A patient with motor neurone disease has a weak cough and recurrent mucus retention. Manually assisted cough and breath stacking no longer produce

Question

A patient with motor neurone disease has a weak cough and recurrent mucus retention. Manually assisted cough and breath stacking no longer produce adequate peak cough flow. What should be added next?

Accepted Answer

Introduce mechanical cough assistance with respiratory-physiotherapy support now

Answer

Introduce routine bronchoscopy as the scheduled airway-clearance strategy

Answer

Introduce regular nebulised saline as the sole airway-clearance strategy

Answer

Introduce long-term oral antibiotics as the sole airway-clearance strategy

Answer

Introduce continuous positive-airway pressure as the sole cough strategy

Efgartigimod in generalised myasthenia — SCE Neurology MCQ

A patient with motor neurone disease has a weak cough and recurrent mucus retention. Manually assisted cough and breath stacking no longer produce adequate peak cough flow. What should be added next?