33 years old female have (one episode of MS symptoms last year but still not diagnosed with MS) and now come with the same symptoms what the best thing to do
سؤال مجاني 6 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. MRI and LP
A second episode of the same neurological symptoms (separated in time) suggests MS, which first has to be confirmed. MRI of the brain and spinal cord is the first-line test (McDonald criteria). LP for oligoclonal IgG supports the diagnosis when MRI isn't conclusive. Disease-modifying therapy only starts once MS is diagnosed, and discharging her without a work-up misses the diagnosis.
ليش كل خيار صح أو غلط
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A
ليش غلط
Disease-modifying drugs are not started before MS is confirmed; they are not indicated for early or pre-clinical MS, so the diagnostic work-up comes first.
✓ MS D.pdf · p. 4 -
B
ليش صح
MS is defined by symptoms separated in time and space; the diagnostic test is MRI (1st and best), with LP for oligoclonal IgG if MRI is equivocal.
✓ 9. Demyelination Syndromes.pdf · p. 2 -
C
ليش غلط
A second episode matters because MS is defined by neurologic symptoms separated by time and space, so she needs a work-up rather than discharge.
✓ 9. Demyelination Syndromes.pdf · p. 2
- المصدر
- 11. Multiple Sclerosis.pdf · p. 5
9. Demyelination Syndromes.pdf · p. 2 - المحاضرة
- Multiple Sclerosis · Neurology · Module C
- ظهر في
- MED43 ♀ Compre