MS

Question 1

Systems involved in MS

Answer 1

Neuro and immune

Question 2

Ages MS strikes.

Answer 2

20 to 40 yrs old

Question 3

Is MS curable?

Answer 3

No

Question 4

Is MS progressive or non progressive?

Answer 4

Progressive

Question 5

What makes an endurance athlete not feel their legs during exercise?

Answer 5

As body temperature rises, swelling blocks neural conduction

Question 6

Define multiple and sclerosis

Answer 6

Multiple = many scattered areas of the brain and spinal cord affected
Sclerosis = hardened tissue in damaged area

Question 7

What happens to the body in MS?

Answer 7

Immune system attacks myelin sheath, causing communication problems between brain and rest of body.

Question 8

How do medications help people with MS?

Answer 8

1. Speed recovery from attacks
2. Modify the course of the disease and symptoms

Question 9

In MS, myelin in the nervous system detaches and eventually becomes destroyed. This creates a lesion causing:

Answer 9

Numbness, pain, tingling, loss of motor control

Question 10

MS is the most common nervous system disorder among ____ in Canada

Answer 10

Young adults(20 to 40 yrs old)

Question 11

How many Canadians have MS? How much do meds cost per patient per year?

Answer 11

90k Canadians, 12k to 60k per patient per year

Question 13

Why does MS take a long time to diagnose?

Answer 13

1. Symptoms come and go
   2.gets mixed with other conditions
2. Symptoms vary from person to person

Question 14

Life expectancy for MS has increased over the years, what changed in terms of medical advancement?

Answer 14

1. Better drugs and treatments
2. Better understanding of the disease

Question 15

Causes of MS

Answer 15

Unknown, autoimmune disease where the body’s immune system attacks its own tissues by mistake

Question 16

Which cells attack the myelin sheath?

Answer 16

T cells and monocytes

Question 17

Factors increasing risk of developing MS

Answer 17

1. Age: mostly between 20 to 40 yrs old
2. Sex: females twice more likely than males
3. Family history
4. Certain infections
5. Climate
   6.certain autoimmune disease
   7.smoking
6. Race

Question 18

Ratio of white to non white people

Answer 18

2:1

Question 19

Optic nerve lesion causes these s&s

Answer 19

Blurred vision

Question 20

Brain stem s&s

Answer 20

Dizziness, double vision

Question 21

Cerebellum and cerebrum lesions s&s

Answer 21

Balance problems, speech problems, uncoordinated movements and tremors

Question 22

Motor nerve tract lesion s&s

Answer 22

Muscle weakness, spasticity paralysis, bladder and bowel impairment

Question 23

Sensory nerve tract lesions s&s

Answer 23

Altered sensation, numbness, prickling, burning sensations

Question 24

Other symptoms of MS

Answer 24

Fatigue, tremor, lack of coordination or unsteady gait

Question 25

MS classification is based on two things

Answer 25

1. Rate of disease progression 2. Frequency of flare ups

Question 26

4 types of MS

Answer 26

1.relapsing/remitting MS 2.secondary progressive MS 3.primary progressive MS 4.progressive-relapsing MS

Question 27

Define relapsing/remitting MS

Answer 27

Unpredictable but clearly defined relapses,followed by a period where recovery is near complete or complete

Question 28

What is the most common type of MS?

Answer 28

Relapsing/remitting MS

Question 29

True or false: MS is a progressive disease.

Answer 29

True

Question 30

Secondary progressive MS follows a diagnosis of ____. Over time, ____ become less apparent and disease progresses steadily. About half people with RRMS start to worsen within ____ years.

Answer 30

RRMS, relapses and remissions, 10-20 years

Question 31

Define primary progressive MS

Answer 31

Slow accumulation of disability without defined relapses (no periods of remission)

Question 32

Which types of MS can meds help with?

Answer 32

RRMS, SPMS, PRMS

Question 33

What is the rarest course of MS? How is it defined?

Answer 33

Progressive relapsing MS, experience relapses with or without recovery and steadily worsening disease from beginning

Question 34

Physical activity guidelines for people with MS with mild to moderate disability.

Answer 34

30 minutes of MI aerobic activity 2 times a week + strength training 2 times a week

Question 35

Who are the PA guidelines for?

Answer 35

Minimal to moderate disability resulting from relapsing remitting or progressive forms of MS

Question 36

What is missing in the MS program design?

Answer 36

Daily stretching of affected joints/muscles and balance exercises

Question 37

MI activity is a ____ out of 10 on the borg scale.

Answer 37

5-6

Question 38

If you’re doing MI PA , you can talk but not ____

Answer 38

Sing a song

Question 39

Special considerations for exercise

Answer 39

Less balance, fatigue more, heat intolerance, depression, exercise does not trigger trigger periods of exacerbation when managed properly