multiple sclerosis Flashcards

1
Q

the MS is not an autoimmune disease
true or false?

A

false

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2
Q

The immune system attacks the myelin coating around the nerves in the central nervous system
true or false?

A

true

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3
Q

Contagious
Directly inherited
Always severely disabling
Fatal—except in fairly rare instances
are related to MS
true or false?

A

false not related

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4
Q

what are the risk factors of MS?

A

Age ( 20-40 y.o)
Sex (Women)
Family (Genetic Susceptibility)
Certain Infections ( Like EBV)
Climate
Auto Immune Diseases
Smoking
Physical Injury
Pregnancy

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5
Q

what triggers the immune system attacks myeline sheath?

A

Genetic Predisposition
environmental trigger

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6
Q

which cells are activated and cross the blood brain barrier to attack the myeline sheath?

A

t-cells

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7
Q

what are the symptoms of MS

A

fatigue
emotional disturbance
bladder and sexual dysfunction
visual problems
cognitive difficulties
Sensory changes (tingling, numbness)
Pain (neurogenic; musculoskeletal)
Spasticity
Gait, balance, and coordination problems
Speech/swallowing
problems
Tremor

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8
Q

MRI and VEP and lumbar puncture
can be used to confirm diagnosis of MS
true or false?

A

true

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9
Q

MS is found in people who reside above the northern or below the southern 40°
latitude with greater frequency than those who live closer to the equator

true or false?

A

true

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10
Q

what are the courses of MS?

A

RRMS
PPMS or secondary
progressive relapsing MS
benign

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11
Q

PPMS turns over time to SPMS
true or false?

A

false, it is RRMS

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12
Q

The initial neurological episode or attack is typically identified as ?

A

clinical isolated syndrome

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13
Q

that can last days to months and are typically followed by periods of improved function. During remissions, function can return to prerelapse levels, but most frequently it does not recover fully
is related to?

A

RRMS

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14
Q

Relapses decrease in frequency over time and convert to a slow steady progression of increasing disability or disease severity
is related to?

A

SPMS

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15
Q

gradual worsening of symptoms without relapses
is related to?

A

PPMS

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16
Q

typically begins with a progressive course with clear relapses or exacerbations
is related to?

A

PRMS

17
Q

what are the cerebellar signs of MS?

A

Nystagmus
ataxia
Dysarthria
Dysphagia

18
Q

Weakness or Paralysis of the Limbs
Diplopia
Scanning Speech
Spasticity
are for?

A

motor signs of MS

19
Q

what are the sensory signs of MS?

A

Numbness, Tingling and any other parasthesias
Patchy Blindness
Blurred Vision
Vertigo
Tinnitus
Decreased Hearing
Neuropathic Pain
Lhermitte’S Sign

20
Q

what is the first type of fatigue of MS?

A

lassitude, is caused by the effects of the demyelination and axonal destruction and its effect on nerve conduction

21
Q

muscle overactivity is most common in?

A

Bowel and Bladder Dysfunction

22
Q

temporary worsening of Ms related problems associated with an increase in core body temperature is?

A

Uhthoff phenomenon