Question

1. The health care provider suspects a diagnosis of myasthenia. Gravis in a patient who presented with progressive proximal muscular weakness, ptosis and dysphagia. Which test does the nurse expect will be ordered to confirm the diagnosis?

A: Lumber puncture

B: MRI

C: Repetitive nerve stimulation test

D: CT scan

2. Which information will the nurse teach a patient who has been newly diagnosed with Graves’ disease?

A: Exercise is contraindicated to avoid increasing metabolic rate

B: Antithyroid medications may take several months for full effect

C: Surgery will eventually be required to remove the thyroid gland

D: Restriction of iodine intake is needed to reduce thyroid activity

Answer 1

1. In myasthenia gravis orderd to diagnosis is-------

C.Repetitive nerve stimulation test.

D. CT scan

B. MRI

A.Lumber puncture

## At first in myasthenia gravis muscle weakness, difficulty in speaking is occur .so repetitive nerve stimulation test done.

CT scan or MRI on chest assess thymus gland to determine thymoma present or not.

Edrophonium test helpful for myasthenia gravis. Demonstrated after Edrophonium injection subsequent analysis of CSF provide via lumbar puncture. But only lumbar puncture no useful information given for myasthenia gravis.

2. Teach patient who newly diagnosed with myasthenia gravis--- restriction of iodine intake is needed to reduce thyroid activity.

## those patients having thyroid disorder they are prone to myasthenia gravis.