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MS – SDMT — SCE Neurology MCQ

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HardMultiple Sclerosis & CNS InflammationMS – SDMTSCE Neurology

An accountant with MS reports persistent slowed processing and work errors. Fatigue, depression, sleep and medicines may contribute; a brief clinic screen is equivocal. What is the next assessment strategy?

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Correct answer: B — Manage confounders and arrange tailored cognitive assessment

Explanation lettering: B = shown as A · A = shown as B · E = shown as D · D = shown as E

A is correct. NICE recommends cognition assessment within comprehensive review, consideration of fatigue, mood, sleep and medication effects, and OT and/or neuropsychology referral for persistent impairment according to need. It does not mandate a single instrument, equate an equivocal screen with dementia, or link cognitive management to stopping DMT. Stable EDSS does not exclude cognitive disability.

Reference: NICE NG220 multiple sclerosis recommendations: https://www.nice.org.uk/guidance/ng220/chapter/Recommendations