Deck 29: Guillain-Barré Syndrome
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Deck 29: Guillain-Barré Syndrome
1
MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Atelectasis Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Atelectasis Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
YES-This is associated with Guillain-Barré syndrome.
2
MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Excessive Bronchial Secretions Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Excessive Bronchial Secretions Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
YES-This is associated with Guillain-Barré syndrome.
3
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
VC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
VC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
Decreases
4
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
IC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
IC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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5
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
FVC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FVC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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6
MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Bronchospasm Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Bronchospasm Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
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7
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
FRC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FRC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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8
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
TLC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
TLC
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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9
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
FEF 200-1200
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FEF 200-1200
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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10
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
FEF 25%-75%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FEF 25%-75%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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11
MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Increased Alveolar-Capillary Membrane Thickness Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
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12
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
FEF50%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FEF50%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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13
MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Alveolar Consolidation Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Alveolar Consolidation Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
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14
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
FEVT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FEVT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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15
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
VT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
VT
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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16
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
MVV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
MVV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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17
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
PEFR
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
PEFR
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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18
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
RV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
RV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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19
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
ERV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
ERV
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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20
MATCHING
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Distal Airway and Alveolar Weakening Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
The clinical scenarios associated with respiratory disease result from the pathophysiologic mechanisms caused (or activated) by the anatomic alterations of the lungs associated with the disorder. Using the "Yes" or "No" items, match the major anatomic alterations of the lungs that cause the clinical scenario associated with Guillain-Barré Syndrome (when ventilatory failure is not properly managed).
Distal Airway and Alveolar Weakening Clinical Scenario
A)YES-This is associated with Guillain-Barré syndrome.
B)NO-This is not associated with Guillain-Barré syndrome.
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21
Match the arterial blood gas changes that occur in the patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
pH
A)Increases
B)Decreases
C)Normal
pH
A)Increases
B)Decreases
C)Normal
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22
Common noncardiopulmonary manifestations associated with Guillain-Barré is/are: 
A) I only
B) II only
C) III and IV only
D) II, III, and IV only
E) I, II, III, and IV only

A) I only
B) II only
C) III and IV only
D) II, III, and IV only
E) I, II, III, and IV only
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23
Match what develops in the oxygen indices of a patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
O2
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
O2A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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24
Match what develops in the oxygen indices of a patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
S/
T
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
S/
TA)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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25
Match what develops in the oxygen indices of a patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
O2ER
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
O2ER
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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26
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
FEV1%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
FEV1%
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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27
The respiratory clinical manifestations associated with Guillain-Barré Syndrome are based on the clinical scenarios activated by which of the following? 
A) I and V only
B) II and VI only
C) I, III, and IV only
D) II, III, IV, and V only
E) I, II, III, IV, V, and VI

A) I and V only
B) II and VI only
C) I, III, and IV only
D) II, III, IV, and V only
E) I, II, III, IV, V, and VI
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28
Match what develops in the oxygen indices of a patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
DO2
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
DO2
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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29
Match what develops in the oxygen indices of a patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
SvO2
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
SvO2
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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30
Guillain-Barré is called an ascending paralysis.
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31
Match what develops in the oxygen indices of a patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
C(a-v)
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
C(a-v)

A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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32
The incidence of Guillain-Barré is greater in women than men.
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33
Match the arterial blood gas changes that occur in the patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
HCO3-
A)Increases
B)Decreases
C)Normal
HCO3-
A)Increases
B)Decreases
C)Normal
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34
Match the arterial blood gas changes that occur in the patient who has Guillain-Barré syndrome to the items listed below. Items may be used once, more than once, or not at all.
PaCO2
A)Increases
B)Decreases
C)Normal
PaCO2
A)Increases
B)Decreases
C)Normal
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35
Demyelination of the peripheral nerves is a pathologic change seen in patients with Guillain-Barré.
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36
Plasmapharesis has been shown to be effective in decreasing the morbidity and shortening the clinical course of Guillain-Barré syndrome. It is recommended that plasmapheresis be administered early, when the patient's symptoms are mild.
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37
Guillain-Barré is associated with infectious mononucleosis.
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38
Next to the pulmonary function studies, match the findings that typically develop in patients who have Guillain-Barré Syndrome. Items may be used once, more than once, or not at all.
RV/TLC %
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
RV/TLC %
A)Normal
B)Decreases
C)Increases
D)Normal or decreased
E)Normal or increased
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39
Peripheral facial weakness is associated with Guillain-Barré.
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