MDC4 -Exam 1 Assessment Questions
and Answers 2024
Treatment that affects symptoms - CORRECT ANSWER-Cholinesterase inhibitors
(ChEs)
Treatment that induces remission - CORRECT ANSWER-IV immunoglobulin (IVIG)
Plasmapheresis
Thymectomy
Corticosteroids
ChE of choice - CORRECT ANSWER-pyridostigmine
*Eat meals 45 mins after
*Do not take with depressants, magnesium, or neomycin
Cholinergic crisis - CORRECT ANSWER--Too much medication
-N&V, diarrhea, cramps, hypotension, bradycardia, blurred vision, hypersecretion
(SLUD)
-Symptoms worsen with edrophonium test (Tensilon) -Atropine to reverse
-Respiratory support may be needed
Myasthenic Crisis - CORRECT ANSWER-an acute exacerbation of disease caused by
inadequate amount of meds, infection, fatigue or stress.
*S&S: increased HR, BP, incontinence, decreased urine output
*Symptoms improve with edrophonium test (Tensilon)
general anesthesia IV is contraindicated with - CORRECT ANSWER-Liver & Kidney
disease
an allergy to egg, peanut, or soy - CORRECT ANSWER-Propofol (Dipirivan)
If the client has an allergy to metal or nickel, they will need - CORRECT ANSWER-
titanium
an allergy to avocado, banana, kiwi, strawberry - CORRECT ANSWER-Latex
an allergy to shellfish - CORRECT ANSWER-Povidone-iodine (Betadine)
serosanguineous drainage beyond the 5th day post-Op - CORRECT ANSWER-possible
sign of dehiscence
Dehiscence & evisceration prevention - CORRECT ANSWER--increase calories,
vitamin C, protein, iron, zinc.