Multiple Sclerosis Certified Specialist
Exam with correct answers
Relapse Remitting Multiple Sclerosis (RRMS) - correct answer -Periods
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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
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How often can remissions occur in RRMS? - correct answer -
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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) - correct 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.
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Primary Progressive Multiple Sclerosis (PPMS) - correct answer -
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Continuing worsening of disease from onset, without distinct relapses.
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Approximately 10% of people are dx with PPMS.
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,Progressive-Relapsing Multiple Sclerosis (PPMS) - correct answer - | | | | | | |
Progressive neurologic decline with occasional acute relapses. About
| | | | | | |
5% of people appear to have PRMS at diagnosis.
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Benign MS - correct 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.
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Radiologically Isolated Syndrome (RIS) - correct 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) - correct 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 - correct answer - | | | | |
Pediatric MS - correct answer -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, effective, and well tolerated
| | | | | | | | | |
| I the pediatric population.
| | |
10 year outlook for individuals with MS
| | | | | |
(How many utilize a cane to ambulate? What percentage require a
| | | | | | | | | |
wheelchair? How man convert to secondary progressive phase of the
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disease? - correct answer -1/2 of patients use a cane to ambulate
| | | | | | | | | | | |
15% require a wheelchair
| | |
Approximately 1/2 of patients convert to SPMS | | | | | |
Multiple Sclerosis Definition - correct answer -The most common
| | | | | | | |
immune-mediated inflammatory demyelinating disease of the central
| | | | | | |
nervous system (CNS) - the brain, spinal cord, and optic nerves- and is
| | | | | | | | | | | | |
a leading cause of disability in young adults. It is thought that the
| | | | | | | | | | | | |
immune system attacks theCNS.
| | | |
Myelin - correct answer -Coating that surrounds the nerve fibers
| | | | | | | | |
Axons - correct answer -Carry impulses away from the cell body
| | | | | | | | | |
Nerve Fibers |
How does MS get its name? - correct answer -Damaged myelin
| | | | | | | | | |
(demyelination) forms scar tissue (sclerosis) in multiple sites in the
| | | | | | | | | |
CNS.
|
Exam with correct answers
Relapse Remitting Multiple Sclerosis (RRMS) - correct 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? - correct 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) - correct 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) - correct answer -
| | | | | | | |
Continuing worsening of disease from onset, without distinct relapses.
| | | | | | | |
Approximately 10% of people are dx with PPMS.
| | | | | | | |
,Progressive-Relapsing Multiple Sclerosis (PPMS) - correct answer - | | | | | | |
Progressive neurologic decline with occasional acute relapses. About
| | | | | | |
5% of people appear to have PRMS at diagnosis.
| | | | | | | | |
Benign MS - correct 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) - correct 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) - correct 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 - correct answer - | | | | |
Pediatric MS - correct answer -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, effective, and well tolerated
| | | | | | | | | |
| I the pediatric population.
| | |
10 year outlook for individuals with MS
| | | | | |
(How many utilize a cane to ambulate? What percentage require a
| | | | | | | | | |
wheelchair? How man convert to secondary progressive phase of the
| | | | | | | | | |
disease? - correct answer -1/2 of patients use a cane to ambulate
| | | | | | | | | | | |
15% require a wheelchair
| | |
Approximately 1/2 of patients convert to SPMS | | | | | |
Multiple Sclerosis Definition - correct answer -The most common
| | | | | | | |
immune-mediated inflammatory demyelinating disease of the central
| | | | | | |
nervous system (CNS) - the brain, spinal cord, and optic nerves- and is
| | | | | | | | | | | | |
a leading cause of disability in young adults. It is thought that the
| | | | | | | | | | | | |
immune system attacks theCNS.
| | | |
Myelin - correct answer -Coating that surrounds the nerve fibers
| | | | | | | | |
Axons - correct answer -Carry impulses away from the cell body
| | | | | | | | | |
Nerve Fibers |
How does MS get its name? - correct answer -Damaged myelin
| | | | | | | | | |
(demyelination) forms scar tissue (sclerosis) in multiple sites in the
| | | | | | | | | |
CNS.
|
