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Multiple sclerosis — RACP Written MCQ

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HardNeurologyMultiple sclerosisRACP Written

A 27-year-old woman has painful monocular visual loss followed 4 months later by leg paraesthesia and urinary urgency. MRI brain shows periventricular ovoid lesions and CSF contains oligoclonal bands. What is the most appropriate investigation?

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

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Correct answer: B — MRI spine with contrast

Symptoms disseminated in time and space suggest multiple sclerosis. MRI spine helps define lesion burden and supports diagnostic classification.

Reference: Australian stroke and neurology guideline principles; Therapeutic Guidelines