Guillain-Barré Syndrome Quiz

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Questions and Answers

Which of the following options correctly identifies the mechanism behind GBS?

  • Demyelination caused by environmental toxins
  • Inflammatory neuropathy due to cross reactivity between neural antigens and antibodies (correct)
  • Direct viral invasion of the nervous system
  • Autoimmune reaction solely due to genetic predisposition

What is the most common infectious agent associated with the onset of GBS?

  • Epstein Barr Virus
  • Mycoplasma pneumoniae
  • Campylobacter jejuni (correct)
  • Cytomegalovirus

Which symptom is most frequently reported before the onset of GBS?

  • Abdominal pain
  • Severe headache
  • Fever (correct)
  • Joint pain

Why are corticosteroids not recommended for the treatment of GBS?

<p>They do not address the underlying mechanism of the disease (A)</p> Signup and view all the answers

How does Campylobacter jejuni contribute to the development of GBS?

<p>By expressing lipooligosaccharides similar to gangliosides (D)</p> Signup and view all the answers

Which symptom is typically reported before the onset of Guillain-Barré Syndrome (GBS)?

<p>Fever (B)</p> Signup and view all the answers

What is the primary characteristic of Guillain-Barré Syndrome?

<p>Relatively symmetrical weakness (B)</p> Signup and view all the answers

What is the mechanism by which Campylobacter jejuni may trigger Guillain-Barré Syndrome?

<p>Cross-reactivity between neural antigens and antibodies (A)</p> Signup and view all the answers

Which treatment is considered first-line therapy for Guillain-Barré Syndrome?

<p>Plasma exchange (A)</p> Signup and view all the answers

Which of the following statements regarding corticosteroids in GBS treatment is accurate?

<p>They are not recommended. (C)</p> Signup and view all the answers

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Study Notes

Diagnostic Criteria for GBS

  • Characterized by progressive and relatively symmetrical weakness.
  • Presence of decreased or absent myotatic reflexes is an essential diagnostic feature.

Common Subtype of GBS

  • Acute inflammatory demyelinating polyradiculoneuropathy (AIDP) is the most prevalent subtype of Guillain-Barré syndrome (GBS).

Pre-Onset Symptoms

  • Typical complaints prior to GBS onset include respiratory or gastrointestinal symptoms.

Infectious Pathology Linked to GBS

  • Campylobacter jejuni infection is the most common infectious agent associated with the development of GBS.

Pathophysiology of GBS

  • GBS is fundamentally an inflammatory neuropathy caused by cross-reactivity between neural antigens and antibodies, triggered by specific infections.

Mechanism of C. jejuni in GBS

  • C. jejuni contains lipooligosaccharides on its bacterial wall, which are structurally similar to gangliosides.
  • This similarity leads to molecular mimicry, resulting in the formation of antiganglioside antibodies that attack peripheral nerves.

Common Symptoms Before GBS Onset

  • Fever, cough, sore throat, and upper respiratory tract infections (URTI) are the most frequently reported symptoms prior to GBS diagnosis.

Association with Other Infections

  • Epstein-Barr Virus infection has been linked to milder forms of GBS.

First-Line Treatment for GBS

  • Plasma exchange is the primary treatment recommended for managing GBS.

Use of Corticosteroids

  • Corticosteroids are not recommended for the treatment of Guillain-Barré syndrome.

Diagnostic Criteria for GBS

  • Characterized by progressive and relatively symmetrical weakness.
  • Presence of decreased or absent myotatic reflexes is an essential diagnostic feature.

Common Subtype of GBS

  • Acute inflammatory demyelinating polyradiculoneuropathy (AIDP) is the most prevalent subtype of Guillain-Barré syndrome (GBS).

Pre-Onset Symptoms

  • Typical complaints prior to GBS onset include respiratory or gastrointestinal symptoms.

Infectious Pathology Linked to GBS

  • Campylobacter jejuni infection is the most common infectious agent associated with the development of GBS.

Pathophysiology of GBS

  • GBS is fundamentally an inflammatory neuropathy caused by cross-reactivity between neural antigens and antibodies, triggered by specific infections.

Mechanism of C. jejuni in GBS

  • C. jejuni contains lipooligosaccharides on its bacterial wall, which are structurally similar to gangliosides.
  • This similarity leads to molecular mimicry, resulting in the formation of antiganglioside antibodies that attack peripheral nerves.

Common Symptoms Before GBS Onset

  • Fever, cough, sore throat, and upper respiratory tract infections (URTI) are the most frequently reported symptoms prior to GBS diagnosis.

Association with Other Infections

  • Epstein-Barr Virus infection has been linked to milder forms of GBS.

First-Line Treatment for GBS

  • Plasma exchange is the primary treatment recommended for managing GBS.

Use of Corticosteroids

  • Corticosteroids are not recommended for the treatment of Guillain-Barré syndrome.

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