skip to main content

MS – Cognitive Assessment — SCE Neurology MCQ

Instant feedback + full explanation. One question, done properly.

ModerateMultiple Sclerosis & CNS InflammationMS – Cognitive AssessmentSCE Neurology

A 65-year-old woman with MS has progressive cognitive decline affecting processing speed, attention, and executive function. She scores 24/30 on the MoCA. She remains independent in basic ADLs but struggles with complex tasks. What cognitive assessment tool is specifically recommended for monitoring cognitive function in MS?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: C — Symbol Digit Modalities Test

The Symbol Digit Modalities Test (SDMT) is the recommended screening and monitoring tool for cognitive function in MS. It specifically tests processing speed, which is the most commonly affected cognitive domain in MS. It is sensitive to change, quick to administer (90 seconds), and has good test-retest reliability. NICE NG100 recommends regular cognitive assessment in MS. A: MMSE is insensitive to MS-related cognitive deficits. B: MoCA is useful but not MS-specific. D: ACE-III is comprehensive but not validated specifically for MS monitoring. E: Clock Drawing Test tests visuospatial function primarily.

Reference: NICE NG100 MS (2022); ABN MS Guidelines (2022)