A 38-year-old patient diagnosed with multiple sclerosis (MS) has come to the clinic for a routine check-up. The nurse assessing the patient would expect to find what symptom of MS?
A) Vision changes
B) Absent deep tendon reflexes
C) Tremors at rest
D) Flaccid muscles
Ans: A
Feedback: Visual disturbances due to lesions in the optic nerves or their connections may include blurring of vision, diplopia (double vision), patchy blindness (scotoma), and total blindness. Deep tendon reflexes may be increased or hyperactive, not absent. Babinski's sign may be positive. Tremors at rest aren't characteristic of multiple sclerosis; however, intentional tremors, or those occurring with purposeful voluntary movement, are common in patients with multiple sclerosis. Affected muscles are spastic rather than flaccid.
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