American Board of Internal Medicine (ABIM) Certification Practice Exam

In multiple sclerosis treatment, what is the main goal of cognitive rehabilitation?

1. To improve physical strength

2. To enhance cognitive function

3. To alleviate spasticity

4. To minimize fatigue

The correct answer is: To enhance cognitive function

In multiple sclerosis (MS) treatment, cognitive rehabilitation primarily aims to enhance cognitive function. Cognitive impairment is a common issue in patients with MS and can manifest as difficulties with memory, attention, processing speed, and executive function. By focusing on cognitive rehabilitation, therapists employ targeted strategies and exercises to help individuals improve or compensate for these cognitive deficits. This rehabilitation may include training on memory strategies, problem-solving skills, and organizational techniques, thereby assisting patients in better managing daily activities and improving their overall quality of life. The process often involves personalized interventions that take into consideration the unique cognitive challenges faced by each patient. While other aspects of MS management include addressing physical strength, alleviating spasticity, and minimizing fatigue, these are not the primary focus of cognitive rehabilitation. Instead, those areas fall under physical therapy or general symptom management rather than specifically targeting cognitive enhancements.