Amedco - Quiz

Emergency Management of Myasthenia Gravis: An Overview for First Responders


A   - Characterized by fluctuating weakness in voluntary muscles
B   - A neuromuscular autoimmune disease
C   - Only affects patients >65 years old
D   - A rare disease

A   - Slurred speech worse the longer the patients speaks
B   - Patient has trouble with balance
C   - Patient reports shortness of breath when lying supine on the strectcher
D   - A & C

A   - Intravenous Immunoglobulins (IVIg)
B   - Mycophenolate mofetil
C   - Eculizumab
D   - Prednisone
E   - Magnesium

A   - IV steroids, Beta-blockers, Calcium channel blockers, Azithromycin “Z-pack”
B   - Prednisone which has been recently started or had a dose increase
C   - Neuromuscular blocking agents
D   - Pyridostigmine
E   - A & B
F   - A, B & C
G   - All of the above

A   - Illness and/or Infection
B   - Surgery
C   - Pregnancy
D   - Reduction in medications for MG
E   - Taking a medication which can worsen MG
F   - Stress
G   - Heat
H   - No identified trigger
I   - A, B & D
J   - C & F
K   - All of the Above

A   - Rapid shallow breathing used to compensate for weakness
B   - Evidence of retractions or use of accessory muscle to breath
C   - Severe difficulty swallowing and trouble managing secretions
D   - Severe neck weakness
E   - All of the Above

A   - True
B   - False

A   - True
B   - False

A   - Alert Emergency physician of MG patient’s arrival to ER.
B   - Provide assistance with ventilation.
C   - Transport the patient immediately to ER.
D   - A & B
E   - C
F   - A, B & C

A   - Trouble swallowing secretions
B   - Trouble holding up head
C   - Trouble lifting head up off the stretcher
D   - Trouble walking or sitting independently
E   - Dyspnea/Tachypnea/Orthopnea
F   - Use of accessory muscles to breathe
G   - All symptoms A to F
H   - A, B, & C only