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Case Conversations for Diverse Patient Populations With Multiple Sclerosis

  1. Which group has the highest annual incidence of multiple sclerosis (MS)?
    White men
    White women
    Black women
    Hispanic women
  2. Tania is a 28-year-old woman who came to live with her family in New York, New York, after leaving Guatemala when she was an infant. Over the past 3 years, Tania has been hospitalized multiple times for injuries sustained after falls or episodes of temporary lower limb paralysis, which have led to a diagnosis of MS. Deeply religious, Tania is reluctant to start treatment because "God is in control."
    Considering best clinical practices, what is the most appropriate next step in the management of this patient?
    Monitor the patient without treatment
    Recommend an infusion disease-modifying treatment (DMT) to ensure that she is receiving treatment
    Discuss treatment options in a way that addresses her religious beliefs
    Discontinue seeing her as your patient since she does not want to be treated
  3. Which of the following environmental factor is NOT associated with an increased risk for MS in Black and Hispanic persons?
    Air pollution
    Low vitamin D
    Epstein-Barr virus exposure
    Tobacco smoking