MS 2 Flashcards

1
Q

A primary demyelinating disorder includes direct damage by:

A

inflammatory cells

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2
Q

A primary demyelinating disorder includes indirect damage by:

A

extracellular environment

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3
Q

With a primary demyelinating disorder, neurons become more susceptible to

A

apoptosis

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4
Q

Nerve recovery following myelin damage

A

after damage, nerve conduction properties can recover

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5
Q

Why are nerves able to recover following myelin damage?

A

redistribution of Na channels

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6
Q

MS is primarily a ______ inflammatory disorder

A

T cell mediated

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7
Q

It is hypothesized that preexisting autoreactive T cells are activated by:

A
  • foreign microbes
  • self-proteins
  • microbial superantigens
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8
Q

What is overproduced with MS? (inflammatory)

A

cytokines

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9
Q

In MS, an excessive amount of _____ is released by lymphocytes and macrophages

A

glutamate

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10
Q

What is a plaque? Where are they formed?

A

focal abnormalities that spread through cerebral hemispheres

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11
Q

Main areas of plaque occurrence

A
  • surrounding ventricles
  • optic nerves
  • brainstem
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12
Q

Acute lesions

A
  • pink

- faint borders

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13
Q

Chronic lesions

A
  • gray
  • firm
  • sharp edges
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14
Q

What are the main pathologic conditions of MS?

A
  • inflammation
  • demyelination
  • axon loss
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15
Q

What is long term disability primarily caused by with MS?

A
  • irreversible axon loss

- cell death

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16
Q

Where does apoptosis take place?

A
  • OLIGODENDROCYTES
  • neurons
  • leukocytes
17
Q

What happens to demyelinated axons with chronic lesions?

A
  • undergo Wallerian degeneration along neuron tracts
  • away from initial site of injury

*contributes to disability

18
Q

Where do inflammatory changes often occur with MS?

A

in the perivascular space