Muscle Weakness and Paralysis Quiz
30 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the definitive diagnostic procedure for Myasthenia Gravis?

  • Electromyography (EMG) (correct)
  • Ultrasound
  • X-ray
  • Magnetic Resonance Imaging (MRI)
  • Which muscle weakness manifestation of Myasthenia Gravis involves the eyelid drooping?

  • Dysarthria
  • Ptosis (correct)
  • Dysphagia
  • Sialorrhea
  • What is the purpose of the Tensilon test using Edrophonium Chloride?

  • To distinguish Myasthenic crisis from Cholinergic crisis (correct)
  • To improve respiration
  • To assess vision changes
  • To induce drowsiness
  • Which difficulty is NOT typically associated with Myasthenia Gravis?

    <p>Weight gain</p> Signup and view all the answers

    What type of heart condition requires defibrillation as a treatment according to the text?

    <p>Atrial Fibrillation</p> Signup and view all the answers

    Which test is used to assess muscle strength improvement within a minute in Myasthenia Gravis?

    <p>Tensilon test with Edrophonium Chloride</p> Signup and view all the answers

    Which viral infection is NOT mentioned as a possible trigger for Auto Immune disease in the text?

    <p>Influenza A virus</p> Signup and view all the answers

    What is the characteristic histology finding associated with Auto Immune disease mentioned in the text?

    <p>Presence of macrophages phagocytosing myelin surrounded by lymphoid cells</p> Signup and view all the answers

    What is a common complication that can be prevented by encouraging patients to move around in Auto Immune disease management?

    <p>Deep vein thrombosis</p> Signup and view all the answers

    In Auto Immune disease management, what is the highest priority for maintaining airway and supporting pulmonary function?

    <p>Respiratory care</p> Signup and view all the answers

    Which of the following is NOT a component of the pharmacologic management of Auto Immune disease according to the text?

    <p>Antibiotics</p> Signup and view all the answers

    What type of changes are less prominent in Auto Immune disease compared to ascending muscle weakness and paralysis?

    <p>Sensory changes</p> Signup and view all the answers

    What is a common cause of death in Guillain-Barre Syndrome?

    <p>Respiratory paralysis</p> Signup and view all the answers

    Which term describes the Unilateral disability of upper and lower extremities seen in the text?

    <p>Paresis</p> Signup and view all the answers

    What diagnostic test is used to evaluate skeletal muscle electrical activity?

    <p>EMG</p> Signup and view all the answers

    Which sign is associated with Upper Motor Neurons in the text?

    <p>Spasticity and hyperreflexia</p> Signup and view all the answers

    Which term is used to describe the awkwardness of fine finger movements?

    <p>Dysarthria</p> Signup and view all the answers

    What is a common nursing intervention for Guillain-Barre Syndrome related to nutrition?

    <p>Promote adequate fluid and nutritional intake</p> Signup and view all the answers

    What is a common symptom of ptosis?

    <p>Upper face paralysis</p> Signup and view all the answers

    What nursing intervention is essential to protect the eye in a patient with ptosis?

    <p>Using protective eye wear</p> Signup and view all the answers

    What effect do corticosteroids have in the treatment of multiple sclerosis?

    <p>Suppress the immune system</p> Signup and view all the answers

    What characterizes the etiology of multiple sclerosis?

    <p>Autoimmune response targeting the myelin sheath</p> Signup and view all the answers

    What age group is most commonly affected by multiple sclerosis?

    <p>Females aged 20-40 years old</p> Signup and view all the answers

    What did Jean Marie Charcot describe regarding multiple sclerosis?

    <p>Associated it with randomly scattered patches of demyelination</p> Signup and view all the answers

    What is the relationship between Vitamin D levels and multiple sclerosis?

    <p>Individuals with MS tend to have insufficient vitamin D levels.</p> Signup and view all the answers

    What role do T helper cells play in multiple sclerosis?

    <p>They are key in the development of lesions.</p> Signup and view all the answers

    What is the primary function of the Blood-Brain Barrier?

    <p>Preventing immune cell infiltration into the nervous system.</p> Signup and view all the answers

    How do macrophages contribute to multiple sclerosis?

    <p>Removing degenerating myelin.</p> Signup and view all the answers

    What is the manifestation of Corticospinal syndrome in multiple sclerosis?

    <p>Symmetric muscular weakness and stiffness.</p> Signup and view all the answers

    What does peripheral vasculitis result from in multiple sclerosis?

    <p>Recurrence of inflammatory reactions.</p> Signup and view all the answers

    Study Notes

    Autoimmune Disorders

    Guillain-Barré Syndrome

    • Follows viral infection (URTI, GIT) or swine flu immunization
    • Affects all age groups and sexes
    • Causes: Campylobacter jejuni, Cytomegalovirus, Epstein-Barr virus, Mycoplasma pneumoniae, Haemophilus influenzae, HIV
    • Histology: Nerve infiltrated lymphoid cells with phagocytosis of myelin by macrophages
    • Clinical features:
      • Ascending muscle weakness and paralysis
      • Respiratory failure possible
      • Less prominent sensory changes
      • Remyelination over 3-4 months
    • Diagnostics:
      • EMG
      • CSF Analysis
      • CT scan/MRI
    • Management:
      • Maintain airway and support pulmonary function
      • Prepare patient for Plasmapheresis during acute phase
      • Pharmacologic treatment: Steroids, IV IgG, Anti-arrhythmic, Propranolol
      • Encourage patient to move around to prevent complications due to immobility
      • Prevent Contractures and atrophy
      • Prevent DVT
      • Provide Nutritional support
      • Safe environment to minimize infection
      • Emotional support

    Multiple Sclerosis

    • Chronic, debilitating, progressive disease with periods of remission and exacerbation
    • Characterized by randomly scattered patches of demyelination
    • Common in females of 20-40 years old
    • Etiology:
      • Autoimmune response
      • Environmental factors (Vitamin D levels)
      • Genetics (HLA)
      • Infection by a slow latent virus
    • Manifestations occur intermittently and depend on CNS involvement
    • Blood-Brain Barrier Breakdown: Leaks form in the blood-brain barrier, allowing immune cells to infiltrate
    • Pathology:
      • Immune response leads to recurrent inflammatory reactions
      • Lymphocytes secrete IgG antibodies, which increase during exacerbations
      • Macrophages enter the myelin sheath, removing degenerating myelin, forming patchy areas of demyelination
    • Areas of Plaque Formation:
      • Corticospinal syndrome
      • Generalized muscle weakness
      • Muscle wasting and atrophy
    • Diagnostics:
      • Electromyography
      • Blood tests (CRH modulator antibodies)
      • Chest x-ray/CT Scan
      • Edrophonium Chloride (Tensilon test)

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    Test your knowledge on symptoms and signs associated with generalized muscle weakness, paresis, and paralysis. Learn about upper and lower motor neuron signs, muscle wasting, atrophy, and other related manifestations.

    More Like This

    Understanding Weakness Symptoms
    13 questions
    Complications of Muscle Weakness
    15 questions

    Complications of Muscle Weakness

    DefeatedRainbowObsidian avatar
    DefeatedRainbowObsidian
    Respiratory Muscle Weakness Quiz
    45 questions
    Use Quizgecko on...
    Browser
    Browser