Author Question: Which of the following symptoms are characteristic of a myasthenic crisis? Select all that apply. ... (Read 72 times)

biggirl4568 · **on:** Jul 23, 2018

Which of the following symptoms are characteristic of a myasthenic crisis? Select all that apply.

a. Sudden onset of muscular weakness
b. Inability to swallow or speak
c. Sudden respiratory distress
d. Diarrhea
e. Abdominal cramping
f. Bradycardia
g. Papillary constriction

Question 2

Which of the following conditions, if present in a patient, would cause the health care provider to question an order for a dopaminergic drug such as levodopa?

a. Pneumonia
b. Hypotension
c. Narrow-angle glaucoma
d. Peripheral vascular disease

Ahernandez18 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A, B, C
Sudden onset of muscular weakness, inability to swallow or speak, and sudden respiratory dis-tress are all symptoms characteristic of myasthenic crisis, whereas the other symptoms are char-acteristic of cholinergic crisis.

Answer to Question 2

ANS: C
The use of dopaminergic drugs, such as levodopa, is contraindicated in patients with nar-row-angle glaucoma, blood dyscrasias, uncontrolled hypertension, who are concurrently using monoamine oxidase inhibitors (MAOIs), or who have hypersensitivity to the drug or its ingredi-ents. Levodopa should also not be used in patients with history of malignant melanoma.