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MS Specialist Nurse – Role — SCE Neurology MCQ

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HardMultiple Sclerosis & CNS InflammationMS Specialist Nurse – RoleSCE Neurology

A person with MS has a disabling relapse causing inability to transfer. Oral methylprednisolone cannot be taken because of persistent vomiting, and safe care cannot be provided at home. Which plan fits NICE?

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Correct answer: D — Admit for intravenous methylprednisolone and address rehabilitation and social-care needs

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

C is correct. NICE uses oral methylprednisolone first line, but intravenous treatment is considered when oral treatment fails/is not tolerated or admission is needed for severe relapse or monitoring; inability to transfer and unmet care needs justify admission. Prolonged low-dose steroid, routine IVIG, untreated delay and substituting a DMT change for acute care are inappropriate.

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