Drugs - Dyskenesias - Tremors

Question 1

What are the two types of tremors?

Answer 1

• Physiological postural tremors

- essential tremors

Question 2

What types of tremors can thyrotoxicosis, pheochromocytoma, exercise, and hypoglycemia cause?

Answer 2

Physiological postural tremors

Question 3

Which types of tremors have an unknown cause but tend to have a genetic component?

Answer 3

Essential tremors

Question 4

What is the most common movement disorder?

Answer 4

Essential tremors

Question 5

Which type of tremors are associated with hyper adrenergic states and exacerbated by drugs such as epinephrine, isoproterenol, TCAs, lithium, terbutaline?

Answer 5

Physiological postural tremors

Question 6

Which type of tremors are generated in the CNS?

Answer 6

Essential tremors

Question 7

Which type of tremors are generated by peripheral adrenergic systems?

Answer 7

Physiological postural tremors

Question 8

What types of tremors are dramatically improved with a small amount of ethanol?

Answer 8

Essential tremors

Question 9

What drugs are used to treat physiological postural tremors?

Answer 9

Beta-2 antagonists (Propranolol but not Metoprolol)

It is a beta-2 problem

Question 10

What drugs are used to treat essential tremors

Answer 10

Beta-1 antagonists (Propranolol or Metoprolol)
Primidone (anti epileptic drug)
Ethanol

It is a beta-1 problem

Question 11

What are miscellaneous treatments for physiological postural tremors?

Answer 11

• Alprazolam
• IM botulinum toxin
• Thalamic stimulation by implanted electrodes