NUR 623 (Adult_Gero Acute) MOD #4, nervous system disorders, neuropathies Questions with
CORRECT Answers (Grade A+)
Question 1:
autoimmune, demyelinating disease of CNS -relapses and remissions -most common in white
women, onset is 20-40's -risk are for those who live far from equator, low sunshine/vit D risk,
Epstein Barr
Answer:
multiple sclerosis (MS)
Question 2:
one isolated episode of CNS symptoms, not technically MS, but risk of converting to MS is high if
there are brain abnormalities on MRI
Answer:
clinically isolated syndrome (CIS)
Question 3:
most common cause of MS, clear and defined episodes of relapses and recovery -85-90% of MS
types -patient does not deteriorate clinically between relapses, stay baseline
Answer:
relapsing remitting MS (RR-MS)
Question 4:
when RR-MS progresses and there is clinical deterioration between relapses -patients don't return
to baseline
Answer:
secondary-progressive MS (SP-MS)
Question 5:
-continuous clinical deterioration after initial episode -10-15% of MS patients, most common when
onset is after age 40
Answer:
Primary progressive (PP-MS)
, Question 6:
to diagnose PP-MS, you need
Answer:
-one typical brain lesion -two spinal lesions -oligoclonal banding
Question 7:
-progressive disease from onset, but with clear relapses and recoveries -don't return to baseline
after relapses -most rare (5%)
Answer:
progressive relapsing (PR-MS)
Question 8:
-weakness, numbness, paresthesia, spastic paraparesis (can't move legs) -optic neuritis, diplopia
-urinary or rectal incontinence -fatigue
Answer:
s/s of MS
Question 9:
so again, if you have fatigue (present in 80% of patients), vision issues, paresthesia, incontinence,
gait disturbances think
Answer:
MS
Question 10:
MS symptoms must last for least
Answer:
24 hours and result in increasing disability *Symptoms typically disappear after a few days or
weeks, but there might be slight residual deficits -may not have symptoms when you see then
Question 11:
neuro exam findings of MS
Answer:
CORRECT Answers (Grade A+)
Question 1:
autoimmune, demyelinating disease of CNS -relapses and remissions -most common in white
women, onset is 20-40's -risk are for those who live far from equator, low sunshine/vit D risk,
Epstein Barr
Answer:
multiple sclerosis (MS)
Question 2:
one isolated episode of CNS symptoms, not technically MS, but risk of converting to MS is high if
there are brain abnormalities on MRI
Answer:
clinically isolated syndrome (CIS)
Question 3:
most common cause of MS, clear and defined episodes of relapses and recovery -85-90% of MS
types -patient does not deteriorate clinically between relapses, stay baseline
Answer:
relapsing remitting MS (RR-MS)
Question 4:
when RR-MS progresses and there is clinical deterioration between relapses -patients don't return
to baseline
Answer:
secondary-progressive MS (SP-MS)
Question 5:
-continuous clinical deterioration after initial episode -10-15% of MS patients, most common when
onset is after age 40
Answer:
Primary progressive (PP-MS)
, Question 6:
to diagnose PP-MS, you need
Answer:
-one typical brain lesion -two spinal lesions -oligoclonal banding
Question 7:
-progressive disease from onset, but with clear relapses and recoveries -don't return to baseline
after relapses -most rare (5%)
Answer:
progressive relapsing (PR-MS)
Question 8:
-weakness, numbness, paresthesia, spastic paraparesis (can't move legs) -optic neuritis, diplopia
-urinary or rectal incontinence -fatigue
Answer:
s/s of MS
Question 9:
so again, if you have fatigue (present in 80% of patients), vision issues, paresthesia, incontinence,
gait disturbances think
Answer:
MS
Question 10:
MS symptoms must last for least
Answer:
24 hours and result in increasing disability *Symptoms typically disappear after a few days or
weeks, but there might be slight residual deficits -may not have symptoms when you see then
Question 11:
neuro exam findings of MS
Answer:
