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Multiple Sclerosis - OT - 4 Hour

You will need to answer 14 questions correctly to pass the test.
(1) Which of the following statements regarding multiple sclerosis is TRUE? (p. 4)
(A) The median age of onset is 19 years of age.
(B) Twice as many men are affected by MS than women.
(C) MS is more common in colder climates
(D) Native Americans have a relatively high rate of MS.
(2) People who smoke are more likely to develop MS. (p. 5)
(A) True
(B) False
(3) The first symptoms of MS often include ___________. (p. 6)
(A) Hearing loss, diminished sense of smell, and heart palpitations
(B) Vision problems, weakness and dizziness
(C) Forgetfulness, tremor, and joint pain
(D) Hair loss, dysphagia, and shortness of breath
(4) "Lhermittes sign" is a characteristic sensation of MS that feels like a sharp spike of electricity coursing down the spine. (p. 7)
(A) True
(B) False
(5) The best and most current set of criteria for diagnosing MS is the ______. A positive diagnosis for MS requires _____________________. (p. 8)
(A) McDonald Criteria; 2 attacks in time and at 2 locations
(B) Sanford Assay; the presence of MS antibodies in the cerebral spinal fluid and neurological involvement
(C) SMN Assessment; proof of cognitive deficits and muscle weakness
(D) Sidney Criteria; at least one documented neurological deficit and positive MRI results
(6) The most common subtype of multiple sclerosis is __________. (p. 9-10)
(A) Relapsing-remitting MS
(B) Secondary progressive MS
(C) Progressive relapsing MS
(D) Primary progressive MS
(7) Which of the following is associated with a less favorable prognosis? (p. 10-11)
(A) Female
(B) Age of disease onset before 40
(C) First attack consisting only of motor symptoms
(D) Minor abnormalities on brain MRI scan at time of diagnosis
(8) DMT should begin as soon as possible following a definite diagnosis of MS and determination of a relapsing course. (p. 12)
(A) True
(B) False
(9) Fingolimod is a second line injectable DMT. (p. 13)
(A) True
(B) False
(10) Approximately eighty percent of individuals with MS experience spasticity. (p. 16)
(A) True
(B) False
(11) A score of ___ on the Modified Ashworth Scale indicates the effected part is rigid. (p. 17)
(A) 1
(B) 2
(C) 3
(D) 4
(12) What is the most common walking problem for people with MS? (p. 19)
(A) Foot drop
(B) Trendelenburg
(C) Ataxia
(D) Festination
(13) Which assessment tool is most commonly used to measure fatigue of MS patients? (p. 21)
(A) Fatigue Severity Scale
(B) Profile of Mood States
(C) Visual Analog measure
(D) Fatigue Digital Inventory
(14) Renal failure due to bladder dysfunction is common in MS. (p. 28)
(A) True
(B) False
(15) Sexual dysfunction is a common symptom in MS and affects more than 75% of people living with the disease. (p. 32)
(A) True
(B) False
(16) MS is sometimes associated with a condition called _______ that causes inappropriate and involuntary expressions of laughter, crying, or anger. (p. 34)
(A) pseudobular affect
(B) transient affective disorder
(C) emotional transitional disturbance
(D) behavioral incongruence
(17) Which cognitive function is usually NOT affected by MS? (p. 34-36)
(A) Attention and concentration
(B) Executive functions
(C) Visual perceptual skills
(D) General intelligence
(18) _________ is NOT a problem typically associated with MS? (p. 37-40)
(A) Nystagmus
(B) Dysphagia
(C) Pulmonary sarcoidosis
(D) Heat intolerance
(19) Exercise is beneficial for individuals with MS because it ________. (p. 44-46)
(A) Improves mood
(B) Decreases overall fatigue
(C) Improves bowel and bladder function
(D) All of the above
(20) An EDSS score of _______ indicates that the individual has some degree of gait impairment. (p. 47)
(A) less than zero
(B) zero
(C) zero to four
(D) four or higher
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