Otterbein/Grant CRNA Musculoskeletal Disorders

24 Questions | Total Attempts: 40

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Medical Quizzes & Trivia

Questions and Answers
  • 1. 
    Myasthenia gravis is caused by infectious destruction of the functional postsynaptic ACh receptors.
    • A. 

      True

    • B. 

      False

  • 2. 
    MG presents as generalized muscle weakness that improves with rest and worsens with repeated muscle use.
    • A. 

      True

    • B. 

      False

  • 3. 
    MG patients not on AChase inhibitors may be _____ to succinylcholine.
    • A. 

      Resistant

    • B. 

      More responsive

  • 4. 
    In patients with muscular dystrophy, succinylcholine will give ______ K+ release.
    • A. 

      An increased

    • B. 

      A decreased

    • C. 

      An unchanged

  • 5. 
    Patients with muscular dystrophy are at an increased risk of malignant hypothermia and are more ________ to non-depolarizing agents.
    • A. 

      Sensitive

    • B. 

      Resistant

  • 6. 
    Rhabdomyolysis presents as renal failure and is a sign of malignant hyperthermia, this is especially important to watch for in patients with muscular dystrophy.
    • A. 

      True

    • B. 

      False

  • 7. 
    Patient's with muscular dystrophy have ______ plasma creatinine levels.
    • A. 

      Elevated

    • B. 

      Decreased

    • C. 

      Normal

  • 8. 
    Tardive dyskinesia, akinesia, akathesia, muscle rigidity, rhythmic resting tremor, and shuffling gait are all symptoms of:
    • A. 

      Parkinson's

    • B. 

      Alzheimer's

    • C. 

      Duchenne's muscular dystrophy

    • D. 

      Myasthenia gravis

  • 9. 
    Parkinson's medications should be discontinued pre-operatively.
    • A. 

      True

    • B. 

      False

  • 10. 
    Alzheimer's disease decreases the number of _____ cholinergic receptors and reduces acetylcholine synthesis.
    • A. 

      Nicotinic

    • B. 

      Muscarinic

    • C. 

      Both

  • 11. 
    High dose steroids, neuroleptics, benzo's, tertiary anticholinergics, ketamine, opioids, H2 blockers, and droperidol all have the potential to exacerbate dementia. 
    • A. 

      True

    • B. 

      False

  • 12. 
    Haldol or droperidol are unsafe to give to patients with Huntington's disease.
    • A. 

      True

    • B. 

      False

  • 13. 
    Patient's with Huntington disease may have decreased pseudocholinesterase activity which ________ sensitivity to succinylcholine and non-depolarizers.
    • A. 

      Increases

    • B. 

      Decreases

    • C. 

      Does not effect

  • 14. 
    Hypothermia improves spasticity in patients with cerebral palsy.
    • A. 

      True

    • B. 

      False

  • 15. 
    Autonomic dysreflexia occurs with transection above level T5-__.
  • 16. 
    Which of the following anesthetic techniques are most effective in preventing/alleviating autonomic dysreflexia?
    • A. 

      Spinal

    • B. 

      General

    • C. 

      Epidural

    • D. 

      Local

  • 17. 
    Which of the following are preferred for muscle relaxation when treating a patient 72 hours after a spinal cord injury?
    • A. 

      Non-depolarizer

    • B. 

      Succinylcholine

  • 18. 
    In patients with a spinal cord injury, response to twitch monitoring is ________.
    • A. 

      Increased

    • B. 

      Decreased

    • C. 

      Normal

  • 19. 
    Spinal anesthesia is the treatment of choice in patients with multiple sclerosis.
    • A. 

      True

    • B. 

      False

  • 20. 
    Succinylcholine should be avoided and sensitivity to non-depolarizers are increased in both multiple sclerosis and Guillain Barre. 
    • A. 

      True

    • B. 

      False

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