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MS – MDT Care — SCE Neurology MCQ

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HardMultiple Sclerosis & CNS InflammationMS – MDT CareSCE Neurology

At annual review, a person with MS reports gradual gait decline without relapses. MRI is unchanged, baclofen causes sedation, urinary urgency has increased and work is at risk. What review model best follows NICE?

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Correct answer: ARecord progression and coordinate symptom and medicine reviews

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

D is correct. NICE requires at least annual comprehensive review covering progression, activity, disability, medicines, symptoms, general health and participation, with issues referred to relevant MDT members and a current contact/management plan. MRI stability does not exclude progression. Fragmented referrals, primary-care-only follow-up and MRI-gated rehabilitation all miss the coordinated model.

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