QUESTIONS AND CORRECT VERIFIED ANSWERS WITH
RATIONALES (A NEW UPDATED VERSION 2026)
|GUARANTEED PASS A+ |FULL REVISED EXAM
Test of choice to support diagnosis of MS
MRI of brain and spinal cord
Classic Case of _________________:
adolescent to adult female complains of episodes of visual
loss, diplopia (double vision), nystagmus, vertigo,
problems with balance and walking, foot drop, and
numbness and parasthesias on one side of the face. bowel
dysfunction (50%) and/or urinary incontinence (75%)
reports that when bending neck forward/flexion, an
electric-shock like sensation runs down the back
(lhermitte sign)
MS
,What does tx plan involve for MS?
refer to neurologist for management
3 main types of Multiple Sclerosis:
1. relapsing-remitting disease (most common) episodic exacerbations
2. progressive disease (progressive decline without acute
exacerbations)
3. secondary progressive (relapsing-remitting pattern that
becomes progressive)
Uhthoff's phenomenon
MS pt whose symptoms worsen with increase in body temperature
Most common presenting symptoms for MS
sensory disturbances followed by weakness and visual disturbances
abrupt onset of unilateral facial paralysis due to dysfunction of the motor
branch of the facial nerve (CN VII). Facial paralysis can progress rapidly
within within 24 hours. Skin sensation remains intact, but tear production on the
affected side may stop. Most cases resolve spontaneously.
Bells Palsy
,Herpesvirus activation is suspected to be the most likely cause of
majority of cases of _-
Bells Palsy
Classic Case of ___________________:
older adult reports waking up that morning with one side of his
face paralyzed. Complains of difficulty chewing and swallowing
food on the same side. Unable to fully close eyelid on affected
side.
Bells Palsy
, Early treatment for Bells Palsy inlcudes:
high-gose oral glucocorticoids (60-80mg/day) x7days in
conjunction with acyclovir or valacyclovir
Tx for Bells Palsy is best if treatment is started as soon as possible:
_____________________________
within 3 days of onset
With a patient who has be dx with Bells Palsy, you have to
protect cornea from drying and ulceration by applying
__________________________________________________ every hour
while
awake.
Patients can also use protective goggles or
glasses. ointment can be used at night with
eyepatch
artificial tears
In ____________________________ the weakness and paralysis ONLY affects the
face.
Bells Palsy