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WorksheetsGuillain-Barré syndrome
Total questions: 19
Worksheet time: 38mins
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
A 75-kg, 50-year-old male patient has Guillain-Barré syndrome. His most recent assessment indicates his VC is 900 mL and NIF is –16 cm H2O. What plan should the respiratory therapist recommend?
Initiate EMG monitoring.
Initiate continuous positive airway pressure (CPAP).
Initiate mechanical ventilation.
Reassess the patient each hour.
Which of the following are identified as the causative organisms of the respiratory or gastrointestinal infections that precede the onset of most cases of GBS?
Chlamydia psittaci and Campylobacter jejuni
Campylobacter jejuni and cytomegalovirus
Cytomegalovirus and mononucleosis
Mononucleosis and parainfluenza 2
The peripheral nervous system problems found with Guillain-Barré syndrome (GBS) include:
1. loss of reflexes.
2. increased reflex reactions.
3. flaccid paralysis of skeletal muscles.
4. tetany of skeletal muscles.
3
4
1, 3, 4
1, 3
all the above
Approximately what percentage of patients with GBS develop respiratory muscle paralysis?
>5%
10%-30%
6% to 9%
31% to 50%
<50%
A patient with Guillain-Barré syndrome developed atelectasis. His chest radiograph findings would be expected to show:
increased opacity.
"ground-glass" appearance.
"honeycombing."
blunted costophrenic angles.
When a person has Guillain-Barré syndrome, how are peripheral nerves affected?
They hypertrophy.
They fail to reproduce.
Schwann cells attack the peripheral nerves.
The myelin sheath is removed.
A patient with Guillain-Barré is paralyzed and on mechanical ventilatory support. Which of the following pulmonary complications is most likely to occur as the result of prolonged immobilization?
Pneumonia
Pressure sores
Thromboembolism
Atelectasis
What percentage of Guillain-Barre Syndrome patients develop acute ventilatory failure and require mechanical ventilation?
15%
30%
25%
10%
How would you describe effects of pendelluft?
Hypertension
Hypoventilation
Cheyne-stokes respiration
Apneustic breathing
