USMLE step 2 Mcq 162:A 25 yr. old man presented with nausea, vomiting, abdominal distention and pain

image Question:
A 25 yr. old man presented with nausea, vomiting, abdominal distention and pain. He said that for the past 2 hrs he was also having blurring of vision and double vision. The man also complained of generalized muscle weakness. On inquiring the man gave history of consuming tinned meat last night. The most probable diagnosis is:

a) food poisoning by E.coli
b) infection by vibrio cholera
c) botulism poisoning
d) Salmonella typhi infection
e) none of the above


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