Coronary Artery Disease Quiz Coronary Artery Disease Quiz 1. What is the main cause of Coronary Artery Disease (CAD)? a) Bacterial infection b) Viral infection c) Atherosclerosis d) Autoimmune disorder 2. Which of the following is NOT a risk factor for CAD? a) Hypertension b) Obesity c) Regular exercise d) Diabetes 3. What are the typical symptoms of CAD? a) Fever and cough b) Chest pain and discomfort c) Nausea and vomiting d) Dizziness and headache 4. How is CAD diagnosed?
Multiple choice questions about Guillain-Barre Syndrome (GBS) with answers:
Samantha, a 45-year-old woman, presents to the emergency department with sudden onset of weakness in her legs. She reports feeling tingling and numbness in her hands and feet over the past few days. On examination, her reflexes are absent in her lower limbs. What is the most likely diagnosis?
A) Multiple sclerosis
B) Stroke
C) Peripheral neuropathy
D) Guillain-Barre Syndrome
Answer: D) Guillain-Barre Syndrome
Peter, a 50-year-old man, was recently diagnosed with GBS and has been admitted to the hospital. He is currently experiencing respiratory distress and requires mechanical ventilation. What is the recommended treatment for his respiratory distress?
A) Intravenous immunoglobulin (IVIG)
B) Plasmapheresis
C) Corticosteroids
D) Intubation and mechanical ventilation
Answer: D) Intubation and mechanical ventilation
Jennifer, a 30-year-old woman, was diagnosed with GBS and has been receiving treatment with IVIG for several days. She reports feeling more weakness in her legs than before. What is the appropriate next step in her treatment?
A) Continue IVIG treatment
B) Switch to plasmapheresis
C) Start corticosteroids
D) Re-evaluate for alternative diagnoses
Answer: B) Switch to plasmapheresis
Alex, a 55-year-old man, was diagnosed with GBS and has been receiving treatment with plasmapheresis. He reports feeling some improvement, but also complains of severe pain in his legs. What is the appropriate next step in his treatment?
A) Continue plasmapheresis
B) Start IVIG treatment
C) Start corticosteroids
D) Prescribe pain medication
Answer: D) Prescribe pain medication
Maria, a 40-year-old woman, was diagnosed with GBS and has been receiving treatment with IVIG. She reports feeling significantly better and her weakness has resolved. What is the appropriate next step in her management?
A) Discontinue treatment
B) Switch to plasmapheresis
C) Start corticosteroids
D) Continue IVIG treatment
Answer: A) Discontinue treatment
What is Guillain-Barré Syndrome (GBS)?
A) A bacterial infection
B) A viral infection
C) A neurological disorder
D) A genetic disorder
Answer: C) A neurological disorder
Which part of the body does GBS affect?
A) Lungs
B) Liver
C) Nervous system
D) Kidneys
Answer: C) Nervous system
What are the initial symptoms of GBS?
A) Headache and fever
B) Muscle weakness and tingling
C) Joint pain and stiffness
D) Chest pain and shortness of breath
Answer: B) Muscle weakness and tingling
What causes GBS?
A) Exposure to a virus or bacteria
B) Ingestion of contaminated food or water
C) Genetic mutations
D) All of the above
Answer: A) Exposure to a virus or bacteria
What is the treatment for GBS?
A) Antibiotics
B) Antiviral medication
C) Intravenous immunoglobulin (IVIG)
D) Surgery
Answer: C) Intravenous immunoglobulin (IVIG)
A 45-year-old man presents to the emergency room with sudden onset of weakness in his legs. He reports that the weakness started in his feet and has progressively moved up his legs. He also reports tingling and numbness in his hands and feet. Which of the following is the most likely diagnosis?
a. Diabetic neuropathy
b. Multiple sclerosis
c. Guillain Barre Syndrome
d. Parkinson's disease
Answer: c. Guillain Barre Syndrome
A 25-year-old woman presents to the clinic with weakness in her arms and legs, difficulty swallowing, and shortness of breath. She reports that the symptoms started about a week ago and have been getting progressively worse. On examination, she has muscle weakness in all four limbs and decreased reflexes. What is the most likely diagnosis?
a. ALS (Amyotrophic Lateral Sclerosis)
b. Guillain Barre Syndrome
c. Myasthenia gravis
d. Multiple sclerosis
Answer: b. Guillain Barre Syndrome
A 30-year-old man presents to the emergency room with numbness and tingling in his fingers and toes, which has progressed to his arms and legs. He reports difficulty walking and weakness in his limbs. On examination, he has decreased reflexes and muscle weakness in his arms and legs. He also reports a recent upper respiratory infection. What is the most likely diagnosis?
a. Diabetic neuropathy
b. Multiple sclerosis
c. Guillain Barre Syndrome
d. Myasthenia gravis
Answer: c. Guillain Barre Syndrome
A 50-year-old woman presents to the clinic with muscle weakness and fatigue. She reports that the weakness started in her legs and has progressed to her arms. She also reports difficulty swallowing and speaking. On examination, she has decreased reflexes and muscle weakness in all four limbs. She also has ptosis and diplopia. What is the most likely diagnosis?
a. ALS (Amyotrophic Lateral Sclerosis)
b. Guillain Barre Syndrome
c. Myasthenia gravis
d. Multiple sclerosis
Answer: c. Myasthenia gravis
A 35-year-old male patient presents to the emergency department with weakness and tingling sensations in his legs. He mentions that these symptoms started a few days after recovering from a respiratory infection. On examination, he has diminished reflexes in his lower limbs. Which of the following is the most likely diagnosis?
a) Diabetic neuropathy
b) Multiple sclerosis
c) Guillain-Barré Syndrome (GBS)
d) Muscular dystrophy
Answer: c) Guillain-Barré Syndrome (GBS)
A 55-year-old female patient is admitted to the hospital with ascending muscle weakness, which started in her lower limbs and has progressed to involve her upper limbs. On further assessment, she reports numbness and tingling sensations in her hands and feet. She mentions a recent gastrointestinal illness a few weeks ago. The deep tendon reflexes are absent, and the patient shows signs of autonomic dysfunction. Which of the following is the most likely diagnosis?
a) Amyotrophic lateral sclerosis (ALS)
b) Stroke
c) Guillain-Barré Syndrome (GBS)
d) Myasthenia gravis
Answer: c) Guillain-Barré Syndrome (GBS)
A 28-year-old male patient presents with weakness and paralysis in his lower limbs. He reports a recent history of a respiratory infection and has experienced difficulty breathing. On examination, he has flaccid paralysis, absent deep tendon reflexes, and cranial nerve involvement. Electrophysiological studies reveal demyelination. Which variant of Guillain-Barré Syndrome (GBS) is most likely in this case?
a) Acute inflammatory demyelinating polyradiculoneuropathy (AIDP)
b) Miller Fisher syndrome (MFS)
c) Acute motor axonal neuropathy (AMAN)
d) Acute motor-sensory axonal neuropathy (AMSAN)
Answer: c) Acute motor axonal neuropathy (AMAN)
A 42-year-old female patient presents to the clinic with progressive weakness and numbness in her lower limbs. She mentions a recent respiratory infection and has difficulty swallowing. On examination, she has bilateral facial weakness, absent deep tendon reflexes, and sensory deficits. CSF analysis reveals albuminocytological dissociation. Which of the following is the most likely diagnosis?
a) Myasthenia gravis
b) Botulism
c) Guillain-Barré Syndrome (GBS)
d) Amyotrophic lateral sclerosis (ALS)
Answer: c) Guillain-Barré Syndrome (GBS)
A 65-year-old male patient presents to the emergency department with sudden-onset weakness and difficulty breathing. His medical history includes diabetes and hypertension. On examination, he has bilateral ptosis, diplopia, and weakness in his face and neck muscles. The deep tendon reflexes are preserved. Which of the following is the most likely diagnosis?
a) Myasthenia gravis
b) Guillain-Barré Syndrome (GBS)
c) Amyotrophic lateral sclerosis (ALS)
d) Muscular dystrophy
Answer: a) Myasthenia gravis
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