, Forman HJ (2009) Redox regulation of gamma-glutamyl transpeptidase