Guillain-Barré syndrome

The major pathologic or structural changes of the lungs associated with ventilator failure accompanying Guillain-Barré syndrome include:

1. alveolar consolidation

2. airway distortion and dilation.

3. mucosal edema.

4. atelectasis.

• 1,4

• 2,3

• 1, 2, 3

• 2, 4

• all the above

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

• urinalysis shows elevated blood urea nitrogen.

• abnormal electromyography results.

• electrical evaluation of the nervous system.

• cerebrospinal fluid shows elevated protein level.

• clinical history.

Common noncardiopulmonary manifestations associated with Guillain-Barré is (are):

1. difficulty swallowing.

2. leg pain.

3. distal paresthesia.

4. absent deep tendon reflexes.

• 1

• 2, 3

• 1, 2, 4

• 2, 3, 4

• all the above

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

• Renal dialysis

• Plasmapheresis

• Blood transfusion

• antibiotics

• NSAIDs

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

• Miller Fisher syndrome (MFS)

• Acute motor axonal neuropathy (AMAN)

• Acute pandysautonomic neuropathy (APN)

• Acute inflammatory demyelinating polyneuropathy (AIDP)

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

• hypertrophy.

• edema.

• inflammation.

• demyelination.

Clinical indications that a patient has impending acute ventilatory failure include:

1. pH <7.25

2. vital capacity (VC) <20 mL/kg.

3. PaCO2 >52 mm Hg.

4. Negative inspiratory force (NIF) -25 cm H2O.

• 1, 3

• 1, 2, 3

• 2, 3, 4

• 2, 4

• all the above

Typical chest assessment findings in a patient with Guillain-Barré syndrome include:

1. diminished breath sounds.

2. crackles.

3. tracheal deviation.

4. depressed diaphragms.

• 4

• 1, 2

• 2, 3

• 1, 2, 3

• all the above

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

• tachycardia.

• hypotension.

• hypertension

• urinary retention.

• None of the above

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

• African-American female—22 years of age

• Hispanic male—31 years of age

• Asian female—17 years of age

• Caucasian male—53 years of age