Multiple Sclerosis Certified Specialist Exam Questions With Complete Solutions

MULTIPLE SCLEROSIS CERTIFIED SPECIALIST EXAM QUESTIONS WITH COMPLETE SOLUTIONS Relapse Remitting Multiple Sclerosis (RRMS) - Answer 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? - Answer 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) - Answer 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) - Answer Continuing worsening of disease from onset, without distinct relapses. Approximately 10% of people are dx with PPMS. Progressive-Relapsing Multiple Sclerosis (PPMS) - Answer Progressive neurologic decline with occasional acute relapses. About 5% of people appear to have PRMS at diagnosis. Benign MS - Answer 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) - Answer 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) - Answer 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 - Answer