Rehab And Mgmt

Question 1

what common visual field defect is seen in optic neuritis

Answer 1

central scotoma

Question 2

what causes optic neuritis

Answer 2

inflammatory demyelination of the optic nerve

Question 3

treatment of optic neuritis

Answer 3

iv methylprednisolone

Question 4

what pathway is affected that causes internuclear ophthalmoplegia

Answer 4

demyelinating lesion of the medial longitudinal fasciculus

Question 5

what Sx is seen in detrusor hyperreflexia vs detrusor areflexia vs detrusor sphincter dyssynergia

Answer 5

detrusor hyperreflexia = failure to store
detrusor areflexia = failure to empty
detrusor sphincter dyssynergia = failure to empty

Question 6

treatment of detrusor sphincter dyssynergia

Answer 6

anticholinergics and alpha-blockers

Question 7

treatment of internuclear ophthalmoplegia

Answer 7

patching and use of prisms

Question 8

What muscle is affected in internuclear ophthalmoplegia

Answer 8

medial rectus

Question 9

Effect of temperature changes on MS symptoms

Answer 9

Increase temperature = worsening condition

Question 10

Is lower extremity or upper extremity involvement seen more often in MS?

Answer 10

Lower extremity is more common

Question 11

treatment of detrusor areflexia

Answer 11

alpha-blockers such as tamsulosin and cholinergics such as bethanechol

Question 12

most common bladder dysfunction in MS

Answer 12

detrusor hyperreflexia

Question 13

Drug of choice for spasticity treatment in MS

Answer 13

Baclofen

Question 14

What 4 medications can be used to improve fatigue

Answer 14

Modafinil, amantadine, fluoxetine and methylphenidate

Question 15

treatment of detrusor hyperreflexia

Answer 15

anticholinergics such as oxybutynin (Ditropan)

Question 16

what stays intact in internuclear ophthalmoplegia

Answer 16

convergence is intact