1.

Select all the TRUE statements about the pathophysiology of multiple sclerosis:*
A. "The dendrites on the neuron are overstimulated leading to the destruction of the axon."
B. "The myelin sheath, which is made up of Schwann cells, is damaged along the axon."
C. "This disease affects the insulating structure found on the neuron in the central nervous
system."
D. "The dopaminergic neurons in the part of the brain called substantia nigra have started to
die."
2. True or False: Multiple Sclerosis tends to affect men more than women and occurs during the
ages of 50-70 years.*
True
False
3. True or False: Patients with multiple sclerosis have different signs and symptoms because
this disease can affect various areas of the peripheral nervous system.*
True
False
4. A patient is suspected of having multiple sclerosis. The neurologist orders various test. The
patient's MRI results are back and show lesions on the cerebellum and optic nerve. What signs
and symptoms below would correlate with this MRI finding in a patient with multiple sclerosis?*
A. Blurry vision
B. Pain when moving eyes
C. Dysarthria
D. Balance and coordination issues
E. "Pill rolling" of fingers and hands
G. Heat intolerance
H. Dark spots in vision
I. Ptosis
5. You're performing a head-to-toe assessment on a patient with multiple sclerosis. When you
ask the patient to move the head and neck downward the patient reports an "electric shock"
sensation that travels down the body. You would report your finding to the doctor that the patient
is experiencing:*
A. Romberg's Sign
B. Lhermitte's Sign
C. Uhthoff's Sign
D. Homan's Sign
6. Which finding below represents a positive Romberg Sign in a patient with multiple sclerosis?*
A. The patient report dark spots in the visual fields during the confrontation visual field test.
B. When the patient closes the eyes and stands with their feet together they start to lose their
balance and sway back and forth.
C. The patient's sign and symptoms increase when expose to hot temperatures.
D. The patient reports an electric shock feeling when the head and neck are moved downward.
7. Your patient is scheduled for a lumbar puncture to help diagnose multiple sclerosis. The
patient wants clarification about what will be found in the cerebrospinal fluid during the lumbar
puncture to confirm the diagnosis of MS. You explain that ____________ will be present in the
fluid if MS is present.*
 A. high amounts of IgM
B. oligoclonal bands
C. low amounts of WBC
D. oblong red blood cells and glucose
8. You're developing a plan of care for a patient with multiple sclerosis who presents with
Uhthoff's Sign. What interventions will you include in the patient's plan of care? Select all that
apply:*
A. Avoid movements of the head and neck downward
B. Keep room temperature cool
C. Encourage patient to use warm packs and heating pads for symptoms
D. Educate the patient on three ways to avoid overheating during exercise
9. During your discharge teaching to a patient with multiple sclerosis, you educate the patient on
how to avoid increasing symptoms and relapses. You tell the patient to avoid:*
A. Cold temperatures
B. Infection
C. Overexertion
D. Salt
F. Stress
10. A patient with multiple sclerosis has issues with completely emptying the bladder. The
physician orders the patient to take ___________, which will help with bladder emptying.*
A. Bethanechol
B. Oxybutynin
C. Avonex
D. Amantadine
11. A patient is receiving Interferon Beta for treatment of multiple sclerosis. As the nurse you will
stress the importance of?*
A. Physical exercise to improve fatigue
B. Low fat diet
C. Hand hygiene and avoiding infection
D. Reporting ideation of suicide
12. Which medications below can help treat muscle spasms in a patient with multiple sclerosis?
Select all that apply:*
A. Propranolol
B. Isoniazid
C. Baclofen
D. Diazepam
E. Modafinil