CH 30

  1. Which of the following are associated with myasthenia gravis?

    1.It interferes with acetylcholine transmission.
    2.It causes weakness of voluntary muscles.
    3.It is usually an ascending paralysis starting in the legs.
    4.It is usually preceded by a viral infection.




    A.
  2. What clinical change would be expected following a rest period for a patient with myasthenia gravis?




    C.
  3. The major pathologic or structural changes of the lungs associated with myasthenic crisis include:

    1.alveolar consolidation.
    2.airway obstruction.
    3.mucus accumulation.
    4.hyperinflation.




    B.
  4. Which demographic groups are most likely to develop myasthenia gravis?

    1. Females >40 years of age
    2. Males <35 years of age
    3. Females 15 to 35 years of age
    4. Males 40 to 70 years of age




    D.
  5. Which of the following are signs and symptoms associated with myasthenia gravis?

    1.Double vision
    2.Weakness of neck muscles
    3.Drooping of eyelids
    4.Temporary muscle fatigue




    D.
  6. What test is usually performed to confirm the diagnosis of myasthenia gravis?



    A.
  7. If a patient with myasthenia gravis is given edrophonium, what response would be expected?




    D.
  8. Which of the following values would be associated with impending ventilatory failure in a patient with myasthenia gravis?

    1.NIF –15 cm H2O
    2.VC 10 mL/kg
    3.PaCO2 44 mm Hg
    4.pH 7.36




    C.
  9. Which of the following are among the therapy modalities for the patient with myasthenia gravis?

    1.Acetylcholinesterase inhibitors
    2.Chronic immunotherapieNsURSINGTB.COM
    3.Rapid immunotherapies
    4.Monoamine oxidase inhibitors




    B.
  10. Complications commonly associated with long-term use of steroids in the management of myasthenia gravis include:

    1.infections.
    2.cataracts.
    3.pulmonary edema.
    4.osteoporosis.




    A.
  11. A 50-kg (110-pound) 30-year-old female patient has myasthenia gravis. Bedside spirometry has found her VC to be 700 mL and NIF –14 cm H2O. Vital signs show a respiratory rate of
    38 breaths/min, a heart rate of 140/minute, and blood pressure of 130/90 mm Hg. What should the respiratory therapist recommend?




    C.
  12. A physician recommended a thymectomy for a patient with generalized myasthenia gravis. The primary benefit of this procedure is to:




    D.
  13. A patient has a severe case of generalized myasthenia gravis. It is most important that the patient be monitored for:





    B.
  14. A patient with myasthenia gravis will have lung volume and capacity findings that indicate a(n):




    B.
  15. During a myasthenia crisis, a patient was placed on mechanical ventilation but is now stable. What will the chest radiograph most likely show?




    D.
  16. Which of the following disrupts the nerve impulse transmission in myasthenia gravis?




    C.
  17. What percentage of patients with only ocular myasthenia gravis are seropositive?




    D.
  18. What is the most sensitive diagnostic test for myasthenia gravis?




    D.
  19. In which clinical classification of myasthenia gravis is intubation indicated?




    B.
  20. Which of the following is considered a disadvantage of the edrophonium test?




    B.
Author
Chino2403
ID
358211
Card Set
CH 30
Description
Updated