TQ Quiz | The Neuro-ophthalmology of Multiple Sclerosis (Mackinac 2023) by Events@optometricedu.com | Aug 17, 2023 | 2023 Mackinac Island, TQ Courses | 0 comments "*" indicates required fields HiddenThe Neuro-ophthalmology of Multiple SclerosisHiddenDate (Hidden) MM slash DD slash YYYY HiddenEvent Date (Hidden) MM slash DD slash YYYY HiddenEvent 60 days past date (Hidden) MM slash DD slash YYYY HiddenEvent Date Difference (Hidden)1. The type of multiple sclerosis characterized by episodes of manifest disease activity followed by periods of remission is termed:* A - Relapsing-remitting B - Secondary-progressive C - Primary- progressive D - Secondary-progressive 2. The type of multiple sclerosis characterized by progressive deterioration following previous episodes of relapsing and remitting disease activity is termed:* A - Relapsing-remitting B - Secondary-progressive C - Primary- progressive D - Secondary-progressive 3. Disease-modifying pharmacotherapy for multiple sclerosis targets:* A - T-cell activation and function B - B-cell activation and function C - Both T and B-cell activation and function D - Neither T or B-cell activation and function 4. The evolution of monoclonal antibody-related pharmacotherapy has resulted in greatly improved disease management for many patients with MS. A significant complication of monoclonal antibody therapy for MS is the development of:* A - Cataract formation B - Progressive multifocal leukoencephalopathy (PML) C - Glaucoma D - Stroke 5. Which of the following is the most common ocular complication of fingolimod-based treatment for MS?* A - Cataract formation B - Optic neuritis C - Glaucoma D - Cystoid macular edema 6. The most common form of optic neuritis is:* A - Anterior optic neuritis (papillitis) B - Retrobulbar optic neuritis C - Neuroretinitis D - Optic perineuritis 7. All of the following are common features of optic neuritis EXCEPT:* A - Dyschromatopsia B - Afferent pupillary defect C - Absence of pain on eye movement D - Decreased brightness 8. According to the Optic Neuritis Treatment Trial, the most common pattern of visual field defect in the affected eye of a patient with optic neuritis is:* A - Diffuse B - Centro-cecal C - Altitudinal D - Hemianopic 9. According to the Optic Neuritis Treatment Trial, what is the approximate percentage of fellow-eye visual field defects in patients with optic neuritis?* A - 20% B - 35% C - 50% D - 65% 10. According to the Optic Neuritis Treatment Trial, which of the following is considered to be the greatest risk factor for an individual with optic neuritis converting to multiple sclerosis?* A - Baseline vision worse than 20/200 B - The presence of pain on eye movement C - Multiple high signal white mater MRI lesions at baseline D - Male gender 11. According to the Optic Neuritis Treatment trial, what is the approximate likelihood of visual recovery to 20/40 at 15 years following an attack of optic neuritis?* A - 60% B - 70% C - 80% D - 90% 12. Which of the following represents the most significant outcome of the CHAMPIONS (CHAMPS in Ongoing Neurologic Surveillance) Study?* A - Profound dyschromatopsia in the setting of optic neuritis is associated with a high rate of conversion to multiple sclerosis. B - Delayed treatment of high-risk optic neuritis with immunomodulatory therapy is associated with a significantly increased risk of developing multiple sclerosis at 10 years following the initial attack of optic neuritis as compared to immediate treatment with immunomodulatory therapy. C - The use of intravenous corticosteroids in the setting of acute optic neuritis greatly reduces the long-term risk of conversion to multiple sclerosis. D - The utilization of oral prednisone in the setting of optic neuritis is effective in reducing the long term risk of conversion to multiple sclerosis. 13. Internuclear ophthalmoplegia is associated with a lesion of the ipsilateral:* A - Medial longitudinal fasciculus B - Sixth nerve nucleus C - Fourth nerve nucleus D - Third nerve nucleus 14. The absence of convergence in the setting of an internuclear ophthalmoplegia most likely localizes the lesion to the:* A - Basal ganglia B - Midbrain C - Pons D - Medulla 15. Internuclear ophthalmoplegia is often associated with a skew deviation (a vertical/cyclotorsional disparity between the two eyes). Which of the following statements describes the clinical findings of a skew deviation?* A - The hyper eye is intorted and the hypo eye is extorted B - The hyper eye is extorted and the hypo is intorted C - The hyper eye is intorted and the hypo eye is intorted D - The hyper eye is extorted and the hypo eye is extorted 16. The presentation of bilateral adduction deficits associated with bilateral abducting nystagmus is most consistent with a diagnosis of:* A - Bilateral third nerve palsies B - Bilateral sixth nerve palsies C - Bilateral fourth nerve palsies D - Bilateral internuclear ophthalmoplegia 17. A lesion of the sixth nerve nucleus combined with the ipsilateral MLF results in a/an:* A - Internuclear ophthalmoplegia B - Bilateral internuclear ophthalmoplegia C - Wall-eyed bilateral internuclear ophthalmoplegia D - One-and-one-half syndrome 18. Which of the following types of nystagmus is often encountered in patients with multiple sclerosis?* A - Gaze-evoked B - Oculopalatal myoclonus C - See-saw D - Physiologic end-position 19. The presence of an abduction deficit in the setting of multiple sclerosis is most likely due to a lesion of:* A - CN III B - CN IV C - CN V D - CN VI 20. Which of the following ocular findings is NOT associated with multiple sclerosis?* A - Retinal nerve fiber layer thinning B - Ganglion cell/inner plexiform layer thickening C - Reduced low-contrast acuity testing D - Increased King-Devick test time scores for rapid number naming 21. Which of the following antibody titers is elevated with NMO spectrum disorder (NMOSD)?* A - AQP4-IgG B - MOG-IgG C - FTA-Abs D - ACE 22. All of the following are associated with NMOSD EXCEPT:* A - Transverse myelitis B - Hiccups C - Narcolepsy D - Paraventricular white matter lesions on MRI 23. Which of the following describes the optic disc findings with MOGAD optic neuritis?* A - Normal appearance B - Moderate to severe optic disc edema C - Initial appearance of pallor D - Extensive cupping 24. Which of the following best describes the MRI findings associated with MOGAD optic neuritis:* A - Extensive supratentorial white matter lesions B - Focal optic nerve plaques C - Longitudinal optic nerve enhancement D - acute transverse myelitis 25. All of the following are common findings with pediatric optic neuritis EXCEPT:* A - Initial vision usually worse than that seen with adults B - Presence of optic disc edema C - Pain less common than with adults D - Strong female tendency in pre-pubescent individuals Personal InformationName* First Last Email* Phone*OE Tracker # License # Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment InformationPromotional Code The Neuro-ophthalmology of Multiple Sclerosis | TQ Credit*After 10/18/2023, pricing will increase to $30. 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