Myasthenia Gravis Physical Examination
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Questions and Answers

What is the duration of the ice pack test?

  • 10-15 minutes
  • 3-5 minutes (correct)
  • 10-15 seconds
  • 1-2 hours
  • What is the primary purpose of a physical examination in diagnosing MG?

  • To detect weakness, particularly muscle weakness (correct)
  • To confirm the presence of MG
  • To rule out other neurological disorders
  • To determine the type of MG
  • What is the effect of cold on neuromuscular transmission in MG patients?

  • It has no effect on acetylcholinesterase
  • It increases the activity of acetylcholinesterase
  • It reduces the activity of acetylcholinesterase (correct)
  • It completely breaks down acetylcholine
  • What is the minimum improvement in eyelid drooping required for a positive ice pack test result?

    <p>At least 2 millimeters</p> Signup and view all the answers

    Who is the ice pack test used for?

    <p>Patients with drooping eyelids or ptosis</p> Signup and view all the answers

    How long does the improvement in eyelid drooping last after a positive ice pack test result?

    <p>A few minutes</p> Signup and view all the answers

    What is the purpose of the anti-acetylcholine receptor antibody test in diagnosing autoimmune myasthenia gravis?

    <p>To identify the presence of antibodies that target acetylcholine receptors</p> Signup and view all the answers

    What is the result of the immune system's attack on acetylcholine receptors in myasthenia gravis?

    <p>Disruption of normal muscle contraction</p> Signup and view all the answers

    What is the mechanism of the repetitive nerve stimulation test in EMG?

    <p>Stimulating a nerve repeatedly to measure muscle response</p> Signup and view all the answers

    What is the action of antibodies that target acetylcholine receptors in myasthenia gravis?

    <p>Blocking the binding of acetylcholine to receptors</p> Signup and view all the answers

    What is the primary goal of the anti-acetylcholine receptor antibody test in diagnosing autoimmune myasthenia gravis?

    <p>To confirm the diagnosis of autoimmune myasthenia gravis</p> Signup and view all the answers

    What is the effect of the immune system's attack on acetylcholine receptors in myasthenia gravis?

    <p>Reduced availability of acetylcholine receptors</p> Signup and view all the answers

    What is the term for the decrease in muscle response amplitude with repeated stimulation in Myasthenia Gravis?

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

    What is the primary purpose of RNS in diagnosing Myasthenia Gravis?

    <p>To highlight the weakness in neuromuscular transmission</p> Signup and view all the answers

    What is the term for the variation in response times between different muscle fibers in Myasthenia Gravis?

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

    What does SFEMG provide in diagnosing Myasthenia Gravis?

    <p>A detailed picture of neuromuscular transmission at the level of individual muscle fibers</p> Signup and view all the answers

    What is the effect of AChR antibodies on neuromuscular transmission in Myasthenia Gravis?

    <p>Blocked or destroyed AChRs</p> Signup and view all the answers

    What is the significance of the patchy distribution of AChR antibodies in Myasthenia Gravis?

    <p>It results in jitter, a time delay in muscle fiber response</p> Signup and view all the answers

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