Multiple sclerosis Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 27-year-old woman comes to the emergency department due to sudden loss of vision in the right eye that began several hours ago. The patient has intense pain with any movement of the eye. She has no significant past medical history, but she did have an episode of reduced sensation in her legs 6 months ago. This episode resolved spontaneously after several days. On neurologic examination, there is a relative afferent pupillary defect in the right eye. There is reduced adduction of the left eye with right lateral gaze. Convergence testing shows no abnormalities. Physical examination reveals decreased pain and light touch perception in both legs. Mild bilateral spasticity is observed. MRI of the brain and spine is inconclusive. Further testing is likely to demonstrate which of the following?

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Positive rapid plasma reagin from a sample of cerebrospinal fluid

Genetic testing revealing increased triplet repeats on chromosome 4

Decreased ceruloplasmin on laboratory studies

Elevated nonspecific clones of IgG on CSF electrophoresis

Elevated protein levels and normal cell counts in cerebrospinal fluid analysis