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Question preview · SCE Neurology

A patient receiving natalizumab for multiple sclerosis develops subacute visuospatial difficulty and personality change. MRI shows a new non-enhancing juxtacortical lesion atypical for MS. What is the safest immediate treatment decision?

  1. A. Early natalizumab redosing to prevent inflammatory rebound
  2. B. Natalizumab suspension with urgent PML investigation
  3. C. Corticosteroid treatment for a presumed inflammatory MS relapse
  4. D. Live vaccination during continued natalizumab treatment
  5. E. Interval MRI after six months of symptom observation

This is a real question from the SCE Neurology sample bank. Start a guided session to answer a sample question, then explore your reasoning with Tutor.

  1. Answer a question for SCE Neurology.
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  3. Keep your question and explanation beside the conversation.
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