MS 4

Question 1

What is the criteria for dx of MS?

Answer 1

McDonald criteria of the international panel on dx of MS

Question 2

What is the McDonald criteria?

Answer 2

• ≥2 attacks, clinical evidence of ≥ 2 lesions
• ≥ 2 attacks, clinical evidence of 1 lesion
• 1 attack, clinical evidence of ≥ 2 lesions
• 1 attack, clinical evidence of 1 lesion (CIS)
• Insidious neurologic progression suggesting MS (PPMS)

Question 3

When would no additional data be needed for dx of MS?

Answer 3

≥ 2 attacks

clinical evidence of ≥ 2 lesions

Question 4

What is FSS?

Answer 4

Functional
Systems
Scores

Question 5

What is the Functional Systems Scores (FSS) based upon?

Answer 5

• standard neuro exam

- Rating the 7 functional systems

Question 6

How is the FSS scaled?

Answer 6

0-10

Question 7

What is the EDSS?

Answer 7

Kurtzke
Expanded
Disability
Status
Scale

Question 8

EDSS is ONLY used for this

Answer 8

MS

Question 9

How are the ratings from FSS and EDSS used together?

Answer 9

• FSS ratings + observations and info about gait and AD use

- used to rate the EDSS

Question 10

Scaling the EDSS

Answer 10

• Ordinal scale from 0-10

- 1/2 point increments

Question 11

EDSS = 0

Answer 11

normal neuro exam

Question 12

EDSS = 10

Answer 12

death due to MS

Question 13

Where is the EDSS commonly used?

Answer 13

research (outcomes in clinical trials)

Question 14

What is the EDSS good for?

Answer 14

tracking where the MS pt is functionally

Question 15

Who scores the FSS and EDSS?

Answer 15

neurologist