A 32-year-old woman presents with unilateral optic neuritis and MRI showing multiple periventricular lesions suggestive of demyelination. She has no m...

Question

A 32-year-old woman presents with unilateral optic neuritis and MRI showing multiple periventricular lesions suggestive of demyelination. She has no major disability. According to Canadian MS guidance, what is the next best step?

Accepted Answer

Start disease-modifying therapy after confirming diagnosis of multiple sclerosis

Answer

Reassure; no further follow-up

Answer

Prescribe chronic high-dose oral prednisone only

Answer

Start anticoagulation for stroke prevention

Answer

Refer only if symptoms recur

ca-mccqe1 MCQ (SBA): Clinically isolated syndrome / multiple sclerosis

A 32-year-old woman presents with unilateral optic neuritis and MRI showing multiple periventricular lesions suggestive of demyelination. She has no major disability. According to Canadian MS guidance, what is the next best step?