Multiple Sclerosis Certified Specialist Exam
QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
Relapse Remitting Multiple Sclerosis (RRMS) - CORRECT ANSWERS Periods of acute
worsening of neurologic function, with some degree of recovery. There is o progression in between.
About 85% individuals are dx with RRMS initially
How often can remissions occur in RRMS? - CORRECT ANSWERS Remissions can be months
to years with no new signs of disease activity. Deficits suffered during attacks or exacerbation may
totally resolve or result in ongoing deficits.
Secondary Progressive (SPMS) - CORRECT ANSWERS Following an initial relapse remitting
course, the disease transitions in many people to a steadily progressive form with increased loss of
function. OF the 85% who start with RRMS, more than 50% will develop SPMA within 10 years and 90%
within 25 years.
Primary Progressive Multiple Sclerosis (PPMS) - CORRECT ANSWERS Continuing worsening of
disease from onset, without distinct relapses. Approximately 10% of people are dx with PPMS.
Progressive-Relapsing Multiple Sclerosis (PPMS) - CORRECT ANSWERS Progressive
neurologic decline with occasional acute relapses. About 5% of people appear to have PRMS at
diagnosis.
Benign MS - CORRECT ANSWERS Patients who have rare attacks and are minimally disables
20 years after being diagnose with MS. About 10% of MS patients experience a "benign course" of MS.
Radiologically Isolated Syndrome (RIS) - CORRECT ANSWERS Radiologically isolated
syndrome (RIS) is another early indicator of demyelination but with no symptoms. RIS is usually
, detected incidentally in healthy people who have an MRI that shows typical MS lesions. These people
may remain asymptomatic (have no symptoms), or go on to develop CIS or MS. Therefore, RIS may
represent the earliest indicator of MS before symptoms appear.
Clinically Isolated Syndrome (CIS) - CORRECT ANSWERS A term that describes a first clinical
episode with features suggestive of multiple sclerosis. Usually occurs in young adults and affects optic
nerves, brainstem, or the spinal cord. They usually recover from their presenting episode. It is often the
first manifestation of MS.
Advanced Disease - CORRECT ANSWERS
Pediatric MS - CORRECT ANSWERS 5% of all patients with MS develop the disease before
age of 18, 1% before the age of 10 years. Data suggests IFN Beta and glatiramer acetate are safe,
effective, and well tolerated I the pediatric population.
10 year outlook for individuals with MS
(How many utilize a cane to ambulate? What percentage require a wheelchair? How man convert to
secondary progressive phase of the disease? - CORRECT ANSWERS 1/2 of patients use a cane
to ambulate
15% require a wheelchair
Approximately 1/2 of patients convert to SPMS
Multiple Sclerosis Definition - CORRECT ANSWERS The most common immune-mediated
inflammatory demyelinating disease of the central nervous system (CNS) - the brain, spinal cord, and
optic nerves- and is a leading cause of disability in young adults. It is thought that the immune system
attacks theCNS.
Myelin - CORRECT ANSWERS Coating that surrounds the nerve fibers
Axons - CORRECT ANSWERS Carry impulses away from the cell body
QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
Relapse Remitting Multiple Sclerosis (RRMS) - CORRECT ANSWERS Periods of acute
worsening of neurologic function, with some degree of recovery. There is o progression in between.
About 85% individuals are dx with RRMS initially
How often can remissions occur in RRMS? - CORRECT ANSWERS Remissions can be months
to years with no new signs of disease activity. Deficits suffered during attacks or exacerbation may
totally resolve or result in ongoing deficits.
Secondary Progressive (SPMS) - CORRECT ANSWERS Following an initial relapse remitting
course, the disease transitions in many people to a steadily progressive form with increased loss of
function. OF the 85% who start with RRMS, more than 50% will develop SPMA within 10 years and 90%
within 25 years.
Primary Progressive Multiple Sclerosis (PPMS) - CORRECT ANSWERS Continuing worsening of
disease from onset, without distinct relapses. Approximately 10% of people are dx with PPMS.
Progressive-Relapsing Multiple Sclerosis (PPMS) - CORRECT ANSWERS Progressive
neurologic decline with occasional acute relapses. About 5% of people appear to have PRMS at
diagnosis.
Benign MS - CORRECT ANSWERS Patients who have rare attacks and are minimally disables
20 years after being diagnose with MS. About 10% of MS patients experience a "benign course" of MS.
Radiologically Isolated Syndrome (RIS) - CORRECT ANSWERS Radiologically isolated
syndrome (RIS) is another early indicator of demyelination but with no symptoms. RIS is usually
, detected incidentally in healthy people who have an MRI that shows typical MS lesions. These people
may remain asymptomatic (have no symptoms), or go on to develop CIS or MS. Therefore, RIS may
represent the earliest indicator of MS before symptoms appear.
Clinically Isolated Syndrome (CIS) - CORRECT ANSWERS A term that describes a first clinical
episode with features suggestive of multiple sclerosis. Usually occurs in young adults and affects optic
nerves, brainstem, or the spinal cord. They usually recover from their presenting episode. It is often the
first manifestation of MS.
Advanced Disease - CORRECT ANSWERS
Pediatric MS - CORRECT ANSWERS 5% of all patients with MS develop the disease before
age of 18, 1% before the age of 10 years. Data suggests IFN Beta and glatiramer acetate are safe,
effective, and well tolerated I the pediatric population.
10 year outlook for individuals with MS
(How many utilize a cane to ambulate? What percentage require a wheelchair? How man convert to
secondary progressive phase of the disease? - CORRECT ANSWERS 1/2 of patients use a cane
to ambulate
15% require a wheelchair
Approximately 1/2 of patients convert to SPMS
Multiple Sclerosis Definition - CORRECT ANSWERS The most common immune-mediated
inflammatory demyelinating disease of the central nervous system (CNS) - the brain, spinal cord, and
optic nerves- and is a leading cause of disability in young adults. It is thought that the immune system
attacks theCNS.
Myelin - CORRECT ANSWERS Coating that surrounds the nerve fibers
Axons - CORRECT ANSWERS Carry impulses away from the cell body
