MS

Question 1

what is the most common presentation of MS?
How is it treated?

Answer 1

Optic neuritis:
- painful visual loss
- red desaturation
-> causes RAPD

Rx with methylpred

Question 2

Name the 4 good prognostic factors of MS

Answer 2

relapsing- remitting
female
young at onset
sensory symtoms

Question 3

what is the diagnosis criteria for MS?

Answer 3

lesions separated in space and time

Question 4

what investigations other than MRI are supportive of MS?

Answer 4

delayed VEPs (shows demylination)
Oligoclonal bands in CSF

Question 5

in a 3d nerve palsy, what direction does the eye take?

Answer 5

down and out

Question 6

In a 6th nerve palsy, what direction does the eye take?

Answer 6

towards nasal bridge

Question 7

what does a 7th nerve palsy include / look like?

Answer 7

LMN
Unilateral weakness
Including forehead

Question 8

what pathology does horizontal nystagus indicate?

Answer 8

8th nerve lesion

Question 9

What pathology does upward nystagmus indicate?

Answer 9

Brainstem lesion

Question 10

What pathology does downward nystagmus indicate?

Answer 10

Foramen magnum lesion

Question 11

what is the genreal management of MS?

Answer 11

Physio, aids, baclofen

DMARDS when 2in2 replases/year + walking <100m