DD

Question 1

What is MS? Age range? Main sign?

Answer 1

-Autoimmune disease
-20 to 40, peak 30
-chronic demyelination

Question 2

Motor impairments of MS

Answer 2

Increase DTR, spasticity, spasms, UMN

Question 3

2 descriptions of MS pain

Answer 3

-neuropathic
-trigeminal neuralgia: stabbing pain on one side of the face d/t demyelination trigeminal nerve

Question 4

Gait deviations in MS

Answer 4

-ft drop, toe drag
-spasticity
-fatigue
-sensory deficits
-balance probs

Question 5

What is usually the first symptom of MS? Examples

Answer 5

Visual impairment
-optic neuritis
-nystagmus
-diplopia
-pupillary light reflex

Question 6

What is the most commonly reported symptom of MS

Answer 6

Fatigue

Question 7

Describe the 4 pupillary light reflex responses

Answer 7

-ipsilateral CN3: direct response
-contralateral CN3: consensual response
-ipsilateral CN2: both direct and consensual

Question 8

What is Lhermitte’s sign?

Answer 8

Neck flex, induces electric shock sensation down spine

Question 9

What is Uhtoff’s phenomenon?

Answer 9

Increased neuro symps d/t heat

Question 10

ALS cause and signs (U/LMN)

Answer 10

-idiopathic, genetic
-U and LMN

Question 11

ALS characteristics and progression/prog

Answer 11

-fasciculation and loss of dexterity
-death within 5 years

Question 12

Guillain-Barré Syndrome (GBS) cause and signs

Answer 12

-viral, respiratory infection
-LMN

Question 13

Guillain-Barré Syndrome (GBS) characteristics

Answer 13

-symmetric progression of paralysis in extremities
-ascending progression

Question 14

Guillain-Barré Syndrome (GBS) prognosis

Answer 14

Progresses 3-7 days
Recovery within few weeks/months

Question 15

MS cause and signs

Answer 15

-hx of bacterial or viral illness
-UMN

Question 16

MS characteristics and prognosis

Answer 16

-optic neuritis, blurred/doubled vision, fatigue, weak, trigeminal neuralgia, heat intolerance
-rarely fatal