Multiple Sclerosis

Question 1

MS is a disorder of the…

A. CNS
B. PNS

Answer 1

A. CNS

Question 2

MS is an autoimmune disorder that attacks the healthy parts of the body. The primary target is the…

Answer 2

Protective sheath (myelin) that covers nerve fibers

Question 3

Damage to the Myelin leads to issues with…

Answer 3

Communication problems between the brain and the rest of the body

Question 4

Clinical presentation of MS depends on…

A. amount of nerve damage
B. which nerves are affected
C. all of the above

Answer 4

C. all of the above

Question 5

T/F: the average age of onset for MS is 30 years old

Answer 5

True

• most people are diagnosed between the ages of 20 and 45

Question 6

T/F: More men are diagnosed with MS than women

Answer 6

False, more women are diagnosed

Question 7

The cause of MS is unknown, but is believed to be a result of biological and environmental risk factors including…

A. genetics
B. Epstein-Barr virus
C. environment
D. other risk factors (obesity, sodium, smoking)
E. all of the above

Answer 7

E. all of the above

• there is no single cause for MS!

Question 8

Which of the following is a way MS can be diagnosed?

A. MRI
B. clinical examination
C. spinal tap
D. evoked potential
E. all of the above

Answer 8

E. all of the above

Question 9

A novel symptom/neurological disturbance, for at least 24 hours is considered…

Answer 9

a relapse

Question 10

Cognitive decline is MS affects

A. 10-20% of people
B. 40-70% of people
C. 100% of people

Answer 10

B. 40-70% of people with MS

Question 11

Which of the following is not a common symptom of MS?

A. fatigue
B. numbness/tingling
C. weakness
D. spasticity
E. pain

Answer 11

trick question, these are all common symptoms of MS!

Question 12

Which of the following is NOT a cognitive symptom of cognitive decline in MS?

A. decreased attention span
B. decreased short term memory
C. decreased information processing skills
D. vision problems

Answer 12

D. vision problems, this is a common symptom but NOT a cognitive symptom

Question 13

T/F: long term memory, general intelligence, reading comprehension, and conversational skills are not typically impacted by MS

Answer 13

True

Question 14

Measurement of MS is quantified by…

Answer 14

The EDSS scale, expanded disability status scale

Question 15

What is a limitation of the Expanded Disability Status Scale?

Answer 15

The reliance on walking as the main measure of disability

Question 16

T/F: there is a cure for MS

Answer 16

False, there is not cute for MS. medical management involves treating and presenting relapses and symptom management.

Question 17

What are two common treatments for MS?

Answer 17

Steroids and Disease Modifying Therapy (DMT)

Question 18

OT’s Role in evaluating individuals with MS include

A. physical functioning
B. sensation
C. vision
D. fatigue
E. cognition
F. all of the above

Answer 18

F. all of the above

Question 19

Is exercise beneficial for symptom management for MS?

Answer 19

Yes! It…
- preserves/enhance function and mobility
- promotes recovery from relapse
- can reduce spasticity
- may have a positive effect on cognition
- fatigue management
- improve mood & reduce stress

Question 20

Subjective lack of physical and/or mental energy that is perceived by person to impact ability to participate in usual/desired activities is the definition of…

Answer 20

MS Fatigue

Question 21

The worsening of neurological symptoms when people are overheated due to weather, fever, saunas, hot tubs, etc is ______ syndrome

Answer 21

Uhtoff’s Syndrome