MDC 4 MDC III CERTIFICATION
EVALUATION 2026 QUESTIONS ANSWERS
GRADED
●● Myasthenia gravis signs and symptoms. Answer: Fluctuating muscle
weakness, ptosis, diplopia, facial weakness, dysphasia, dysarthria,
proximal muscle, weakness
●● Myasthenic crisis. Answer: Under medicated
There is not enough acetylene, getting through to make the muscles
work, causing profound weakness and potentially trouble breathing.
The patient will look weak and dry. No sweating and no drooling no
upset stomach, normal or enlarged pupils
●● Cues of myasthenia gravis. Answer: Muscle weakness, eyelid
drooping, double vision, impaired speech, difficulty, swallowing,
changes in facial expressions, trouble, breathing, ptosis, diplopia
●● Myasthenia gravis medication, medications and treatments. Answer:
Anticholinesterase medication's (mestinon), corticosteroids,
plasmapheresis, IVIG, thymectomy, monoclonal antibodies (Zumab)
, ●● The five A's of myasthenia gravis. Answer: Airway, assist with
ambulation, allow for rest, aspiration, administer eye drops
●● Cholinergic crisis. Answer: Overmedicated
The body has too much acetylene around that the system gets overloaded
and shuts down. It causes muscles to stop working from over
stimulation.
The patient is weak, but everything in their body is an overdrive.
Drooling, watering eyes, sweating, diarrhea, or abdominal cramping,
pinpoint pupils.
●● What do you do if your patient has symptoms of being in a
cholinergic crisis?. Answer: Stop the cholinesterase inhibitor, notify the
provider, prepare for airway management, and prepare to give atropine
●● What do you do for a patient that has signs of a myasthenic crisis and
also has recently had pneumonia. Answer: They may need more
medication, or something like IVig or plasmapheresis to help manage the
immune attack
●● Tensilon test. Answer: A test where a small dose of short acting
colonies race inhibitor was given to see if the patient suddenly got better
or worse. Used to diagnose MG and to differentiate between myasthenic
crisis and cholinergic crisis.
EVALUATION 2026 QUESTIONS ANSWERS
GRADED
●● Myasthenia gravis signs and symptoms. Answer: Fluctuating muscle
weakness, ptosis, diplopia, facial weakness, dysphasia, dysarthria,
proximal muscle, weakness
●● Myasthenic crisis. Answer: Under medicated
There is not enough acetylene, getting through to make the muscles
work, causing profound weakness and potentially trouble breathing.
The patient will look weak and dry. No sweating and no drooling no
upset stomach, normal or enlarged pupils
●● Cues of myasthenia gravis. Answer: Muscle weakness, eyelid
drooping, double vision, impaired speech, difficulty, swallowing,
changes in facial expressions, trouble, breathing, ptosis, diplopia
●● Myasthenia gravis medication, medications and treatments. Answer:
Anticholinesterase medication's (mestinon), corticosteroids,
plasmapheresis, IVIG, thymectomy, monoclonal antibodies (Zumab)
, ●● The five A's of myasthenia gravis. Answer: Airway, assist with
ambulation, allow for rest, aspiration, administer eye drops
●● Cholinergic crisis. Answer: Overmedicated
The body has too much acetylene around that the system gets overloaded
and shuts down. It causes muscles to stop working from over
stimulation.
The patient is weak, but everything in their body is an overdrive.
Drooling, watering eyes, sweating, diarrhea, or abdominal cramping,
pinpoint pupils.
●● What do you do if your patient has symptoms of being in a
cholinergic crisis?. Answer: Stop the cholinesterase inhibitor, notify the
provider, prepare for airway management, and prepare to give atropine
●● What do you do for a patient that has signs of a myasthenic crisis and
also has recently had pneumonia. Answer: They may need more
medication, or something like IVig or plasmapheresis to help manage the
immune attack
●● Tensilon test. Answer: A test where a small dose of short acting
colonies race inhibitor was given to see if the patient suddenly got better
or worse. Used to diagnose MG and to differentiate between myasthenic
crisis and cholinergic crisis.
