Question 1

Typical chest assessment findings in a patient with Guillain-Barré syndrome include:
1) diminished breath sounds.
2) crackles.
3) tracheal deviation.
4) depressed diaphragms.

Accepted Answer

A)   4
B)   1, 2
C)   3, 4
D)   1, 2, 3, 4 B

Question 2

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.

Accepted Answer

A)   1, 4
B)   2, 3
C)   1, 2, 3
D)   1, 2, 3, 4 A

Question 3

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

Accepted Answer

A)   Miller Fisher syndrome (MFS) 
B)   Acute motor axonal neuropathy (AMAN) 
C)   Acute pandysautonomic neuropathy (APN) 
D)   Acute inflammatory demyelinating polyneuropathy (AIDP)  D

Question 4

Common noncardiopulmonary manifestations associated with Guillain-Barré is (are):
1) difficulty swallowing.
2) leg pain.
3) distal paresthesia.
4) absent deep tendon reflexes.

Accepted Answer

A)   1
B)   2, 3
C)   1, 2, 4
D)   1, 2, 3, 4

Question 5

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

Accepted Answer

A)   African-American female-22 years of age
B)   Hispanic male-31 years of age
C)   Asian female-17 years of age
D)   Caucasian male-53 years of age

Question 6

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?

Accepted Answer

A)   Chlamydia psittaci and Campylobacter jejuni
B)   Cytomegalovirus and mononucleosis
C)   Campylobacter jejuni and cytomegalovirus
D)   Mononucleosis and parainfluenza 2

Question 7

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

Accepted Answer

A)   tachycardia.
B)   hypotension.
C)   urinary retention.
D)   fever.

Question 8

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

Accepted Answer

A)   urinalysis shows elevated blood urea nitrogen.
B)   abnormal electromyography results.
C)   cerebrospinal fluid shows elevated protein level.
D)   clinical history.

Question 9

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.

Accepted Answer

A)   3
B)   4
C)   1, 3
D)   2, 4

Question 10

Approximately what percentage of patients with GBS develop respiratory muscle paralysis?

Accepted Answer

A)   
B)   6% to 9%
C)   10% to 30%
D)   31% to 50%

Question 11

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?

Accepted Answer

A)   Initiate EMG monitoring.
B)   Initiate continuous positive airway pressure (CPAP) .
C)   Initiate mechanical ventilation.
D)   Reassess the patient each hour.

Question 12

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

Accepted Answer

A)   Renal dialysis
B)   Plasmapheresis
C)   Blood transfusion
D)   NSAIDs

Question 13

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?

Accepted Answer

A)   Pneumonia
B)   Pressure sores
C)   Thromboembolism
D)   Atelectasis

Question 14

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

Accepted Answer

A)   hypertrophy.
B)   edema.
C)   inflammation.
D)   demyelination.

Question 15

Clinical indications that a patient has impending acute ventilatory failure include:
1) pH 2 >45 mm Hg.
4) Negative inspiratory force (NIF) 2O.

Accepted Answer

A)   1, 3
B)   1, 2, 3
C)   2, 4
D)   1, 2, 3, 4

Question 16

When a person has Guillain-Barré syndrome, how are peripheral nerves affected?

Accepted Answer

A)   They hypertrophy.
B)   They fail to reproduce.
C)   The myelin sheath is removed.
D)   Schwann cells attack the peripheral nerves.

Question 17

A patient with Guillain-Barré syndrome developed atelectasis. His chest radiograph findings would be expected to show:

Accepted Answer

A)   "ground-glass" appearance.
B)   "honeycombing."
C)   increased opacity.
D)   blunted costophrenic angles.

Exam 29: Guillain-Barré Syndrome

Typical chest assessment findings in a patient with Guillain-Barré syndrome include: 1) diminished breath sounds. 2) crackles. 3) tracheal deviation. 4) depressed diaphragms.

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.

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

Common noncardiopulmonary manifestations associated with Guillain-Barré is (are) : 1) difficulty swallowing. 2) leg pain. 3) distal paresthesia. 4) absent deep tendon reflexes.

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

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?

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

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

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.

Approximately what percentage of patients with GBS develop respiratory muscle paralysis?

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?

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

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?

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

Clinical indications that a patient has impending acute ventilatory failure include: 1) pH <7.35. 2) vital capacity (VC) <20 mL/kg. 3) PaCO₂>45 mm Hg. 4) Negative inspiratory force (NIF) <25 cm H₂O.

When a person has Guillain-Barré syndrome, how are peripheral nerves affected?

A patient with Guillain-Barré syndrome developed atelectasis. His chest radiograph findings would be expected to show:

Exam 29: Guillain-Barré Syndrome

Typical chest assessment findings in a patient with Guillain-Barré syndrome include: 1) diminished breath sounds. 2) crackles. 3) tracheal deviation. 4) depressed diaphragms.

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.

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

Common noncardiopulmonary manifestations associated with Guillain-Barré is (are) : 1) difficulty swallowing. 2) leg pain. 3) distal paresthesia. 4) absent deep tendon reflexes.

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

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?

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

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

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.

Approximately what percentage of patients with GBS develop respiratory muscle paralysis?

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?

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

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?

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

Clinical indications that a patient has impending acute ventilatory failure include: 1) pH <7.35. 2) vital capacity (VC) <20 mL/kg. 3) PaCO2 >45 mm Hg. 4) Negative inspiratory force (NIF) <25 cm H2O.

When a person has Guillain-Barré syndrome, how are peripheral nerves affected?

A patient with Guillain-Barré syndrome developed atelectasis. His chest radiograph findings would be expected to show:

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?

Clinical indications that a patient has impending acute ventilatory failure include: 1) pH <7.35. 2) vital capacity (VC) <20 mL/kg. 3) PaCO₂>45 mm Hg. 4) Negative inspiratory force (NIF) <25 cm H₂O.