MULTIPLE SCLEROSIS Q

Question 1

Which statement BEST describes the clinical patterns of multiple sclerosis?

Answer 1

B. Relapsing, progressive, or a combination of both

Question 2

A patient receiving interferon beta has had two relapses in the last two years. How is their MS classified?

Answer 2

C. Active

Question 3

What is the treatment of choice for an acute MS relapse?

Answer 3

C. Methylprednisolone

Question 4

Which medicine is used specifically to manage relapses, rather than long-term symptoms?

Answer 4

B. Methylprednisolone

Question 5

Which medicines may be used to manage MS-related fatigue?

Answer 5

B. Amantadine, SSRI, modafinil

Question 6

A patient with MS complains of persistent fatigue. Which option is appropriate?

Answer 6

B. Modafinil

Question 7

What is the first-line treatment for MS-related spasticity?

Answer 7

C. Baclofen

Question 8

A patient does not respond to baclofen for spasticity. What is the next option?

Answer 8

B. Gabapentin

Question 9

A patient reports that objects appear to vibrate when looking at them. What is this symptom called?

Answer 9

B. Oscillopsia

Question 10

What is the first-line treatment for oscillopsia in MS?

Answer 10

C. Gabapentin

Question 11

Which medicine is used second-line for oscillopsia?

Answer 11

C. Memantine

Question 12

Which medicine is used to treat emotional lability in MS?

Answer 12

B. Amitriptyline

Question 13

Why must baclofen be titrated slowly in MS patients?

Answer 13

C. Risk of sedation and hypotonia

Question 14

Which adverse effects are MOST likely if baclofen is increased too quickly?

Answer 14

B. Sedation and muscle weakness

Question 15

Which symptom–treatment pairing is CORRECT?

Answer 15

C. Oscillopsia – gabapentin

Question 16

Which medicine is LEAST appropriate for treating MS-related fatigue?

Answer 16

D. Baclofen