A 55-year-old man with myasthenia gravis is admitted to ICU with a myasthenic crisis. He has severe bulbar weakness, FVC 800 mL (predicted 4500 mL), a...

Question

A 55-year-old man with myasthenia gravis is admitted to ICU with a myasthenic crisis. He has severe bulbar weakness, FVC 800 mL (predicted 4500 mL), and is unable to cough effectively. He is intubated for airway protection. What is the definitive treatment for myasthenic crisis?

Accepted Answer

IV immunoglobulin (IVIg) or therapeutic plasma exchange (TPE)

Answer

IV pyridostigmine infusion

Answer

IV methylprednisolone pulse therapy only

Answer

IV neostigmine

Answer

IV rituximab

uk-fficm MCQ (SBA): Myasthenic Crisis

A 55-year-old man with myasthenia gravis is admitted to ICU with a myasthenic crisis. He has severe bulbar weakness, FVC 800 mL (predicted 4500 mL), and is unable to cough effectively. He is intubated for airway protection. What is the definitive treatment for myasthenic crisis?