NURSING MSN 571 midterm questions and
answers with solutions
Relapsing-remitting MS - ANSWER characterized by periods of improvement and stability in
between attacks. Relapse and remission. This is due to the remyelination of axons.
Primary Progressive MS - ANSWER Disease progression from onset, without plateaus or
remissions, steady decline
Secondary Progressive MS - ANSWER initial relapsing-remitting MS that suddenly begins to have
decline without periods of remission
auto immune disorder - ANSWER when your immune system starts to attack cells that belong to
you
Spacticity - ANSWER abnormal increase in muscle tone or stiffness of muscle
Vertigo in MS - ANSWER dizziness and feeling off balance are common symptoms of MS, can be
caused by MS legions on cerebellum
Hyperreflexia - ANSWER Abnormally increased reflexes resulting from nervous system damage
Dysmetria - ANSWER inability to control the distance, power, and speed of a muscular action
4 P's of energy conservation - ANSWER prioritize, plan, pace, position
, MS symptoms - ANSWER Fatigue, muscle weakness, loss of motor control, cognition
impairment, pain, heat sensitivity, ataxia, dysphagia
MS assessments - ANSWER - Modified Fatigue Impact Scale
- Nine-Hole Peg Test or Purdue Pegboard Test
- MS Spasticity Scale
- 6 min walk test
- TECA (test of everyday cognitive ability)
- tremor severity scale
- box of blocks
MS interventions - ANSWER educate on energy conservation techniques
teaching how to use modifications/adaptive equipment (like cooling vests, sock aids)
implementing environment changes (grab rails, more places to sit, etc)
Guillan-Barre syndrome - ANSWER A disease of unknown etiology that causes paralysis that
progresses quickly starting at feet, typically has a full recovery
Guillan-Barre syndrome symptoms - ANSWER - absence of deep tendon reflexes
- sensory loss in glove and stocking like pattern
- PAIN
- urinary dysfunction
- fatigue
- respiratory muscle paralysis
- ANS response postural HTN & Tachycardia
3 phases of Guillain-Barre - ANSWER 1. Acute inflammatory
answers with solutions
Relapsing-remitting MS - ANSWER characterized by periods of improvement and stability in
between attacks. Relapse and remission. This is due to the remyelination of axons.
Primary Progressive MS - ANSWER Disease progression from onset, without plateaus or
remissions, steady decline
Secondary Progressive MS - ANSWER initial relapsing-remitting MS that suddenly begins to have
decline without periods of remission
auto immune disorder - ANSWER when your immune system starts to attack cells that belong to
you
Spacticity - ANSWER abnormal increase in muscle tone or stiffness of muscle
Vertigo in MS - ANSWER dizziness and feeling off balance are common symptoms of MS, can be
caused by MS legions on cerebellum
Hyperreflexia - ANSWER Abnormally increased reflexes resulting from nervous system damage
Dysmetria - ANSWER inability to control the distance, power, and speed of a muscular action
4 P's of energy conservation - ANSWER prioritize, plan, pace, position
, MS symptoms - ANSWER Fatigue, muscle weakness, loss of motor control, cognition
impairment, pain, heat sensitivity, ataxia, dysphagia
MS assessments - ANSWER - Modified Fatigue Impact Scale
- Nine-Hole Peg Test or Purdue Pegboard Test
- MS Spasticity Scale
- 6 min walk test
- TECA (test of everyday cognitive ability)
- tremor severity scale
- box of blocks
MS interventions - ANSWER educate on energy conservation techniques
teaching how to use modifications/adaptive equipment (like cooling vests, sock aids)
implementing environment changes (grab rails, more places to sit, etc)
Guillan-Barre syndrome - ANSWER A disease of unknown etiology that causes paralysis that
progresses quickly starting at feet, typically has a full recovery
Guillan-Barre syndrome symptoms - ANSWER - absence of deep tendon reflexes
- sensory loss in glove and stocking like pattern
- PAIN
- urinary dysfunction
- fatigue
- respiratory muscle paralysis
- ANS response postural HTN & Tachycardia
3 phases of Guillain-Barre - ANSWER 1. Acute inflammatory
