SOLVED876

A 24-year-old woman comes to the primary care physician complaining of urinary urgency for the past week with occasional involuntary voiding, which has been causing the patient significant distress at work. She states this has never happened before, but that several months ago, she went to the emergency department for an episode of intense right eye pain with movement and loss of color vision. These symptoms gradually improved over 2 weeks. She has no other past medical history. Vital signs are within normal limits. Ophthalmologic examination reveals no visual field defects. Physical examination reveals upgoing plantar reflexes bilaterally. A head MRI shows multiple hyperintense periventricular ovoid lesions. Which of the following best describes the likely disease course in this patient? Elimination tool Continuous worsening from the onset of the disease Symptom exacerbations with near complete recovery between episodes Symptom exacerbations with worsening of symptoms between episodes Rapidly progressive disease course with neurologic disability in 5 years Fully functional in all neurologic systems 15 years after the disease onset
SCIENCE
HEALTH SCIENCE
NURSING

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