PNCB Acute Care Exam | Questions with 100% Correct Answers | Verified | Latest Update 2024

In a child with myasthenia gravis, which of the following symptoms would be MOST indicative of a myasthenic crisis? A. Eye drooling B. Respiratory distress C. Excessive salivation D. Muscle fasciculation - B. Respiratory distress (Characterized by weakness and fatigue of skeletal muscle tissue that results from autoimmune destruction of acetylcholine receptors (AchR). A crisis event, or myasthenic crisis, is an acute exacerbation of the disease process that results in severe weakness from dysfunction of the neuromuscular junctions. It is characterized by respiratory failure due to weakness of the airway or respiratory muscles. A cholinergic crisis, is a severe weakness caused by overtreatment with cholinergic medications used to treat MG & crisis present with excessive salivation, excessive lacrimation, diarrhea, sweating, pupillary constriction, and muscle fasciculation.