MS Flashcards

1
Q

In MS, the speed of transmission is _____.

A

decreased

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

In MS, the latency is _____.

A

prolonged

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does Dalfampridine do?

A

blocks K+ channels and improves walking speed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Demyelination causes proliferation of _____ along the axons.

A

sodium channels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

______ causes proliferation of sodium channels along the axons.

A

Demyelination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is molecular mimicry?

A

different antigens may cause the same immune reaction if they are similar to each other

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In MS, the ______ is prolonged.

A

latency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In MS, the amplitude of response is ______.

A

smaller

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

If you see contrast in the brain, you should think that ______.

A

the blood brain barrier has been disrupted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

In MS, the _____ is decreased.

A

speed of transmission

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dawson’s fingers

A

demyelination of the brain around the lateral ventricles causing distinct finger-like projections on imaging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What most often causes decreased quality of life in MS?

A

pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The ____ MS is treated, the _____ the outcomes.

A

earlier; better

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

MS is _______ and ________.

A

progressive; degenerative

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Genes related to MS do not cause the disease- they ______.

A

increase the susceptibility to getting MS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What does flecainide do?

A

it’s a sodium channel blocker to preserve axons

14
Q

What is the main underlying cause of MS?

A

demyelination

15
Q

What is the lifetime risk for a Colorado resident with a first degree affected relative to get MS?

16
Q

What are the common symptoms of MS?

A

fatigue, walking impairment, spasticity, cognitive impairment, bladder dysfunction, pain, mood instability, sexual dysfunction

17
Q

With ________ sodium entry into the cell, impulse conduction is slowed.

19
Q

How many lesions occur if no treatment is given?

A

about 5 per

20
Q

In MS, the _______ of response is smaller.

20
Q

Name 2 drugs given to block sodium channels and preserve axons.

A

phenytoin and flecainide

21
Q

Why does calcium-mediated nerve injury occur in demyelination?

A

the sodium-calcium exchange is reversed and calcium influxes into the cell

22
What does phenytoin do?
it's a sodium channel blocker to preserve axons
24
What virus is historically associated with MS?
Epstein-Barr virus
25
With increased sodium entry into the cell, nerve conduction is \_\_\_\_\_\_.
slowed
27
What is the clinical isolated symptom?
the first MS symptom affecting the pt
28
How could the blood brain barrier get disrupted?
an immunologic response; inflammation
30
How is walking impairment assessed?
timed foot walks
31
What is latency?
the time from signal to response
32
When does the 2nd relapse typically occur?
12-18 mos after the first
33
What happens in the preclinical phase of MS?
pts c/o muscle and cognitive fatigue
34
What is relapse?
onset of new deficits within a 24 hour period that persist for 2-3 weeks but slowly get better
35
There are over ____ genes directly related to MS.
100
36
MS patients have to use _____ neurons to do the same task as a non-patient.
20% more