MS

Question 1

Characterized by disseminated demyelination of nerve fibers of brain and spinal cord

Answer 1

MS

Question 2

Risk factors for MS

Answer 2

Smoking
Infection
Physical Injury
Emotional Stress
Excessive Fatigue
Pregnancy
Poor stage for health

Question 3

3 characteristics of MS

Answer 3

chronic inflammation
Demylenation
Gliosis (scarring) in CNS

Question 4

What does MS attack?

Answer 4

Myelin sheaths of neurons in brain & spinal cord

Question 5

Visual manifestations

Answer 5

Nystagumus
Dipolopia
Blurred vision

Question 6

Speech/throat manifestations

Answer 6

Dysarthria

Dysphagia

Question 7

Sensation manifestations

Answer 7

P!
Parethesias
Lhermittes sign
Dizziness

Question 8

Musculoskeletal manifestations

Answer 8

Weakness
Spasm
Tremors
Ataxia

Question 9

CNS system

Answer 9

fatigue
Cognitive impairment
depression
unstable mood

Question 10

Onset is

Answer 10

insidious & gradual

Question 11

First symptoms may include:

Answer 11

Blurred vision/double vision
Red-green color distortion
Blindness in one eye

Question 12

Motor manifestations

Answer 12

Weakness
Spasticity of muscle
Scanning speech

Question 13

Electric shock/pins & needles when pt flexes neck

Answer 13

Lhermittes

Question 14

Cognitive manifestations; difficulty with

Answer 14

Short term memory
Attention
Info processing
Planning
Visual perception
Word finding

Question 15

Diagnosis; pt has to have what?

Answer 15

evidence of at least 2 inflammatory demyelination in at least 2 different locations in CNS

Question 16

Early intervention is

Answer 16

KEY

Question 17

Interprofessional Care

Answer 17

Exercise; water therapy

1. decrease spasticity
2. Increases coordination
3. Retrains unaffected muscles

Question 18

What are we going to ask?

Answer 18

climate changes
Any vaccination?
Elimination?

Question 19

Implementation

Answer 19

Avoid fatigue
Extremes hot/cold
Exposure to infection

Question 20

Teaching patient

Answer 20

good balance of exercise/rest
Minimize caffeine intake
Self-cath
High fiber

Question 21

Worried about at home?

Answer 21

Decrease injury at home

Question 22

TN

Answer 22

Facial P!; Cranial nerve 5

Question 23

Bells palsy

Answer 23

Drooping face; eye can’t close; asymmetric face Cranial Nerve 7

Dry eye
Glasses
Trouble sleeping

Question 24

Parkinson’s

Answer 24

TRAP; fall risk; swallowing; disturbed sleep

Question 25

MS main focus

Answer 25

vision changes; fatigue; autoimmune-triggers (infection; changes in temperature)