MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is assessing a client newly diagnosed with myasthenia gravis. Which of the following signs would the nurse most likely observe?
A
Numbness
B
Loss of proprioception
C
Patchy blindness
D
Diplopia and ptosis
Explanation: 

Detailed explanation-1: -Edrophonium test It involves having an injection of a medicine called edrophonium chloride. If you have a sudden but temporary improvement in muscle strength after the injection, it’s likely you have myasthenia gravis.

Detailed explanation-2: -Nursing Interventions Maintain suctioning and emergency equipment at the bedside. Monitor vital signs. Monitor speech and swallowing abilities to prevent aspiration. Encourage the client to sit up when eating.

Detailed explanation-3: -Unilateral pallidotomy in advanced Parkinson’s disease improves parkinsonism in the off phase and reduces dyskinesias in the on phase. The effects are stable up to 1 year after surgery. Unilateral pallidotomy also leads to an improved functional health and perceived quality of life.

Detailed explanation-4: -Weakness of the eye muscles (ocular myasthenia) Drooping of one or both eyelids (ptosis) Blurred or double vision (diplopia) Changes in facial expressions. Difficulty swallowing. Shortness of breath. Impaired speech (dysarthria) More items •23-Jan-2023

There is 1 question to complete.