Case 17 - Overview Flashcards
which of these conditions is a chronic immune mediated , inflammatory demyelinating disease of the CNS
a.MS
b.Guillian barre
c.brown squared
d.parkinsons
e.huntingtons
a.MS
what is the most common initial clinical syndrome in MS
a.optic neuritis
b.transverse myelitis
c.brainstem syndrome
a.optic neuritis
MS discovered on an MRI for another reason is known as
a.CIS
b.RIS
b.RIS
radiologically isolated syndrome
unilateral loss of vision , typically worsening over days, loss of colour vision and retrobulbar eye pain made worse by eye movement that improves over weeks or months indicates what
optic neuritis
the visual loss in optic neuritis is
a.unilateral
b.bilateral
a.unilateral
the retrobulbar pain experienced in optic neuritis is usually
a. relieved by movement
b.exacerbated by movement
b.exacerbated by movement
optic neuritis improves over…
a.weeks - months
b.months - years
c.hours - days
d.minutes - hours
a.weeks - months
an area of inflammation within the spinal cord is known as
a.optic neuritis
b.transverse myelitis
c.brainstem syndromes
b.transverse myelitis
Lhermittes phenomenon ( electric shock sensation down spine on neck flexion) is due to a lesion in which part of the spinal cord
a.cervical
b.thoracic
d.lumbar
e.sacral
d.coccygeal
a.cervical
weakness , sensory symptoms , bladder and bowel dysfunction and lhermittes phenomenon is seen in which condition that precedes MS
a.optic neuritis
b.transverse myelitis
c.brain stem syndromes
b.transverse myelitis
vertigo, dysarthria (slurred speech), dysphagia, diplopia, trigeminal neuralgia (one sided facial pain), double vision, ataxia and internuclear ophthalmoplegia indicate which initial clinical syndrome of MS
a.optic neuritis
b.transverse myelitis
c.brain stem syndromes
c.brain stem syndromes
in internuclear ophthalmoplegia (as seen in brainstem syndromes preceding MS) there is…
a.ipsilateral impaired adduction and contralateral nystagmus
b.contralateral impaired adduction and ipsilateral adducting nystagmus
c.ipsilateral abduction and contralateral abducting nystagmus
d.contralateral impaired abduction and ipsilateral abducting nystagmus
a.ipsilateral impaired adduction and contralateral nystagmus. (when abducting)
increased tone, clonus, weakness, hypereflexia and extensor plantar responses are examples of what seen in MS
a, upper motor neurone signs
b.lower motor neurone signs
a, upper motor neurone signs
how does the optic disc appear in MS
a.hard exudates present
b.decreased cup to disc ratio
c, white pale disc
c, white pale disc
optic nerve atrophy
at what age does MS usually onset
a.childhood
b.adolescensce
c.adulthood
d.elderly
c.adulthood
20-40 yrs
MS happens more commonly in ..
a.males
b. females
b. females
which virus is a risk factor for MS
a.epstein barr
b.covid
c.herpes zoster
d.cmv
a.epstein barr
living in which regions increases risk of MS
a.high latitude
b.low latitude
a.high latitude
less UV exposure and less vitamin D
which of these is a modifiable risk factor for MS
a.smoking
b. alcohol
c. obesity
a.smoking
what is the most common subtype of MS
a.relapse remitting
b.secondary progressive
c.primary progressive
a.relapse remitting
85%
how long after onset does relapse remitting become secondary progressive
a.2 yrs
b.5 yrs
c.10 yrs
c.10 yrs
a steady increase in disability without attacks describes which type of MS
a.primary progressive
b.secondary progressive
c.relapsing remitting
a.primary progressive