Excellence in MS Nursing

Pretest

For each question, please select the best option then click the button at the end of the test to proceed.

1. A key finding of the observational study Multiple Sclerosis Nursing to Improve Care and Education (MSNICE) regarding access to an MS nurse was:(Required)

A. Improved health-related quality of life (HRQoL) in centers with an MS nurse

B. Reduced healthcare costs in centers with an MS nurse

C. No difference in HRQoL, but greater MS-specific knowledge in centers with an MS nurse

D. Better outcomes in centers without an MS nurse

2. Which of the following represents a key change in the 2024 McDonald Criteria for the diagnosis of MS?(Required)

A. Eliminating MRI from the diagnostic process

B. Allowing biomarkers, such as oligoclonal bands (OCBs) or kappa free light chains (kFLC) to substitute for dissemination in time in certain cases

C. Requiring both MRI and CSF biomarkers in all cases

D. Eliminating the need to demonstrate dissemination in space

3. In a patient with newly diagnosed, highly active relapsing MS, which management strategy is most consistent with the MS Coalition 2019 recommendations?(Required)

A. Monitor clinically and radiographically before initiating therapy

B. Delay treatment until additional relapses confirm aggressive disease

C. Initiate a lower-efficacy DMT and escalate only after breakthrough disease

D. Initiate a high-efficacy DMT, and continue therapy unless there is suboptimal response, safety concerns, or shared clinician–patient decision-making warrants a change

4. Which of the following statements regarding optic neuritis in patients with multiple sclerosis (MS) is FALSE?(Required)

A. Optic neuritis in MS is most often unilateral.

B. Up to 50% of patients with MS may experience optic neuritis during the course of their disease.

C. Impaired vision should improve within a few weeks to one year without treatment.

D. Intravenous steroids improve long-term visual outcomes compared with no treatment.

5. Which of the following assessment tools is recommended for evaluating cognitive impairment in patients with MS?(Required)

A. Mini-Mental State Examination (MMSE)

B. Montreal Cognitive Assessment (MoCA)

C. Patient Health Questionnaire-9 (PHQ-9)

D. Symbol Digit Modalities Test (SDMT)

6. A meaningful change in the Timed 25-Foot Walk (T25FW) is defined as:(Required)

A. A 5% change

B. A ≥20% change

C. A 2-second difference

D. Any change in assistive device