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Worksheets211 Multiple Sclerosis
Total questions: 15
Worksheet time: 12mins
Which statement regarding MS is false?
It is an immune mediated disease
T cells attack Myelin on CNS & optic nerve
Scar tissue formed on the myelin is called sclerosis
The cause is genetic
Which of the following places a pt at risk for MS? (Select all that apply)
If pt lives close to the equator
If the pt is a man
Someone who is 20-40 years old
Pt is infected Epstein Barr Virus & Rubella
Smoking
Which type of MS is Mitoxantrone (Novantrone) treatment not used for
Relapsing Remitting
Secondary Progressive
Primary Progressive
Progressive Relapsing
Which of the following are early symptoms of MS? (Select all that apply)
Visual disturbances
Emotional changes
Sexual dysfunction
Dizziness & verticgo
Numbness
Which of the following are later symptoms of MS? (select all that apply)
Cognitive & psychosocial
Ataxia
Loss of balance/ coordination difficulties
Bladder dysfnction
Speech & swallowing problems
Which of the following are secondary complications of MS? (Select all that apply)
UTI
Diarrhea
Pressure Ulcers
Pneumonia
Osteoarthritis
What are the 3 criteria in order to make an MS diagnosis?
Which of the following diagnosis assesses for oligoclonal bands (caused by IgG), which indicates MS?
Neuro Exam
MRI
Analysis of CSF
Evoked potential tests
Which statement is false regarding children who get diagnosed with MS?
2-5% people have symptoms before 18
Often experience mental status changes
Higher late of relapse
Progresses more quickly
Which of the following medications reduce the frequency and duration of relapses and number & size of plaques in pts with MS? (Select all that apply)
Interferon beta Mxs
Glatiramer Acetate (Copaxone)
Teriflunomide (Aubagio)
Mitoxantron (Novantrone)
Prednisone (Deltasone)
Which of the following are SEs of Beta interferons?
Hematologic differences, liver damage, flu like symptoms, fetal abnormalities, depression, & suicidal ideation
Chest pain, shortness of breath, flushing
Drowsiness, sedation, sleepiness
Increased risk for infection, candidiasis, osteoporosis, weight gain, hyperglycemia, fluid retention
What statements is true about immunomodulators (Disease Modifying Therapy)?
These Mxs should be taken once late stage symptoms show
Therapeutic effect can take up to 6 months to work
There is little to no risk taking this Mx for pregnant women
These Mx treats symptoms of MS rather than MS itself.
True or False: Ocrevus is an immunomodulator classified as a monoclonal antibody
True
False
Which drug class is key agent in treating acute relapse Relapsing-Remitting MS?
Immunomodulators
Corticosteroids
Anti-neoplastics
Muscle Relaxants
Antidepressants
Which of the following should the nurse educate a pt about regarding MS? (select all that apply)
Pt should avoid exercise
Pt should avoid hot temperatures
Pt should avoid alochol & smoking
Massage & acupunctures are are alternative therapies
Pt should be taught stress reduction strategies
