MS 4 Flashcards
1
Q
What is the criteria for dx of MS?
A
McDonald criteria of the international panel on dx of MS
2
Q
What is the McDonald criteria?
A
- ≥2 attacks, clinical evidence of ≥ 2 lesions
- ≥ 2 attacks, clinical evidence of 1 lesion
- 1 attack, clinical evidence of ≥ 2 lesions
- 1 attack, clinical evidence of 1 lesion (CIS)
- Insidious neurologic progression suggesting MS (PPMS)
3
Q
When would no additional data be needed for dx of MS?
A
≥ 2 attacks
clinical evidence of ≥ 2 lesions
4
Q
What is FSS?
A
Functional
Systems
Scores
5
Q
What is the Functional Systems Scores (FSS) based upon?
A
- standard neuro exam
- Rating the 7 functional systems
6
Q
How is the FSS scaled?
A
0-10
7
Q
What is the EDSS?
A
Kurtzke Expanded Disability Status Scale
8
Q
EDSS is ONLY used for this
A
MS
9
Q
How are the ratings from FSS and EDSS used together?
A
- FSS ratings + observations and info about gait and AD use
- used to rate the EDSS
10
Q
Scaling the EDSS
A
- Ordinal scale from 0-10
- 1/2 point increments
11
Q
EDSS = 0
A
normal neuro exam
12
Q
EDSS = 10
A
death due to MS
13
Q
Where is the EDSS commonly used?
A
research (outcomes in clinical trials)
14
Q
What is the EDSS good for?
A
tracking where the MS pt is functionally
15
Q
Who scores the FSS and EDSS?
A
neurologist
