MRCP UK EXAMINATIONS

NEUROLOGY

MULTIPLE SCLEROSIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
MS affects central nervous system (CNS). Which part of the CNS is affected
A
Nerve cell(neurons)
B
Myelin
C
Plaques
D
Vertebrae
Explanation: 

Detailed explanation-1: -In MS, the immune system cells that normally protect us from viruses, bacteria, and unhealthy cells mistakenly attack myelin in the central nervous system (brain, optic nerves, and spinal cord). Myelin is a substance that makes up the protective sheath (myelin sheath) that coats nerve fibers (axons).

Detailed explanation-2: -What happens to myelin in MS? In MS, immune cells enter the brain and spinal cord and attack both the myelin and the cells that make it. When myelin becomes damaged, messages find it harder to get through – or can’t get through at all. That’s what causes the symptoms of MS.

Detailed explanation-3: -Two important types of immune cells are T cells and B cells. T cells become activated in the lymph system and in MS, enter the CNS through blood vessels. Once in the CNS, T cells release chemicals that cause inflammation and damage. This results in damage to myelin, nerve fibers and the cells that make myelin.

Detailed explanation-4: -Summary. Multiple sclerosis (MS) is a disease of the central nervous system that can affect the brain, spinal cord and optic nerves. Common symptoms include fatigue, bladder and bowel problems, sexual problems, pain, cognitive and mood changes such as depression, muscular changes and visual changes.

There is 1 question to complete.