Tamara’s muscle weakness and fatigue becomes progressively worse over the course of the day. this is a hallmark sign of myasthenia gravis, an autoimmune disorder that affects the ability of a motor neuron to communicate with a muscle fiber. what synaptic events must happen first for excitation to occur?

take a nice, long walk. walk, feel the wind through your hair and your it is very relaxing.

answer: b. complete secondary assessment (detailed physical exam).

after you finished the primary assessment, you must proceed with the assessment by performing a complete detailed physical examination.

this secondary assessment includes a focused on patient’s history, vital signs and a specific and rapid examination of the entire body especially on the injuries acquired from the motor vehicle accident and the patient’s medical complaint.