MRCP UK EXAMINATIONS

NEUROLOGY

MONONEUROPATHIES

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
About ALS
A
it affects only the striated muscles
B
it comes in 2 forms:bulbar and spinal
C
there is amyotrophy, fasciculations and motor deficit
D
ROTs are abolished
E
riluzole is the only ET having proven its effectiveness on survival
Explanation: 

Detailed explanation-1: -Riluzole, a glutamatergic antagonist, is the only disease-modifying treatment shown to extend life in patients with ALS, associated with a 38·6% reduction in mortality in an efficacy trial9 and a 35% improvement in survival with the 100 mg dose in a dose-ranging trial.

Detailed explanation-2: -The original analyses, and subsequent meta-analyses, of data obtained from randomized controlled trials (RCTs) suggest that riluzole typically extends survival by 2–3 months and increases the chance of an additional year of survival by  9%.

Detailed explanation-3: -Riluzole may slow progression of ALS but does not cure it.

There is 1 question to complete.