A 33-year-old woman comes to the physician because of vision impairment in her right eye. During this period, she was unable to distinguish colors with her right eye. She also reports pain with eye movement. She has no double vision. A year ago, she had an episode of partial vision loss in her left eye that resolved within 3 weeks. The patient has no other medical issues and takes no medication. She smokes half a pack of cigarettes a day and does not use alcohol or illicit drugs. Vital signs are normal. Ophthalmologic examination shows swelling of the optic disc on the right. Which of the following is the most likely cause of the patient's current condition?

Question

A 33-year-old woman comes to the physician because of vision impairment in her right eye. During this period, she was unable to distinguish colors with her right eye. She also reports pain with eye movement. She has no double vision. A year ago, she had an episode of partial vision loss in her left eye that resolved within 3 weeks. The patient has no other medical issues and takes no medication.  She smokes half a pack of cigarettes a day and does not use alcohol or illicit drugs.  Vital signs are normal. Ophthalmologic examination shows swelling of the optic disc on the right.    Which of the following is the most likely cause of the patient's current condition?

Quizplus · Accepted Answer

Eductional Objective: Multiple sclerosis is characterized by episodic, progressive neurologic deficits involving multiple anatomic regions within the central nervous system.  Demyelinating plaques are commonly seen as hyperintense lesions on T2-weighted MRI of the brain and spinal cord.  Common manifestations include optic neuritis, internuclear ophthalmoplegia, sensory deficits, and fatigue, which may worsen with heat exposure.

A 33-Year-Old Woman Comes to the Physician Because of Vision