DEMYLINATING DISEASE D-1 Flashcards by Unknown Unknown

Q

It affects the Central Nervous System

A

Multiple sclerosis (MS)

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Q

It affects the Peripheral Nervous system

A

Guillain Barain Syndrome (GBS)

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Q

Purely Motor and Antero lateral

A

Amyotrophic Lateral Sclerosis

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Q

Motor and Sensory

A

MS and GBS

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Q

primary demyelinating disease

A

MS

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Q

Acute idiopathic demyelination polyneuretic

A

GBS

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Q

Lou Gharig’s Disease

A

ALS

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Q

What are the charcotic’s Triad of multiple Sclerosis

A

Nystagmus
Intentional Tremors
Scanning speech

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Q

What Sign is the Slowing of impulse?

A

Lhermittes Sign

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Q

what are the 4 area od predilections In multiple Sclerosis?

A

Cerebrum
Cerebellum
Spinal Cord
Optic tract

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Q

Inflammation and loss of the myelin covering of your optic nerve/tract is called?

A

Optic neuritis

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Q

bilateral Symmetrical Ascending Paralysis (Rapidly Progressive)

A

GBS

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Q

Unilateral symmetrical ascending Paralysis is commonly found in what kind of disease?

A

Polio

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Q

distal paresthesia is can be found in person with what syndrome?

A

GBS

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Q

AMS are divided into which is Upper motor and Antero Lateral, Choose between these two;

*spasticity

A

Upper Motor

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Q

AMS are divided into which is Upper motor and Antero Lateral, Choose between these two;

*Flaccidity

A

Antero lateral

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Q

AMS are divided into which is Upper motor and Antero Lateral, Choose between these two;

*Areflexia

A

Antero lateral

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Q

AMS are divided into which is Upper motor and Antero Lateral, Choose between these two;

*Hypereflexia

A

Upper Motor

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Q

AMS are divided into which is Upper motor and Antero Lateral, Choose between these two;

*Dysarthria

A

Antero lateral

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Q

AMS are divided into which is Upper motor and Antero Lateral, Choose between these two;

*Babinski Reflex

A

Upper Motor

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Q

AMS are divided into which is Upper motor and Antero Lateral, Choose between these two;

*Dysphagia

A

Antero lateral

Q

AMS are divided into which is Upper motor and Antero Lateral, Choose between these two;

*muscle Atrophy

A

Antero lateral

Q

what could be the fatal complication that can happened in a person with Multiple sclerosis?
What could be the nursing priority for this?

A

Respiratory arrest
Breathing pattern

Q

what are the two types of demyelinating disease that are autoimmune (post-viral infection)

A

MS and GBS

elevated protein in Immunoglobulin of and increased level of CSF indicates what type of demyelinating disease?

MS

normal value of CSF?

18-60

antibodies can be found in autoimmune of MS or GBS?

MS

T-cells can be found in autoimmune of MS or GBS?

GBS

what kind of medication are contraindicated in inflammatory process of GBS?

Corticosteriod or Specifically; methyl prednisolone why? clinical trials have shown that it does not provide any significant benefit in treating the condition and may even delay recovery, meaning it could potentially worsen the patient's condition

patient experiencing cushingoid effects due to steroids used, In GBS cased. Now give the 2 treatment for this

1. Immunosuppresant 2. Intravenous immunoglobulin (IVIg) Intravenous immunoglobulin (IVIg) therapy is the primary infusion treatment for patients with GBS. IVIg delivers donor plasma to the body's bloodstream through an IV.

In autoimmune demyelinating disease, what could be the two results of it?

1. Relapse 2. Remission a "relapse" refers to a period when symptoms worsen due to a flare-up of the immune system attacking myelin, while "remission" is a period when symptoms improve or disappear completely following a relapse

what is the 4 types of multiple sclerosis?

1. relapsing-remitting MS (RRMS) 2. primary progressive MS (PPMS) 3. secondary progressive MS (SPMS), 4. progressive relapsing MS (PRMS)

In autoimmune demyelinating disease, what are the expected signs to happen with the patient experiencing relapse extreme?

1. Elevated Temperature 2. Infection 3. Stress

what procedure used to filter antibodies in the Plasma?

Plasmapheresis

what demyelinating disease are degenerative and leading to secondary demyelination for about 2-5 years?

ALS and parkinson's Disease are degenerative

what demyelinating disease are has a problem with the transmitter

Parkinson's disease

decreased in dopamine is what type of demyelinating disease?

parkinsons disease Substantial nigra are the specific part the are producing dopamine

Parkinsonian triad (early s/sx)

1. Resting tremors 2. Rigidity 3. Bradykinesia

mask like face and shuffling and propulsive gait can be found in what disease?

parkinson's disease

what demyelinating disease are has a problem with the receptor

Myasthenia Gravis

this disease, Antibodies attack the acetylcholine receptors leading to muscle weakness

Myasthenia Gravis

what are the 4 facial problem that can be found in patient with myasthenia gravis?

1. Ptosis 2. Dysphagia 3. Dysarthria 4. Facial Depligia

what are drug treatment for Parkinson's disease

1. Dopamine (Increased) - levodopa 2. Anti-cholinergic - Cogentin - Benadryl

possible complication of drug treatment in Parkinson's Disease

Parkinsonian Crisis

for the condition with symptoms of dysphagia, what reflex do we need to assess first before giving medication?

Gag Reflex

what drug treatment use for myasthenia gravis in which increasing the acetylcholine availability by inhibiting the acetylcholinesterase

Anti-cholinesterase

In short acting drug treatment for MG, this test use for myasthenia gravis

Tensilon Tensilon (edrophonium chloride) is a medicine used to diagnose myasthenia gravis, an autoimmune disorder that causes muscle weakness

what is the antidote for tensilon?

Atropine Sulfate

what medication that treats MG for long acting action?

Pyridostigmine is a medication that treats myasthenia gravis. This condition causes muscle weakness that worsens throughout the day. Pyridostigmine helps strengthen your muscles. The brand name of this medication is Mestinon

what do you call on undermedication of drug treatment of myasthenia gravis?

Myasthenia crisis

what do you call on undermedication of drug treatment of myasthenia gravis?

Cholinergic Crisis