Multiple Sclerosis Certified Specialist Exam Question and
answers correctly solved
1. Relapse
Periods of acute worsening of neurologic function, with some degree of
Remit- ting
recovery. There is o progression in between. About 85% individuals are
Multiple
dx with RRMS initially
Sclerosis
(RRMS)
2. How often can re- Remissions can be months to years with no new signs of disease
activity. Deficits
missions occur in suttered during attacks or exacerbation may totally resolve or result in ongoing
RRMS? deficits.
3. Secondary Following an initial relapse remitting course, the disease transitions in many
Pro- gressive people to a steadily progressive form with increased loss of function. OF
(SPMS) the 85% who start with RRMS, more than 50% will develop SPMA within
10 years and 90% within 25 years.
Continuing worsening of disease from onset, without distinct relapses. Approxi-
4. Primary
Progres-
sive Multiple Scle- mately 10% of people are dx with PPMS.
rosis (PPMS)
5. Progressive- Progressive neurologic decline with occasional acute relapses. About
Re- lapsing 5% of people appear to have PRMS at diagnosis.
Multiple
Sclerosis
(PPMS)
6. Benign MS 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.
7. Radiologicall Syndrome (RIS)
y Isolated
,Multiple Sclerosis Certified Specialist Exam Question and
answers correctly solved
Radiologically isolated syndrome (RIS) is another early indicator of
demyelination but with no symptoms. RIS is usually detected incidentally
8. Clinically
in healthy people who have an MRI that shows typical MS lesions. These
Isolated
people may remain asympto- matic (have no symptoms), or go on to
Syndrome
(CIS) develop CIS or MS. Therefore, RIS may represent the earliest indicator
of MS before symptoms appear.
A term that describes a first clinical episode with features suggestive of
multiple sclerosis. Usually occurs in young adults and attects optic
nerves, brainstem, or the
, Multiple Sclerosis Certified Specialist Exam Question and
answers correctly solved
spinal cord. They usually recover from their presenting episode. It is often
the first manifestation of MS.
9. Advanced
Dis- ease
10. Pediatric MS 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, ettective, and well tolerated I the pediatric population.
11. 10 year out- 1/2 of patients use a cane to
look for ambulate 15% require a
individu- als
wheelchair
with MS (How
Approximately 1/2 of patients convert to SPMS
many uti-
lize a cane to
am- bulate?
What per-
centage
require a
wheelchair?
How man
convert to
secondary
pro- gressive
The most common immune-mediated inflammatory demyelinating
phase of the
disease of the central nervous system (CNS) - the brain, spinal cord,
disease?
and optic nerves- and is a leading cause of disability in young adults. It
12. Multiple is thought that the immune system attacks theCNS.
Sclerosis
Definition
13. Myelin Coating that surrounds the nerve fibers
answers correctly solved
1. Relapse
Periods of acute worsening of neurologic function, with some degree of
Remit- ting
recovery. There is o progression in between. About 85% individuals are
Multiple
dx with RRMS initially
Sclerosis
(RRMS)
2. How often can re- Remissions can be months to years with no new signs of disease
activity. Deficits
missions occur in suttered during attacks or exacerbation may totally resolve or result in ongoing
RRMS? deficits.
3. Secondary Following an initial relapse remitting course, the disease transitions in many
Pro- gressive people to a steadily progressive form with increased loss of function. OF
(SPMS) the 85% who start with RRMS, more than 50% will develop SPMA within
10 years and 90% within 25 years.
Continuing worsening of disease from onset, without distinct relapses. Approxi-
4. Primary
Progres-
sive Multiple Scle- mately 10% of people are dx with PPMS.
rosis (PPMS)
5. Progressive- Progressive neurologic decline with occasional acute relapses. About
Re- lapsing 5% of people appear to have PRMS at diagnosis.
Multiple
Sclerosis
(PPMS)
6. Benign MS 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.
7. Radiologicall Syndrome (RIS)
y Isolated
,Multiple Sclerosis Certified Specialist Exam Question and
answers correctly solved
Radiologically isolated syndrome (RIS) is another early indicator of
demyelination but with no symptoms. RIS is usually detected incidentally
8. Clinically
in healthy people who have an MRI that shows typical MS lesions. These
Isolated
people may remain asympto- matic (have no symptoms), or go on to
Syndrome
(CIS) develop CIS or MS. Therefore, RIS may represent the earliest indicator
of MS before symptoms appear.
A term that describes a first clinical episode with features suggestive of
multiple sclerosis. Usually occurs in young adults and attects optic
nerves, brainstem, or the
, Multiple Sclerosis Certified Specialist Exam Question and
answers correctly solved
spinal cord. They usually recover from their presenting episode. It is often
the first manifestation of MS.
9. Advanced
Dis- ease
10. Pediatric MS 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, ettective, and well tolerated I the pediatric population.
11. 10 year out- 1/2 of patients use a cane to
look for ambulate 15% require a
individu- als
wheelchair
with MS (How
Approximately 1/2 of patients convert to SPMS
many uti-
lize a cane to
am- bulate?
What per-
centage
require a
wheelchair?
How man
convert to
secondary
pro- gressive
The most common immune-mediated inflammatory demyelinating
phase of the
disease of the central nervous system (CNS) - the brain, spinal cord,
disease?
and optic nerves- and is a leading cause of disability in young adults. It
12. Multiple is thought that the immune system attacks theCNS.
Sclerosis
Definition
13. Myelin Coating that surrounds the nerve fibers
