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For Each question there is one best answer.  Please select the best answer.

    1)All of the following are characteristic symptoms of myasthenia gravis except:

                    A--Fatiguing ptosis B--Swallowing difficulties C--Prolonged and exaggerated response to curare D--Symptoms worsen in cold weather E--Symptoms worsen with aminoglycosides

    2)All of the following are tests used to diagnose myasthenia gravis except:

                    A--Dynamic motion test B--Ice pack test C--Edrophonium test D--Single fiber EMG test E--Repetitive stimulation

    3)All of the following medications are used to treat myasthenia gravis except:

                    A--pyridostigmine [Mestinon] B--Aziothioprine [Imuran] C--Cyclosporine [Neoral] D--Mycophenolate [CellCept] E--Dopamine [Intropin]

    4)Which of the following symptoms are due to the action of Mestinon (pyridostigmine) on the nicotinic receptors:

                    A--Diarrhea B--Excessive salivation C--Fasciculations D--Bradycardia E--Sweating

    5)Side effects of prednisone include all of the following except:

                    A--Weight gain B--Renal failure C--Glucose intolerance D--Depression E--Ulcers

    6)The following are side effects of IVIG therapy except:

                    A--Liver failure B--Acute renal failure C--Chemical Meningitis D--Allergic reaction E--Strokes

    7)The treatment of respiratory failure due to myasthenia gravis is:

                    A--Oxygen by 2 liter/min nasal prongs B--35% oxygen by face mask C--pyridostigmine [Mestinon] D--Placing the patient on the ventilator E--Immediate thymectomy

    8)The following is true about myasthenia gravis

                    A--Immunosuppressive therapy should be used only in very severely effected patients B--Diplopia in myasthenia is always corrected by corrective lenses C--Myasthenia gravis always responds to Mestinon D--Prednisone should not be combined with other therapies E--Plasma exchange therapy is indicated in patients with respiratory failure due to myasthenia gravis

     9)Complications of plasma exchange include all of the following except:

                    A--Adult respiratory distress syndrome B--Catheter infections C--Liver failure D--Hypotension E--Emboli from the catheter

    10)The following is true about thymectomy

                    A--The efficacy of this operation in myasthenia has been demonstrated by well controlled studies B--The effects of thymectomy can take months to be seen C--Prednisone should be discontinued before thymectomy D--Mestinon should be discontinued immediately after thymectomy E--It is important to paralyze the patient with curare during the operation