USMLE Q 2008: A 37 yr old femal with Myasthenia gravis presents to the office with a fever and cough productive of yelow-green sputum.she has been on pyridostigmine for the past few months.she refuses to have a thymectomy.Her pulse is 90/min,B.P 120/80 mm Hg,RR are 18/mint and Temp 102 F.Her respiratory effort is weak.Pulse oximetry reveals 86% oxygen saturation on room air.there is a consistent decline on serial measurement of vital capacity.whch of the following is the most appropriat next step in managment?? A)Increase the dose of pyridostigmine B)Treatment with endrophonium C)Treatment with Atropine D)Treatment with prednisolone E)Endotracheal intubation F)Plasmapheresis G)I/V Immunoglubolin
Posted on: Sun, 17 Aug 2014 11:00:46 +0000
Trending Topics
Recently Viewed Topics
© 2015