ACTUAL QUESTIONS AND CORRECTLY
WELL DEFINED ANSWERS LATEST 2024 –
2025 ALREADY GRADED A+
What is septic shock? - ANSWERS-complex type of distributive shock that begins
as a bacterial or fungal infection
What causes septic shock? - ANSWERS-immunocompromised
bacterial infection
indwelling IV/FC
clotting cascade is initiated (DIC)
What is add'l s/s for septic shock? - ANSWERS-FEVER
What is used to dx encephalitis? - ANSWERS-lumbar puncture
EEG
,CT (looks for mass)
What are N/I for encephalitis? - ANSWERS-Neuro checks
Monitor for s/s of ICP
Suction only resp compromised
HOB 30-45
Decrease stimuli
What is the tx for encephalitis? - ANSWERS-acyclovir
What are complications from encephalitis? - ANSWERS-ICP that leads to
herniation of brain tissue or death
What is myasthenia gravis? - ANSWERS-Autoimmune disorder that is
characterized by weakness in the muscles
What causes myasthenia gravis? - ANSWERS-lack of Ach receptor sites, leads to
lack of nerve impulses
What are s/s of myasthenia gravis? - ANSWERS-difficulty holding up head or
brushing teeth
double vision
ptosis
,dysphagia
loss of bowel & bladder control
decrease sense of smell & taste
How is myasthenia gravis diagnosed? - ANSWERS-tensillon test.
s/s improve with Edrophonium .
How does edrophonium work? - ANSWERS-w/in 30-60sec of 1st dose, most show
lots of improvement, lasts 4-5mins
What are n/i for myasthenia gravis? - ANSWERS-assess adls, speech & facial
weakness
resp support
keep oxygen equipment & suction at bedside for r/f of resp distress
promote mobility
What is encephalitis? - ANSWERS-inflammation or infection of the brain
What causes encephalitis? - ANSWERS-West Nile Virus
Herpes
, What are the s/s of encephalitis? - ANSWERS-High fever, N/V, stiff neck
Flu like symptoms
change in LOC
photophobia
pupil changes (dilate & less responsive to light)
What is tx for myasthenia gravis? - ANSWERS-plasmapherisis
anticholinesterases (pyridostigmine) immunosuppressants
What is cholinergic crisis? - ANSWERS-too much cholinesterase inhibitor drug
What are s/s of cholinergic crisis? - ANSWERS-fasciculations
hypersalivation
sweating
bronchospasms
increase bronchial secretions
bradycardia
What is tx for cholinergic crisis? - ANSWERS-atropine
DO NOT GIVE ANTICHOLINESTERASE