Multiple sclerosis

Question 1

Demyelination disease

Answer 1

Multiple sclerosis

Question 2

young age with multiple neurological symptoms in different part of the body at a different time

Answer 2

Multiple sclerosis as a spot diagnosis

Question 3

Diagnosis of Multiple sclerosis

Answer 3

• MRI brain and spine (McDonald criteria)
  CSF analysis if done will show (Oligoclonal band IgG)= specific

Question 4

Treatment of Multiple sclerosis Acute exacerbation

Answer 4

IV Methylprednisolone
After resolution of attack you may give Interferon Beta (caution with liver
disease or depression) or Glatira-mer

Question 5

20-year-old female with transient vision loss
during sport, no other symptoms, MRI brain:
multiple demyelinating hyperintense lesion in
periventricular and white matter area, what is
the most likely diagnosis?

Answer 5

Multiple sclerosis

Question 6

Typical site for Multiple sclerosis

Answer 6

periventricular and white matter area

Question 7

Young age patient with multiple neurological
symptoms in diferent parts of the body,
including eye symptoms and lower limb
weakness, what is the best diagnostic test?

Answer 7

MRI brain and spine

Question 8

Patient known to have multiple sclerosis came
to ER with acute episode of lower limb
weakness, which medication you will give?

Answer 8

IV Corticosteroids