Primary-Progressive MS (PPMS) correct answers *This type of MS is not very common,
occurring in about 10% of people with MS.
*PPMS is characterized by slowly worsening symptoms from the beginning, with no relapses or
remissions (no attacks)
A NURSE IS CARING FOR A CLIENT WHO IS EXPERIENCING TROUBLE WITH
COORDINATION AND BALANCE, SPASTIC MUSCLES AND TINGLING IN THE
EXTREMITIES. THIS CLIENT IS MOST LIKELY SUFFERING FROM...
A) Multiple Sclerosis
B) Myasthenia Gravis
C) Guillain Barre Syndrome
D) Fibromyalgia correct answers A) Multiple sclerosis is caused by a deterioration of the myelin
sheath and is characterized by fatigue, tremors, weakness, bowel and bladder dysfunction and
muscle spasticity.
MS is __________ disorder of the CNS. correct answers Immune-mediated
MS symptoms often go into _________ after initial disease. correct answers remission
*manifestations vary according to area of CNS affected.
Where is the name derived from? correct answers the scarring caused by these attacks at multiple
sites in the CNS.
Nerve damage is caused by... correct answers the immune system attacking the nervous system.
, MS pathophysiology is a correct answers Chronic, progressive demyelination of the neurons in
the CNS.
The demyelination of neurons leads to... correct answers spastic and slow nerve impulses.
Additionally, impairs movement and sensation and can cause issue with bowels, bladder, and
vision.
____________ & ____________ form as demyelinating lesions. correct answers plaque and
lesions
MS comes in cycles of _____________ & _______________. correct answers remission and
exacerbations.
MS can manifest in one of four patterns correct answers *Relapsing-remitting
*Primary Progressive
*Secondary Progressive
*Progressive-relapsing
A CLIENT HAS MS OF THE RELAPSING-REMITTING TYPE. WHAT CLINICAL COURSE
OF THE DISEASE SHOULD THE NURSE EXPECT IN THIS CLIENT?
A) An absence of periods of remission
B) Attacks become increasingly frequent.
C) Absence of active disease manifestations.