Muscle and nerve disease

Question 1

What is the symptomatic treatment for myasthenia gravis?

Answer 1

Pyridostigmine (acetylcholinesterase inhibitor)

Question 2

What is the immunosuppressive treatment for myasthenia gravis?

Answer 2

1. Prednisolone (Coriticosteroids)

2. Azathioprine (Immunosuppresive therapy)

Question 3

What is the acute management of myasthenia gravis?

Answer 3

1. Plasma exchange

2. IV immunoglobulin

Question 4

If myasthenia gravis is not confined to extra ocular muscles, what surgical treatment can be carried out?

Answer 4

Thymectomy

Question 5

What medication can exacerbate symptoms in patients with myasthenia?

Answer 5

1. Quinolones

2. Aminoglycosides

Question 6

What is the non-pharmacological management of Motor Neuron Disease?

Answer 6

1. Occupational therapy, SALT, physiotherapy

2. Non-invasive ventilation, PEG (percutaneous endoscopic gastrostomy)

Question 7

What medication can prolong life in MND and by how much?

Answer 7

1. Riluzole (100mg per day)

2. 2-3 months

Question 8

How do you monitor respiratory function in GBS?

Answer 8

Vital capacity

Question 9

What is the active medical treatment for GBS?

Answer 9

1. IV immunoglobulin

2. Plasma exchange

Question 10

How do you treat muscular inflammatory disease?

Answer 10

Immunosuppression