Disease Seminar : Multiple Sclerosis Flashcards

1
Q

What is the basic disease process of Multiple Sclerosis?

A

Autoimmune disease of the central nervous system. The immune system attacks the myelin sheath that covers nerve fibers

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2
Q

What is Myelin?

A

Fatty whitish insulating sheath that covers the axons and enhances the transmission of the nerve impulses

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3
Q

What is the fatty whitish insulating sheath that covers the axons?

A

Myelin Sheath

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4
Q

What would happen if there was damage to the myelin sheath?

A

Delayed in transmission and disrupted nerve signals

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5
Q

What is the typical age of onset for multiple sclerosis?

A

20-49

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6
Q

What are 3 risk factors for development of multiple sclerosis?

A

Female
Caucasian race
Low levels of Vitamin D

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7
Q

What are 6 potential symptoms associated with multiple sclerosis?

A

Unsteady gait
Numbness or weakness
Loss of vision

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8
Q

What are 3 medical tests that may be conducted in order to diagnose multiple sclerosis?

A

Evoked potential
MRI
Lumbar puncture

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9
Q

Why would you used Evoked Potential?

A

To measure how quickly nerve pathways transmit signals

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10
Q

Why would you use MRI?

A

To identify lesions on the brain and spinal cord

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11
Q

Why would you use Lumbar puncture?

A

To identify abnormal antibodies associated with MS

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12
Q

What is another word for Lumbar Puncture?

A

Spinal Tap

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13
Q

What type of treatment may be prescribe to speed the recovery from an attack?

A

Corticosteroid ;

reduce nerve inflammation

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14
Q

What type o treatment may be prescribed to slow the progression of MS?

A

Immunomodulatory therapies

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15
Q

What is an example of an IV medication?

A

Ocrevus (Ocrelizumab)

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16
Q

What is an example of an oral medication?

A

Gilenya (fingolimod)

17
Q

What ophthalmic disease is associated with MS?

A

Optic Neuritis

18
Q

What ophthalmic testing could be done in clinic to diagnose optic neuritis?

A

Coluor vision testing
Pupil evaluation
VF testing

19
Q

What instrument can be used to evaluate a patient for optic neuritis?

A

Ocular Coherence Tomography