Types of Multiple Sclerosis: MedSurg II Quiz
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Questions and Answers

What is the age range commonly affected by Clinically Isolated Syndrome (CIS)?

  • 60 to 80 years old
  • 20 to 40 years old (correct)
  • 10 to 20 years old
  • 40 to 60 years old
  • Which virus exposure is associated with the development of Relapse Remitting MS (RRMS)?

  • Rotavirus
  • Rhinovirus
  • Influenza virus
  • Epstein Barr virus (correct)
  • Which factor is NOT identified as a cause or risk factor for developing Multiple Sclerosis?

  • Infections like mononucleosis
  • Genetic factors
  • High levels of Vitamin D (correct)
  • Smoking
  • What is the most common type of Multiple Sclerosis?

    <p>Relapse Remitting MS (RRMS)</p> Signup and view all the answers

    Which area is mainly affected by Relapse Remitting MS (RRMS)?

    <p>Optic nerves and spinal cord</p> Signup and view all the answers

    What sign is associated with Primary Progressive MS?

    <p>Lhermitte’s sign</p> Signup and view all the answers

    What does the Evoked Potential Test (EPT) measure?

    <p>Time it takes for nerves to respond to stimulation and size of response</p> Signup and view all the answers

    Which medication is associated with adverse effects on the eyes and liver?

    <p>Dimethyl fumarate (Tecfidera)</p> Signup and view all the answers

    What is a common symptom experienced during a flare in Multiple Sclerosis (MS)?

    <p>Tremor</p> Signup and view all the answers

    What is recorded from brain waves during the Evoked Potential Test?

    <p>Each type of response from electrodes taped to the head</p> Signup and view all the answers

    Which drug works by changing the way the immune system functions in MS?

    <p>Fingolimod (Gilenya)</p> Signup and view all the answers

    What type of test is commonly used in MS diagnosis by stimulating the eyes and recording the response?

    <p>Visual evoked response or potential (VER or VEP)</p> Signup and view all the answers

    What is the purpose of using interferon beta-1A (Avonex, Rebif) in MS therapy?

    <p>'Relapsing forms of MS'</p> Signup and view all the answers

    What do abnormal response times in the Sensory evoked response or potential (SSER or SSEP) test indicate?

    <p>'Abnormal nerve area' tested</p> Signup and view all the answers

    What is measured during the MRI scans of the brain and spinal cord in MS diagnosis?

    <p>'Abnormalities' in brain and spinal cord structure</p> Signup and view all the answers

    What is the age range commonly affected by Relapse Remitting MS (RRMS)?

    <p>20 to 40 years old</p> Signup and view all the answers

    Which virus exposure is associated with the development of Primary Progressive MS?

    <p>Cytomegalovirus</p> Signup and view all the answers

    What does Lhemitte’s sign, a symptom of Primary Progressive MS, refer to?

    <p>Electric shock-like sensation down the spine with neck flexion</p> Signup and view all the answers

    What is the main area affected by Primary Progressive MS?

    <p>Spinal cord</p> Signup and view all the answers

    Which condition is characterized by episodes of symptoms followed by periods of remission in which symptoms go away partially or totally?

    <p>Relapse Remitting MS (RRMS)</p> Signup and view all the answers

    What is the role of Vitamin D deficiency in the development of Multiple Sclerosis?

    <p>It increases inflammation and affects the immune system</p> Signup and view all the answers

    What does the Evoked Potential Test (EPT) measure?

    <p>Nerve response time and size of response</p> Signup and view all the answers

    What is the purpose of using Fingolimod (Gilenya) in MS therapy?

    <p>Lowering the risk of relapses</p> Signup and view all the answers

    What is the main characteristic of Secondary Progressive MS (SPMS)?

    <p>Progressive worsening without remissions</p> Signup and view all the answers

    What is commonly used as the stimulus for Visual Evoked Response (VER) testing?

    <p>Checkerboard pattern</p> Signup and view all the answers

    Which medication is associated with adverse effects on the eyes and liver?

    <p>Mitoxantrone (Novantrone)</p> Signup and view all the answers

    What do abnormal response times in the Auditory Brainstem Evoked Response (ABER or ABEP) test indicate?

    <p>Hearing abnormalities</p> Signup and view all the answers

    What is measured during MRI scans of the brain and spinal cord in MS diagnosis?

    <p>Lesions, inflammation, and atrophy</p> Signup and view all the answers

    What type of test is commonly used in MS diagnosis by stimulating the eyes and recording the response?

    <p>Visual Evoked Response or Potential (VER or VEP)</p> Signup and view all the answers

    Which drug works by changing the way the immune system functions in MS?

    <p>Mavenclad (Cladribine)</p> Signup and view all the answers

    What are responses from the electrodes recorded during the Evoked Potential Test (EPT)?

    <p>Brain wave signals</p> Signup and view all the answers

    Study Notes

    Clinically Isolated Syndrome (CIS)

    • Clinically Isolated Syndrome (CIS) often affects individuals aged 20 to 40.

    Multiple Sclerosis (MS) Types and Risks

    • Epstein-Barr virus exposure is linked to the development of Relapse Remitting MS (RRMS).
    • Vitamin D deficiency is considered a potential risk factor for developing Multiple Sclerosis but is not definitively established as a cause.
    • The most common type of Multiple Sclerosis is Relapse Remitting MS (RRMS).
    • Primary Progressive MS mainly affects the spinal cord and brain.

    Symptoms and Clinical Signs

    • Lhermitte’s sign, associated with Primary Progressive MS, refers to an electric shock-like sensation when the neck is bent.
    • Common symptoms experienced during an MS flare include fatigue, numbness, and motor weakness.

    Diagnostic Tests

    • The Evoked Potential Test (EPT) measures the brain's electrical activity in response to stimuli.
    • During the EPT, responses from the electrodes record brain wave activity.
    • Visual Evoked Response (VER) testing commonly uses visual stimuli to assess vision pathways.
    • The Sensory Evoked Response (SSER or SSEP) test shows abnormal response times, indicating potential neurological issues.
    • MRI scans in MS diagnosis measure lesions and other abnormalities in the brain and spinal cord.

    Medications and Treatments

    • Fingolimod (Gilenya) alters immune system function and is used to treat MS.
    • Interferon beta-1A (Avonex, Rebif) is utilized in therapy to reduce relapse rates.
    • Certain medications, including specific MS treatments, can have adverse effects on the eyes and liver.

    Progressive Forms of MS

    • Secondary Progressive MS (SPMS) is characterized by a progressive decline following an initial relapse-remitting course of the disease.
    • Primary Progressive MS does not typically exhibit clear episodes but rather a gradual worsening of symptoms.

    Key Points on MS Management

    • Understanding the relationship between viral infections, age range, and environmental factors is crucial in MS research and management.
    • Continuous assessment through advanced testing and imaging is important in evaluating disease progression in MS.

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    Description

    Test your knowledge about the types of multiple sclerosis with this quiz prepared by Nhicole Sitoy. Explore the chronic disease's impact on the central nervous system, causes, risk factors, and more.

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