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CME Questions for Grand Round:
"Diagnosis and Management of Guillain-Barré Syndrome"

IPMA designates this education activity for a maximum of 1 Category 1 credits toward the Physician's Recognition Award of the American Medical Association. Each physician should claim only those credits he or she actually spent in the activity.

Instructions
To earn credit online, you must listen to the CME lectures carefully, print out the quiz page and answer both the quiz and lecture evaluation questions, obtain a passing score (a minimum of 75% when 4 questions are present), and complete the credit evaluation form. Your certificate will be e-mailed to you at the e-mail address provided within 3 weeks. Please mail or fax your completed quiz, along with your full mailing information to the following address:

Interstate Postgraduate Medical Association
PO Box 5474, Madison, WI 53705
Fax: (877) 292-4489

If you have questions, please contact IPMA at cmehelp@ipmameded.org.


1.  Which of the following features would cast doubt as to a diagnosis of GBS:
  1. Areflexia with weakness of foot dorsiflexion
  2. Autonomic dysfunction and facial weakness
  3. Elevated CSF protein with 5 WBC's
  4. Sensory level and back pain
2.  Plasma exchange has been found to:
  1. Increase the chance for improvement at 4 weeks
  2. Reduce the chance for failure to walk unassisted
  3. Shorten recovery time in ambulatory patients
  4. Shorten the time to improve one clinical grade
3.  Which of the following is the LEAST reasonable treatment course for an ambulatory patient who presents with <2weeks of symptoms, and is found to have areflexia, albuminocytologic dissociation, and an EMG/NCS consistent with acute inflammatory demyelinating polyneuropathy:
  1. Two cycles of Plasma Exchange
  2. Five days of IVIG 0.4g/kg
  3. Watch and wait
  4. Steroid pulse
4.  Which of the following factors are associated with a poor prognosis in GBS:
  1. Need for ventilatory support
  2. Lower compound motor action potential
  3. Age >60yo
  4. Maximum deficit within 7 days
  5. All of the above

Lecture Evaluation Questions
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