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Exam & Evaluation (Multiple Sclerosis: Caring for the Patient)
 
Questions: Please respond to following statements.

1 All of the following statements are accurate regarding multiple sclerosis except:
  MS is the most common neurological disease affecting young adults
  MS occurs more often in men than in women
  Nearly 400,000 Americans have MS
  Caucasians are affected more often with MS than people of other racial groups
2 Which of the following countries would most likely have a high incidence of individuals with MS?
  Egypt
  Costa Rica
  Canada
  Mexico
3 A person who moves to another part of the world after age fifteen retains the MS risk of his or her country of origin.
True     False
4 A period of increased disease activity occurring in MS is referred to as a (an):
  Exacerbation
  Remission
  Progression
  Decline
5 In which areas of the central nervous system are MS plaques found?
  Optic nerves
  Cerebellum
  Cerebrum
  All of the above
6 A disease that causes demyelination of axons in the peripheral nervous system is:
  Myasthenia gravis
  Parkinsonís disease
  Guillian Barre syndrome
  Huntingtonís disease
7 It is thought that MS develops in an individual with a genetic predisposition to the disease who is exposed to an agent that stimulates an abnormal immune response.
True     False
8 Increases in MS prevalence over the past decade are thought to be due to:
  Longer life spans
  Consistent diagnostic criteria
  Technological advances such as magnetic resonance imaging (MRI)
  All of the above
9 Approximately 70% to 75% of persons with MS are diagnosed initially with which of the following forms of MS:
  Relapsing-remitting
  Secondary-progressive
  Primary-progressive
  Progressive-relapsing
10 Which form of MS is characterized by progression of symptoms and disability without plateaus or remissions?
  Relapsing-remitting MS
  Secondary-progressive MS
  Primary-progressive MS
  Progressive-relapsing
11 Having an MRI can establish a diagnosis of MS.
True     False
12 Which of the following statements is incorrect about MS symptoms?
  Patients may have MS symptoms for months to years before diagnosis.
  The more MS lesions are seen on an MRI, the more severe the clinical symptoms.
  The severity of MS symptoms can vary from episode to episode in the same patient.
  MS symptoms are often subjective.
13 All of the following factors are indicators of a less favorable MS prognosis except:
  Male gender
  Disease onset before age 35
  Brainstem symptoms
  Frequent MS attacks
14 Which of the following activities increases MS associated fatigue symptoms?
  Moderate aerobic exercise
  Work simplification
  Exposure to warm temperatures
  Exposure to air-conditioning
15 Intravenous corticosteroids are never given for acute MS exacerbations.
True     False
16 Cognitive impairment of MS may be treated with Denepezil hydrochloride (Aricept), a medication commonly used in Alzheimer's disease.
True     False
17 The most common type of pain experienced by persons with MS is:
  Low back pain
  Headache
  Bellís palsy
  Trigeminal neuralgia
18 Imaginis.com offers information on the use of MRI to detect the presence of MS plaques. According to their info, CAT scans are just as good as MRI for diagnosing MS plaques.
True     False
19 Evoked potential tests measure electrical activity in certain areas of the brain in response to stimulation of specific sensory nerve pathways. These tests are often used to help make a diagnosis of MS. Which of the following evoked potential tests uses sounds to assist in the diagnosis of MS?
  Brainstem Auditory Evoked Potentials
  Visual Evoked Potentials
  Sensory Evoked Potentials
20 Which of the following MS treatment drugs listed is administered by IV infusion?
  Rebif
  Novantrone
  Copaxone
  Betaseron
  Avonex
21 The second attack of MS symptoms after diagnosis usually has little psychological impact on people with MS.
True     False
22 Axons not covered by myelin transmit nerve impulses more rapidly than myelinated axons.
True     False
23 MS related depression is thought to be caused by neurological changes in the brainís mood control center and by the stresses caused by the disease.
True     False
24 Early rehabilitation interventions can help patients continue to function effectively, especially in relapsing-remitting MS.
True     False
25 The primary problem caused by demyelination of the optic nerve is night blindness.
True     False
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