Neurology: Diagnosing Lesions with MRI and CSF Analysis
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Questions and Answers

What is the most definitive test available for diagnosing a particular condition?

  • MRI (correct)
  • Physical examination
  • Blood test
  • CSF analysis

What is indicated by the presence of T lymphocytes reactive with antigens in CSF analysis?

  • Immune response (correct)
  • Cancer
  • Viral infection
  • Bacterial infection

What does CSF analysis reveal in this condition?

  • An increased number of T lymphocytes (correct)
  • Decreased number of T lymphocytes
  • Increased number of B lymphocytes
  • Normal levels of both B and T lymphocytes

What is the primary function of T lymphocytes in the immune system?

<p>To recognize and respond to antigens (D)</p> Signup and view all the answers

What is the significance of finding lesions in an MRI scan?

<p>It reveals a definitive diagnosis (D)</p> Signup and view all the answers

What is the primary risk associated with a myasthenic crisis?

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

What is a common cause of a myasthenic crisis?

<p>Insufficient dosage of medication (D)</p> Signup and view all the answers

Which of the following is NOT a symptom of myasthenic crisis?

<p>Muscle hypertrophy (D)</p> Signup and view all the answers

What is another term for myasthenic crisis?

<p>Sudden worsening of muscle weakness (B)</p> Signup and view all the answers

Which of the following is a symptom of myasthenic crisis that affects the respiratory system?

<p>Tachypnea (D)</p> Signup and view all the answers

What may be necessary if a person is unable to tolerate oral food?

<p>Tube feedings (D)</p> Signup and view all the answers

What is essential for metabolic processes?

<p>Adequate kilocalories and nutrients (D)</p> Signup and view all the answers

What is the primary goal of providing kilocalories and nutrients?

<p>To support metabolic processes (D)</p> Signup and view all the answers

Why are tube feedings sometimes necessary?

<p>When a person is unable to tolerate oral food (A)</p> Signup and view all the answers

What is a common indication for tube feedings?

<p>Inability to tolerate oral food (C)</p> Signup and view all the answers

At what age is this disorder most commonly seen?

<p>In adults between 20 and 40 (C)</p> Signup and view all the answers

Is the incidence of this disorder different in men and women?

<p>No, it is equal in both men and women (C)</p> Signup and view all the answers

What is the most common demographic group affected by this disorder?

<p>Adults between 20 and 40 (C)</p> Signup and view all the answers

Is the incidence of this disorder higher in one gender than the other?

<p>No, the incidence is equal in both men and women (D)</p> Signup and view all the answers

What is the age range when this disorder is least likely to occur?

<p>Children under 10 (B)</p> Signup and view all the answers

What happens to the lower facial muscles when the patient attempts to smile?

<p>They are pulled to the opposite side of the face. (B)</p> Signup and view all the answers

What is the direction of the facial muscles' movement when the patient tries to smile?

<p>Sideways, towards the opposite side of the face. (C)</p> Signup and view all the answers

What is the result of the patient's attempt to smile?

<p>The face becomes asymmetrical. (A)</p> Signup and view all the answers

Why do the lower facial muscles move to the opposite side of the face when the patient tries to smile?

<p>Due to neurological disorders. (D)</p> Signup and view all the answers

What is the significance of the facial muscle movement in the patient's attempt to smile?

<p>It is a sign of a neurological disorder. (C)</p> Signup and view all the answers

Study Notes

MRI and CSF Analysis

  • MRI is the most definitive test for detecting lesions in the context of neurological disorders.
  • Cerebrospinal fluid (CSF) analysis reveals increased T lymphocytes reactive to antigens, indicating an active immune response.

Myasthenic Crisis

  • Myasthenic crisis is characterized by a sudden exacerbation of muscular weakness.
  • Common manifestations include:
    • Tachycardia (increased heart rate)
    • Tachypnea (rapid breathing)
    • Severe respiratory distress
    • Dysphagia (difficulty swallowing)
    • Restlessness
    • Impaired speech
    • Anxiety
  • Risk of respiratory failure is heightened during a myasthenic crisis.

Causes and Management

  • A myasthenic crisis often results from:
    • Medication dose deficiencies
    • Infection development
  • If oral feeding is intolerable, tube feeding may be necessary to maintain nutrition.
  • Ensuring adequate kilocalories and nutrients is crucial for metabolic processes.

Demographics

  • Myasthenia gravis can affect individuals at any age, with a higher prevalence in adults aged 20 to 40.
  • The incidence is equal between men and women.

Clinical Observation

  • When a patient tries to smile, lower facial muscles may be asymmetrically drawn to the opposite side of the face.

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Description

Learn about the role of MRI and CSF analysis in diagnosing lesions. Understand how increased T lymphocytes in CSF indicate an immune response, aiding in the diagnosis of neurological disorders.

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