SM01 Mini4

Question 1

what is “loss of function hierarchy?”

Answer 1

cognitive decline due to stressors & life challenges

stages: early, moderate, advanced

Question 2

health

Answer 2

state of complete physical, mental & social well-being

NOT merely absence of disease or infirmity

Question 3

wellness

Answer 3

active process of becoming aware of & making choices toward a more successful existence

Question 4

where is loss of function first seen?

Answer 4

in family relationships

Question 5

what is the last thing affected by loss of function?

Answer 5

work

Question 6

what are the major danger zones?

Answer 6

fatigue, depression, anxiety, & mental health concerns

isolation, perfectionism, substance abuse, & compulsivity

Question 7

burnout inventory

Answer 7

emothional exhaustion

cynicism or depersonalization

professional efficacy

Question 8

what specialty is at highest risk for burnout?

Answer 8

EM

Question 9

disruptive behavior

Answer 9

occurs when use of inapprorpriate words, actions, or inactions by a physician interferes w/their ability to function well w/others

behavior interferes w/ quality of health care delivery

on spectrum of passive to aggressive

Question 10

self-awareness

Answer 10

having deep understanding of one’s emotions, strengths, weaknesses, needs, & drives

neither overly critical not unrealistically hopeful

honest w/themselves & others

Question 11

physician health programs

Answer 11

all states

separate from medical board

non-punitive, focuses on rehab NOT discipline

allows to seek treatment w/o jeopardizing medicla license

Question 12

cause of myasthenia gravis

Answer 12

acquired autoimmune disorder

antibodies for AChR

Question 13

\clinical presentation of Myasthenia Gravis

Answer 13

fatigue on exertion/repetitive motions

usually female

age of onset 25-30 for females & over 40 for males

ptosis

double vision

head drop w/o being sleepy

gagging when swallowing

Question 14

Myasthenia Gravis crisis

Answer 14

difficulty breathing caused by loss of muscle control for breathing

Question 15

types of clinical presentations of Myasthenia Gravis

Answer 15

ocular OR general

Question 16

important point for myasthenia gravis physical exam

Answer 16

• eyes: double vision & lids for ptosis
• throat: ability to swallow; ability to talk for a long time or hold a sung note
• strength of neck
• limbs: presence of symmetry of reflexes; ability to rise from seat w/o using arms to help

Question 17

clinical tests for myasthenia gravis

Answer 17

ice test→ improve muscular function

nerve conduction tests

anti-ACHR antibody level in serum

Question 18

what sometimes cures myasthenia gravis?

Answer 18

thymectomy

Question 19

What is a concern for mothers with myasthenia gravis?

Answer 19

10% of neonates from MG mothers display transient MG in first 7-10 days as respiratory distress

Question 20

treatments for myasthenia gravis

Answer 20

anticholinesterases

immunomodulating therapies: plasmapheresis, corticosteroids, IV immunoglobulin, immunosuppressants

thymectomy

Question 21

cholinergic crisis

Answer 21

cause: overdose of anticholinesterases or overexposure to certain herbicides & pesticides
signs: diaphoresis, excessive salvation, diarrhea, respiratory depression & miosis (excessive constriction of pupils)

Question 22

things that exacerbate myasthneia gravis symptoms

Answer 22

emotional stress

exposure to extreme temperature/pressure change (flying)

fever

illness

hypokalemia

muscles relaxants

overexertion

Question 23

1 misdiagnosis for myasthenia gravis

Answer 23

depression

Question 24

symptoms of depression

Answer 24

SIGECAPS

• Sleep problems
• loss of Interest
• feelings of Guilt
• loss of Energy
• loss of Concentration
• loss of Appetite
• Psychomotor retardation
• Suicidial thoughts