A 51-year old patient with Guillain-Barré syndrome develops rapidly progressive weakness and declining vital capacity. What is the most appropriate immediate management?
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. IV immunoglobulin or plasma exchange
Severe, progressing GBS needs disease-modifying therapy with IVIG or plasma exchange, both equally effective. Alongside this, monitor vital capacity closely and arrange ICU care, ventilating if needed.
- Steroids do not help in GBS.
- Acetylcholinesterase inhibitors are for myasthenia gravis.
- Antibiotics have no role.
ليش كل خيار صح أو غلط
-
A
ليش غلط
Steroids are not helpful in Guillain-Barre syndrome, so high-dose corticosteroids are not the treatment.
✓ Step_Up_To_Medicine_6th_Edition_2024_GUILLIAN_BARRE_SYNDROME.pdf · p. 2 -
B
ليش غلط
GBS is an immune-mediated condition, not an infection to be treated; active treatment is plasma exchange or IV immunoglobulin, which shortens ventilation and improves prognosis.
✓ GBS and MG D.pdf · p. 1 -
C
ليش صح
Treatment is IV immunoglobulin or plasma exchange, with careful pulmonary monitoring and mechanical ventilation if needed.
✓ Step_Up_To_Medicine_6th_Edition_2024_GUILLIAN_BARRE_SYNDROME.pdf · p. 2 -
D
ليش غلط
Acetylcholinesterase inhibitors (pyridostigmine) are the symptomatic drug for myasthenia gravis, a neuromuscular junction disease, not for GBS.
✓ GBS and MG D.pdf · p. 3
- المصدر
- Step_Up_To_Medicine_6th_Edition_2024_GUILLIAN_BARRE_SYNDROME.pdf · p. 2
GBS and MG D.pdf · p. 1 - المحاضرة
- GBS & Myasthenia Gravis · Neurology · Module C
- ظهر في
- MED43 ♂ Quiz C · MED43 ♀ Quiz C · MED43 ♀ Compre