Specifics about each Level and each Item:
What you do you need to know:
Level 2
•
Diagnoses common demyelinating disorders
Relapsing Remitting MS
Primary Progressive MS
Secondary Progressive MS
Progressive Relapsing MS
Clinically Isolated Syndrome
Radiologically Isolated Syndrome
•
Identifies common presentations suggestive of MS relapse
or CIS
Optic Neuritis
Brainstem and Cerebellar Syndromes
INO, Ataxia
VI nerve palsy
Gaze-evoked Nystagmus
Facial sensory symptoms
Vertigo
Trigeminal Neuralgia
Paroxysmal symptoms
Spinal cord syndromes
Partial Transverse
Myelitis
Lhermitte sign
Paroxysmal spasms
•
Identifies clinical presentations suggestive of Primary
Progressive MS
Progressive Myelopathy
Progressive Cognitive decline
•
Identifies MRI and CSF findings typical of MS
Typical appearance and
location of MS lesions
2010 McDonald Criteria for MRI dissemination in space
and time
Interpretation of CSF routine studies, Tourtellotte and
OCB
•
Recognizes Clinical and Imaging Red Flags* suggestive of
alternative diagnoses to MS
Clinical Red Flags
(e.g., multiple cranial neuropathies, peripheral
neuropathy, persistently monofocal manifestations)
Imaging Red Flags
(e.g., meningeal enhancement, persistent gadolinium
enhancement and continued enlargement of lesions,
simultaneous enhancement of all lesions)
*
DH
Miller et al. Differential diagnosis of suspected
multiple sclerosis: a consensus approach. Mult Scler.
2008 November; 14(9): 1157–1174.
* Continuum-Lifelong Learning in Neurology. August 2013
- Volume 19 - Issue 4, Multiple Sclerosis; pp: 922-943)
Level 3
•
Recognizes uncommon demyelinating disorders
NMO
spectrum disorder
ADEM
Transverse Myelitis
Idiopathic
Postinfectious
Postvaccination)
•
Manages
common demyelinating disorders
Acute
management of Clinically Isolated Syndrome or MS relapse
Use of
Disease Modifying Therapies in MS
Symptomatic management of Progressive MS
•
Identifies and manages uncommon symptoms of MS
Transient neurologic events
(e.g., tonic spasm, paroxysmal
paresthesiae)
Disorders of temperature regulation
Epilepsy
Sleep disorders
Level 4
•
Manages
uncommon demyelinating disorders
NMO spectrum disorder
ADEM
Transverse Myelitis (Idiopathic,
Postinfectious, Postvaccination)
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