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Neuro Exam- MS

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Question
Answer
Autoimmune disorder. Genetic component. Chronic, progressive, degenerative, inflammatory disease of the CNS.   Multiple Sclerosis  
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Group most affected by MS   young women ages 25-35 (although can affect anyone)  
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In MS, ___ cells stay and promote infiltration of other agents that damage the immune system and lead to destruction of ________.   T, myelin sheath  
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Areas most effected by MS   Optic nerve, cerebrum, brain stem, cerebellum, spinal cord  
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80-85% of MS pt will have this type   Type 1: Relapsing remitting  
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S/S depend on location and/or the combination of ________   Lesions (plaques)  
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Test in which presence of many lesions (plaques) can be visualized   MRI  
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Test shows the presence of IgG molecules bonded together which indicates immune system abnormality. (Via lumbar puncture)   CSF analysis  
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Test can help define the extent of the disease process and monitor changes   Evoked Potential Testing  
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What lab tests are typically completed since UTI is common   blood and urine  
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Test for cognitive issues   Neuropsychological Testing  
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What is the cure for MS?   No cure  
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Two groups of drugs used primarily during periods of exaserbation. Phenomenal amounts used. Very severe SE   Corticosteroids and Immunosuppressives  
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Four drugs for MS and route   Avonex (IM), Betaseron (SQ), Copaxone (SQ), Rebif (SQ)  
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Baclofen, Valium, Zanaflex, and Dantrium given for   spasticity  
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Symmetrel, Cylert, Prozac given for   Fatigue  
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Inderal, Neurontin, Klonopin given for   Ataxia  
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NSAIDs, opiates, antidepressants, and antiseizure meds given for   Pain  
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Anticholinergics and antispasmodics given for   Bowel and Bladder  
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