Are you experiencing unexplained muscle weakness, tingling, or numbness? At WHAT.EDU.VN, we understand your concerns and offer a free platform to ask questions and get answers. An Electromyography (EMG) test might be recommended by your doctor to investigate these symptoms. This article dives deep into what an EMG test is, its purpose, what to expect, and more, ensuring you’re well-informed. Understand its significance in diagnosing neuromuscular conditions, nerve conduction studies, and muscle activity assessment.
1. EMG Test: An Overview
An Electromyography (EMG) test is a diagnostic procedure used to evaluate the health of muscles and the motor neurons that control them. Motor neurons transmit electrical signals that cause muscles to contract, which is fundamental to movement and bodily functions.
The EMG test measures the electrical activity within muscles in response to nerve stimulation. This test can detect nerve dysfunction, muscle dysfunction, or issues with the transmission of signals from nerves to muscles. An EMG translates these electrical signals into graphs, sounds, or numerical values, which are then interpreted by a specialist to diagnose various conditions.
2. What Does an EMG Test Diagnose?
EMG tests are instrumental in diagnosing a wide range of conditions that affect the nerves and muscles. Here are some of the key areas where EMG results can provide valuable insights:
- Muscle Disorders: EMGs can help diagnose muscle disorders such as muscular dystrophy and polymyositis by assessing the electrical activity within the muscles.
- Nerve-Muscle Connection Issues: Conditions like myasthenia gravis, which affect the connection between nerves and muscles, can be identified using EMG tests. The test helps reveal how well the electrical signals are being transmitted across the neuromuscular junction.
- Peripheral Nerve Disorders: Disorders of nerves outside the spinal cord, such as carpal tunnel syndrome and peripheral neuropathies, can be diagnosed. The EMG measures nerve function and identifies areas where nerve damage may be present.
- Motor Neuron Diseases: EMG tests are crucial in diagnosing diseases that affect motor neurons in the brain or spinal cord, such as amyotrophic lateral sclerosis (ALS) and polio. By evaluating the electrical activity of muscles controlled by these neurons, doctors can determine the extent of nerve damage.
- Nerve Root Problems: Conditions like a herniated disc in the spine, which can affect nerve roots, can be assessed using EMG. The test helps identify which nerve roots are being affected and the severity of the compression.
3. Understanding the Two Main Parts of an EMG Test
An EMG test typically consists of two main parts: the nerve conduction study and the needle EMG. Both parts play critical roles in evaluating the function of nerves and muscles.
3.1. Nerve Conduction Study
A nerve conduction study uses electrode stickers (surface electrodes) applied to the skin to measure the speed and strength of electrical signals as they travel between two or more points. This part of the test helps determine if there is any nerve damage or dysfunction.
- Procedure: Surface electrodes are placed on the skin over the nerves being tested. A mild electrical impulse is then applied to stimulate the nerve, and the time it takes for the signal to travel between the electrodes is measured.
- Purpose: This study can identify issues such as nerve compression (e.g., carpal tunnel syndrome) and nerve damage from conditions like diabetes (peripheral neuropathy).
3.2. Needle EMG
A needle EMG involves inserting a needle electrode directly into a muscle to record its electrical activity. This part of the test helps assess the condition of the muscle tissue and the motor units within the muscle.
- Procedure: A thin, sterile needle electrode is inserted into the muscle. The electrical activity is recorded while the muscle is at rest and during contraction.
- Purpose: The needle EMG can detect muscle disorders, nerve damage affecting muscle function, and abnormalities in the muscle tissue itself.
4. Why Might You Need an EMG Test?
Your doctor might recommend an EMG test if you are experiencing symptoms that suggest a potential nerve or muscle disorder. Some common symptoms that may prompt an EMG include:
- Tingling Sensations: Unexplained tingling in your limbs can indicate nerve compression or damage.
- Numbness: Loss of sensation in certain areas of your body may be a sign of nerve dysfunction.
- Muscle Weakness: Progressive or sudden muscle weakness can be a symptom of various nerve and muscle disorders.
- Muscle Pain or Cramping: Persistent muscle pain or cramps may indicate underlying neuromuscular issues.
- Limb Pain: Certain types of limb pain, especially when accompanied by other neurological symptoms, may warrant an EMG.
The EMG test can help your doctor pinpoint the cause of these symptoms and develop an appropriate treatment plan.
5. Risks and Precautions Associated with EMG Tests
While EMG is generally considered a low-risk procedure, it is essential to be aware of potential risks and necessary precautions.
5.1. Potential Risks
- Bleeding: There is a small risk of bleeding at the site where the needle electrode is inserted.
- Infection: Although rare, there is a risk of infection at the insertion site.
- Nerve Injury: In very rare cases, the needle electrode could cause nerve injury.
- Pneumothorax: When muscles along the chest wall are examined, there is a very slight risk of air leaking into the space between the lungs and chest wall, potentially causing a lung to collapse.
5.2. Necessary Precautions
- Medications: Inform your doctor about any medications you are taking, especially blood thinners or medications for myasthenia gravis.
- Medical Conditions: Let your doctor know if you have a pacemaker, any other electrical medical device, hemophilia, or any blood-clotting disorders.
- Skin Preparation: Take a shower or bath before the test to remove oils from your skin. Avoid applying lotions or creams.
6. Preparing for Your EMG Test
Proper preparation can help ensure the accuracy and comfort of your EMG test. Here are some steps to take before the procedure:
- Consult Your Doctor: Discuss any concerns or questions you have about the test with your doctor.
- Medication Review: Ask your doctor if you need to stop taking any medications before the exam, especially if you are on Mestinon (pyridostigmine).
- Hygiene: Take a shower or bath shortly before your exam to remove oils from your skin. Do not apply lotions or creams.
- Medical History: Inform the neurologist conducting the EMG about any medical conditions you have, such as a pacemaker or blood-clotting disorder.
7. What to Expect During the EMG Procedure
Knowing what to expect during the EMG procedure can help ease any anxiety you may have.
7.1. Before the Procedure
- Change into a Gown: You will likely be asked to change into a hospital gown.
- Positioning: You will be asked to lie down on an examination table in a comfortable position.
- Electrode Placement: A neurologist or technician will place surface electrodes on your skin or insert needle electrodes at different sites depending on your symptoms.
7.2. During the Procedure
- Surface Electrodes: When surface electrodes are used, you may feel a tiny electrical current as a twinge or spasm.
- Needle Electrodes: The insertion of needle electrodes may cause some discomfort or pain, which usually subsides shortly after the needle is removed.
- Muscle Assessment: The neurologist will assess whether there is any spontaneous electrical activity when the muscle is at rest and the degree of activity when you contract the muscle.
- Instructions: You will be given instructions on when to rest and contract your muscles.
- Position Changes: Depending on the muscles and nerves being examined, you may be asked to change positions during the exam.
- Breaks: If you are concerned about discomfort or pain, you can ask the neurologist for a short break.
8. What Happens After the EMG Test?
After the EMG test, there are a few things you should be aware of:
- Bruising: You may experience some temporary, minor bruising where the needle electrode was inserted into your muscle.
- Fading Bruising: This bruising should fade within several days. If it persists, contact your primary care doctor.
- Results Interpretation: The neurologist will interpret the results of your exam and prepare a report.
- Follow-Up Appointment: Your primary care doctor or the doctor who ordered the EMG will discuss the report with you at a follow-up appointment.
9. Understanding Your EMG Results
The results of your EMG test can provide valuable information about the health and function of your nerves and muscles. The neurologist will analyze the data collected during the test to determine if there are any abnormalities.
9.1. Normal Results
Normal EMG results indicate that the electrical activity of your muscles and nerves is within the expected range. This means that there are no signs of nerve damage, muscle dysfunction, or problems with nerve-to-muscle signal transmission.
9.2. Abnormal Results
Abnormal EMG results may indicate a variety of conditions, including:
- Nerve Damage: Slowed nerve conduction velocity or abnormal electrical activity in the nerves.
- Muscle Disorders: Unusual patterns of electrical activity in the muscles, such as spontaneous activity at rest.
- Neuromuscular Junction Disorders: Problems with the transmission of signals from nerves to muscles.
- Motor Neuron Diseases: Signs of degeneration or dysfunction of motor neurons.
Your doctor will use the EMG results, along with your medical history and other test results, to make an accurate diagnosis and develop a treatment plan.
10. The Role of EMG in Diagnosing Carpal Tunnel Syndrome
Carpal tunnel syndrome is a common condition that causes numbness, tingling, and pain in the hand and arm. It occurs when the median nerve, which runs from the forearm into the hand, becomes compressed at the wrist.
EMG plays a crucial role in diagnosing carpal tunnel syndrome by assessing the function of the median nerve. During the nerve conduction study, electrodes are placed on the wrist and hand to measure the speed at which electrical signals travel along the nerve.
10.1. How EMG Helps Diagnose Carpal Tunnel
- Slowed Nerve Conduction: In carpal tunnel syndrome, the nerve conduction velocity is often slowed as the signal passes through the compressed area in the wrist.
- Severity Assessment: The EMG can also help determine the severity of the condition based on the degree of nerve damage.
- Ruling Out Other Conditions: EMG can help rule out other conditions that may cause similar symptoms, such as cervical radiculopathy (nerve compression in the neck).
11. Conditions Diagnosed with EMG
An EMG test is a versatile diagnostic tool that can aid in the diagnosis of a wide range of neuromuscular conditions. The following table lists some of the key conditions that can be identified using EMG:
Condition | Description | EMG Findings |
---|---|---|
Muscular Dystrophy | A group of genetic diseases that cause progressive weakness and loss of muscle mass. | Abnormal muscle fiber activity, reduced muscle action potential. |
Polymyositis | An inflammatory disease that causes muscle weakness, pain, and tenderness. | Increased spontaneous activity in muscles, abnormal muscle fiber activity. |
Myasthenia Gravis | An autoimmune disorder that affects the connection between nerves and muscles, leading to muscle weakness and fatigue. | Decreased muscle response with repeated nerve stimulation. |
Carpal Tunnel Syndrome | A condition caused by compression of the median nerve in the wrist, resulting in numbness, tingling, and pain in the hand and arm. | Slowed nerve conduction velocity across the wrist. |
Peripheral Neuropathy | Damage to the peripheral nerves, often caused by diabetes, leading to numbness, tingling, and pain in the hands and feet. | Slowed nerve conduction velocity in the affected nerves. |
Amyotrophic Lateral Sclerosis (ALS) | A progressive neurodegenerative disease that affects motor neurons in the brain and spinal cord, leading to muscle weakness and paralysis. | Spontaneous activity in muscles, signs of denervation and reinnervation. |
Herniated Disc | A condition in which a disc in the spine bulges or ruptures, compressing nearby nerve roots and causing pain, numbness, and weakness. | Abnormal nerve root activity, signs of nerve compression. |
Radiculopathy | A condition in which one or more nerve roots are compressed or irritated, causing pain, numbness, weakness, or tingling in the corresponding parts of the body. | Fibrillation potentials, positive sharp waves, and reduced recruitment of motor units. |
Guillain-Barré Syndrome (GBS) | A rare autoimmune disorder in which the body’s immune system attacks the peripheral nerves, leading to muscle weakness, paralysis, and sensory changes. | Prolonged distal latencies, conduction block, temporal dispersion, and slowed conduction velocities, particularly in the early stages of the illness. |
This table provides a quick reference to understand how EMG findings can correlate with different neuromuscular conditions.
12. Understanding EMG and Nerve Conduction Studies
Electrodiagnostic medicine relies on tests like Electromyography (EMG) and Nerve Conduction Studies (NCS) to assess and diagnose neuromuscular disorders. Although related, these studies serve distinct purposes. EMG evaluates the electrical activity of muscles, while NCS assesses the function of peripheral nerves.
12.1. What Is a Nerve Conduction Study (NCS)?
NCS involves stimulating a nerve at one point and recording its electrical response at another. This helps determine the speed and strength of nerve signals. Conditions such as carpal tunnel syndrome or peripheral neuropathy can disrupt nerve conduction, leading to abnormal NCS results.
12.2. What Is an Electromyography (EMG)?
EMG evaluates the electrical activity within muscles both at rest and during contraction. This helps identify muscle disorders and nerve-related problems. Needle electrodes are inserted into the muscles to record electrical signals, which can indicate muscle damage, inflammation, or nerve compression.
12.3. How Are EMG and NCS Different?
Feature | Nerve Conduction Study (NCS) | Electromyography (EMG) |
---|---|---|
Primary Focus | Nerve function | Muscle function |
Method | Electrical stimulation of nerves with surface electrodes | Insertion of needle electrodes into muscles |
Measurements | Nerve conduction velocity and amplitude | Electrical activity of muscles at rest and during contraction |
Conditions Diagnosed | Carpal tunnel syndrome, peripheral neuropathy, nerve entrapment | Muscular dystrophy, polymyositis, motor neuron diseases |
Patient Experience | Mild electrical shocks | Possible discomfort from needle insertion |
Information Provided | Nerve damage or dysfunction | Muscle damage or inflammation, nerve-muscle communication issues |
Risk Factors | Low risk; potential skin irritation at electrode sites | Small risk of bleeding, infection, or nerve injury |
Clinical Applications | Diagnosing nerve disorders and assessing nerve damage | Diagnosing muscle disorders and nerve-related muscle problems |
Common Symptoms Assessed | Numbness, tingling, and weakness in limbs | Muscle pain, cramping, and weakness |
Results Interpretation | Interpretation based on nerve conduction velocity and amplitude | Interpretation based on muscle electrical activity patterns |
Complementary Testing | Often performed in conjunction with EMG to provide a comprehensive assessment of neuromuscular function | Frequently conducted along with NCS to provide a complete picture of nerve and muscle health |
Limitations | Limited ability to assess muscle function directly | Can be uncomfortable for some patients |
Benefits | Non-invasive and quick assessment of nerve function | Provides detailed insights into muscle activity and underlying neuromuscular conditions |
Patient Preparation | No special preparation typically required | Inform the healthcare provider about any medications, allergies, or bleeding disorders |
Associated Procedures | May be complemented by other diagnostic tests, such as imaging or blood tests | Could be complemented by additional assessments like muscle biopsies or genetic testing, depending on the findings |
Post-Procedure Care | No special care required | Apply ice packs to reduce any discomfort or swelling and follow any specific recommendations from the healthcare provider |
12.4. Which Test Should I Get?
The choice between an EMG and NCS depends on your symptoms and the suspected condition. Your doctor will determine the appropriate test based on your medical history and physical examination. In many cases, both tests are performed together to provide a more complete assessment of neuromuscular function.
13. Debunking Myths About EMG Tests
There are several misconceptions about EMG tests that can cause unnecessary anxiety. Let’s debunk some common myths:
Myth 1: EMG Tests Are Extremely Painful
While some discomfort is involved, the pain is generally manageable. The needle insertion may cause a brief stinging sensation, but it is usually well-tolerated.
Myth 2: EMG Tests Are Dangerous
EMG is a low-risk procedure with minimal complications. Serious side effects are rare.
Myth 3: EMG Can Diagnose Any Neurological Problem
EMG is specific to nerve and muscle disorders. It cannot diagnose all neurological conditions.
Myth 4: One EMG Test Is Enough for Any Diagnosis
Depending on the condition, multiple EMG tests may be necessary to monitor progress or confirm a diagnosis.
Myth 5: EMG Results Are Always Definitive
EMG results are part of the overall clinical picture. They need to be interpreted along with other clinical findings.
Understanding the facts about EMG tests can help alleviate concerns and ensure you are well-prepared for the procedure.
14. EMG vs. Other Diagnostic Tests
While EMG is a valuable tool for diagnosing neuromuscular disorders, it is not the only diagnostic test available. Other tests, such as MRI, CT scans, and blood tests, can also provide important information about your condition.
14.1. EMG vs. MRI
- EMG: Evaluates nerve and muscle function.
- MRI: Provides detailed images of the body’s structures, including the brain, spinal cord, and muscles.
EMG is better for assessing nerve and muscle function, while MRI is better for visualizing structural abnormalities.
14.2. EMG vs. CT Scan
- EMG: Assesses nerve and muscle activity.
- CT Scan: Uses X-rays to create cross-sectional images of the body.
CT scans are useful for identifying bone and joint problems, as well as certain types of tumors. EMG is more specific for nerve and muscle disorders.
14.3. EMG vs. Blood Tests
- EMG: Measures electrical activity in nerves and muscles.
- Blood Tests: Can detect infections, inflammation, and other abnormalities in the blood.
Blood tests can help identify underlying medical conditions that may be contributing to your symptoms. EMG provides direct information about nerve and muscle function.
15. Innovations in EMG Technology
The field of EMG technology is constantly evolving, with new innovations aimed at improving the accuracy, comfort, and efficiency of the procedure.
15.1. High-Resolution EMG
High-resolution EMG uses advanced electrodes and signal processing techniques to capture more detailed information about muscle activity. This can help improve the detection of subtle abnormalities.
15.2. Wireless EMG
Wireless EMG systems eliminate the need for wires connecting the electrodes to the recording device. This can make the procedure more comfortable and convenient for patients.
15.3. Automated EMG Analysis
Automated EMG analysis software uses algorithms to analyze the electrical signals recorded during the test. This can help reduce the time it takes to interpret the results and improve the accuracy of the diagnosis.
15.4. Ultrasound-Guided EMG
Ultrasound-guided EMG uses ultrasound imaging to guide the placement of the needle electrodes. This can help improve the accuracy of the procedure and reduce the risk of complications.
16. How to Find a Qualified EMG Specialist
Choosing a qualified EMG specialist is essential for ensuring the accuracy and reliability of your test results. Here are some tips for finding the right specialist:
- Board Certification: Look for a neurologist or physiatrist who is board-certified in electrodiagnostic medicine.
- Experience: Choose a specialist who has extensive experience performing EMG tests.
- Reputation: Read online reviews and ask for recommendations from your primary care doctor.
- Facility Accreditation: Ensure that the EMG lab is accredited by a reputable organization.
17. Insurance Coverage for EMG Tests
Most health insurance plans cover EMG tests when they are medically necessary. However, it is essential to check with your insurance provider to understand your coverage and any out-of-pocket costs.
17.1. Factors Affecting Coverage
- Medical Necessity: The test must be deemed medically necessary by your doctor.
- Pre-Authorization: Some insurance plans require pre-authorization before the test can be performed.
- Deductibles and Co-pays: You may be responsible for paying a deductible or co-pay.
17.2. Tips for Navigating Insurance
- Contact Your Insurer: Call your insurance company to verify your coverage.
- Get Pre-Authorization: If required, obtain pre-authorization from your insurer before the test.
- Understand Your Costs: Ask about your deductible, co-pay, and any other potential out-of-pocket expenses.
18. Living with a Condition Diagnosed by EMG
If you have been diagnosed with a neuromuscular condition based on EMG results, there are steps you can take to manage your symptoms and improve your quality of life.
18.1. Medical Treatment
Follow your doctor’s recommendations for medical treatment, which may include medications, physical therapy, or surgery.
18.2. Lifestyle Modifications
Make lifestyle modifications to support your health, such as:
- Exercise: Engage in regular exercise to maintain muscle strength and flexibility.
- Nutrition: Eat a healthy diet to support nerve and muscle function.
- Stress Management: Practice stress management techniques to reduce muscle tension and pain.
18.3. Support Groups
Consider joining a support group to connect with others who have similar conditions.
19. Addressing Common Concerns About EMG Tests
Many people have concerns about undergoing an EMG test. Here are some common concerns and how to address them:
Concern: “I’m Afraid of the Pain.”
EMG tests involve some discomfort, but it is generally manageable. Talk to your doctor about pain management options.
Concern: “I’m Worried About the Risks.”
EMG is a low-risk procedure with minimal complications. Follow your doctor’s instructions to minimize any potential risks.
Concern: “I Don’t Understand the Results.”
Ask your doctor to explain the EMG results in detail and answer any questions you have.
Concern: “I Can’t Afford the Test.”
Check with your insurance provider to understand your coverage and any out-of-pocket costs. Explore options for financial assistance if needed.
20. Seeking a Second Opinion on EMG Results
If you have concerns about the accuracy of your EMG results or the recommended treatment plan, you may want to seek a second opinion from another qualified specialist.
20.1. Benefits of a Second Opinion
- Confirmation: A second opinion can confirm the accuracy of the initial diagnosis.
- Alternative Perspectives: Another specialist may offer alternative treatment options.
- Peace of Mind: Seeking a second opinion can provide peace of mind and confidence in your healthcare decisions.
20.2. How to Obtain a Second Opinion
- Ask Your Doctor: Ask your primary care doctor for a referral to another specialist.
- Contact Your Insurer: Check with your insurance provider to understand their policies regarding second opinions.
- Gather Your Records: Collect your medical records, including the EMG report, to share with the second specialist.
21. Resources for Learning More About EMG
There are many resources available for learning more about EMG tests and neuromuscular conditions. Here are some helpful resources:
- Medical Websites: Websites like the Mayo Clinic, the National Institutes of Health (NIH), and the National Institute of Neurological Disorders and Stroke (NINDS) provide reliable information about EMG and related conditions.
- Patient Advocacy Groups: Organizations like the Muscular Dystrophy Association (MDA) and the Myasthenia Gravis Foundation of America (MGFA) offer support and resources for patients and families.
- Medical Journals: Scientific and medical journals publish research articles on EMG and neuromuscular disorders.
22. The Future of EMG Testing
The field of EMG testing is poised for continued advancements, with ongoing research and development focused on improving diagnostic accuracy, patient comfort, and clinical applications. Emerging trends and technologies hold promise for revolutionizing the way neuromuscular disorders are assessed and managed.
22.1. Advanced Signal Processing Techniques
Researchers are exploring sophisticated signal processing algorithms to extract more detailed information from EMG signals. These techniques can help identify subtle abnormalities and differentiate between various neuromuscular conditions with greater precision.
22.2. Wearable EMG Devices
The development of wearable EMG devices offers the potential for continuous monitoring of muscle activity in real-world settings. These devices can provide valuable insights into muscle function during daily activities and exercise, enabling personalized treatment and rehabilitation strategies.
22.3. Artificial Intelligence (AI) and Machine Learning
AI and machine learning algorithms are being applied to EMG data analysis to automate the detection of abnormalities and improve diagnostic accuracy. These technologies can assist clinicians in interpreting complex EMG patterns and identifying subtle signs of neuromuscular disorders.
22.4. Tele-EMG
Tele-EMG, or remote EMG, involves the use of telemedicine technologies to perform EMG tests remotely. This can improve access to specialized care for patients in rural or underserved areas.
23. Frequently Asked Questions (FAQs) About EMG Tests
Question | Answer |
---|---|
What does an EMG test involve? | An EMG test involves assessing the electrical activity of muscles and nerves using surface or needle electrodes. It helps diagnose neuromuscular disorders. |
Is an EMG test painful? | While some discomfort may be experienced during needle insertion, the pain is generally manageable and short-lived. |
How long does an EMG test take? | The duration of an EMG test varies depending on the number of muscles and nerves being tested, but it typically takes between 30 minutes to 1 hour. |
Are there any risks associated with EMG? | EMG is generally a safe procedure with minimal risks. Potential risks include bleeding, infection, or nerve injury at the needle insertion site. |
What should I wear for an EMG test? | Wear comfortable clothing that allows easy access to the muscles being tested. |
How do I prepare for an EMG test? | Avoid applying lotions or creams on the day of the test. Inform your doctor about any medications or medical conditions you have. |
When will I receive my EMG results? | The results of your EMG test will typically be available within a few days, and your doctor will discuss them with you at a follow-up appointment. |
Can EMG results be inaccurate? | While EMG is a reliable diagnostic tool, there is a possibility of inaccurate results due to technical factors or individual variability. |
What can EMG results reveal? | EMG results can reveal nerve damage, muscle dysfunction, neuromuscular junction disorders, and motor neuron diseases. |
How accurate is an EMG test? | When performed by a qualified specialist, an EMG test is highly accurate in diagnosing neuromuscular disorders. However, the accuracy depends on factors such as the extent of the disease, the skill of the examiner, and the equipment used. |
What do abnormal EMG results indicate? | Abnormal EMG results may indicate nerve damage, muscle disorders, or problems with nerve-muscle communication. Further evaluation may be needed to determine the underlying cause and formulate a treatment plan. |
What is the purpose of an EMG test? | The purpose of an EMG test is to evaluate the electrical activity of muscles and nerves, helping to diagnose conditions such as carpal tunnel syndrome, peripheral neuropathy, and muscular dystrophy. |
Who interprets the EMG results? | A neurologist or a physiatrist, who specializes in electrodiagnostic medicine, interprets the EMG results. These specialists have the expertise to analyze the data and provide a diagnosis. |
What happens after an EMG test? | After an EMG test, you may experience some temporary, minor bruising where the needle electrode was inserted. This bruising should fade within several days. If it persists, contact your primary care doctor. The neurologist will interpret the results of your exam and prepare a report. |
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