Guillain-barré Syndrome

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Question 1
Free
Multiple Choice

Under microscopic inspection, the skeletal muscle nerves of a Guillain-Barré patient show all of the following EXCEPT:

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A

hypertrophy.

B

edema.

C

inflammation.

D

demyelination.

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Question 2
Free
Multiple Choice

In which of the following persons would Guillain-Barré syndrome most likely occur?

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A

African-American female-22 years of age

B

Hispanic male-31 years of age

C

Asian female-17 years of age

D

Caucasian male-53 years of age

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Question 3
Free
Multiple Choice

When a person has Guillain-Barré syndrome, how are peripheral nerves affected?

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A

They hypertrophy.

B

They fail to reproduce.

C

The myelin sheath is removed.

D

Schwann cells attack the peripheral nerves.

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Question 4
Free
Multiple Choice

The diagnosis of Guillain-Barré syndrome is based on all of the following EXCEPT:

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A

urinalysis shows elevated blood urea nitrogen.

B

abnormal electromyography results.

C

cerebrospinal fluid shows elevated protein level.

D

clinical history.

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Question 5
Free
Multiple Choice

A patient with Guillain-Barré is paralyzed and on mechanical ventilatory support. Which of the following pulmonary complications is most likely to occur as the result of prolonged immobilization?

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A

Pneumonia

B

Pressure sores

C

Thromboembolism

D

Atelectasis

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Question 6
Multiple Choice

Which of following has been shown to shorten the course of a severe case of Guillain-Barré syndrome?

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A
Renal dialysis
B
Plasmapheresis
C
Blood transfusion
D
NSAIDs
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Question 7
Multiple Choice

A 75-kg, 50-year-old male patient has Guillain-Barré syndrome. His most recent assessment indicates his VC is 900 mL and NIF is -16 cm H?O. What plan should the respiratory therapist recommend?

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A
Initiate EMG monitoring.
B
Initiate continuous positive airway pressure (CPAP).
C
Initiate mechanical ventilation.
D
Reassess the patient each hour.
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Question 8
Multiple Choice

A Guillain-Barré syndrome patient has autonomic nervous system dysfunction which can result in all of the following EXCEPT:

Choose correct answer/s
A
tachycardia.
B
hypotension.
C
urinary retention.
D
fever.
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Question 9
Multiple Choice

A patient with Guillain-Barré syndrome developed atelectasis. His chest radiograph findings would be expected to show:

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A
"ground-glass" appearance.
B
"honeycombing."
C
increased opacity.
D
blunted costophrenic angles.
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Question 10
Multiple Choice

Approximately what percentage of patients with GBS develop respiratory muscle paralysis?

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A
<5%
B
6% to 9%
C
10% to 30%
D
31% to 50%
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Question 11
Multiple Choice

Which of the following are identified as the causative organisms of the respiratory or gastrointestinal infections that precede the onset of most cases of GBS?

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A
Chlamydia psittaci and Campylobacter jejuni
B
Cytomegalovirus and mononucleosis
C
Campylobacter jejuni and cytomegalovirus
D
Mononucleosis and parainfluenza 2
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Question 12
Multiple Choice

In the United States and Europe, what is the most common subtype of GBS?

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A
Miller Fisher syndrome (MFS)
B
Acute motor axonal neuropathy (AMAN)
C
Acute pandysautonomic neuropathy (APN)
D
Acute inflammatory demyelinating polyneuropathy (AIDP)
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