T2-EPS

Question 1

A movement disorder characterized by a felling of inner restlessness and a compelling need to be in constant motion

Answer 1

Akathisia

Question 2

A neurological movement disorder in which sustained muscle contractions cause twisting and repetitive movments or abnormal postures

Answer 2

Dystonia

Question 3

What happens in dystonia?

Answer 3

-Head rotates to one side
OR head plus down toward chest or back
-Rapid blinking
-Distortions of the mouth and tongue

Question 4

A prolonged involuntary upward deviation of the eyes

Answer 4

Oculogyric crisis

Question 5

A neurological syndrome due to depletion of the neurotransmitter dopamine that is a precursor to norepinephrine

Answer 5

Parkinsonism

Question 6

What is parkinsonism characterized by?

Answer 6

Tremor
Hypokinesia (slow movement)
Rigidity
Shuffling gait
Postural instability
Tremors

Question 7

What is given to relieve the symptoms of Parkinsonism?

Answer 7

Cogentin

Question 8

Syndrome of symptoms characterized by bizarre facial and tongue movements, stiff neck, difficulty swallowing

Answer 8

Tardive dyskinesia

Question 9

T/F: Tardive dyskinesia can happen with first dose

Answer 9

True

Question 10

T/F: Tardive dyskinesia can occur at any point in therapy

Answer 10

True

Question 11

Is tardive dyskinesia reversible?

Answer 11

NO

Question 12

What are anticholinergic side effects associated with EPS?

Answer 12

• Cant see (vision disturbance)
• Cant pee (urinary retention)
• Cant shit (constipation)
• Cant spit (dry mouth)

Also increased HR, inability to concentrate, and confusion

Question 13

What is neuroleptic malignant syndrome?

Answer 13

Life threatening adverse reaction to antipsychotic medications

Question 14

What are the characteristics of neuroleptic malignant syndrome?-

Answer 14

• Fever
• Severe muscle rigidity
• Dyskinesia
• Incontinence
• Unstable BP
• Pulmonary congestion
• Tachycardia
• Loss of consciousness
• Coma
• Death