Exam 4 Tremors Flashcards Preview

Q4 Clin Med III (GI) > Exam 4 Tremors > Flashcards

Flashcards in Exam 4 Tremors Deck (27):
1

Essential Tremor is?

Auto-dominant: FET1/EMT1 or FET2/EMT2
Disruption of cerebellar outflow

2

Essential Tremor presentation? (5)

Postural or kinetic
U upper extrem
Resting tremor later
P improvement w/ EtOH
P head/chin/voice tremors

3

Essential Tremor tx? (4)

Wrist weights
Propranolol
Primidone, Gabapentin (anticonvulsant)
Botox for head

4

Restless Leg (Ekbom Dz) is? (3)

Abn urge to move legs when at rest
Alleviated by mvmt
Worse at night

5

Restless Leg (Ekbom Dz) 2° causes? (4)

Neuropathy
Fe deficiency
Preggo
Renal fail

6

Restless Leg tx? (5)

Only in p.m.
Fe
DA agonists
Anti-epileptics
BZs

7

Chorea: Hereditary causes? (3)

Huntington Disease
Neuroacanthocytosis
Sickle Cell Anemia

8

Chorea: Metabolic causes? (2)

Wilson's (copper)
Porphyria (heme disorder)

9

Chorea: Drug causes? (6)

Parkinson's meds
Anti-epileptics
Cocaine
TCAs
OCPs
Li+

10

Chorea: Systemic causes? (4)

Hyperthyroid
Hypoparathyroid
SLE
Hyper or hypoNa+/Ca2+/Mg/Glucose

11

Chorea: Infectious causes? (3)

Sydenam's (rheumatic fever)
TB
AIDS

12

Huntington's Dz is?

Auto-dom tri repeat

13

Huntington's Dz: Motor sxs? (5)

Chorea
Dystonia
Brady
Dysarthria
Wide gait

14

Huntington's Dz: Cognitive sxs? (2)

Executive fxn
Visual-spacial

15

Huntington's Dz: Psych sxs? (3)

Depression
Mania
Psychosis

16

Huntington's Dz: Progress?

Onset 35-40 yo
Time till death ~ 15 yrs

17

Huntington's Dz: Tx? (3)

Anti-DA
BZs
Antidepress

18

Huntington's Dz: Juvenile?

Onset < 20 yo
From father
Akinetic-rigid phenotype

19

Tics are?

Simple? (3)

Complex? (3)

Semi-voluntary, suppressible
Motor or phonic
Simple: sniff, grunt, blink
Complex: words, chew, scratch

20

Tourette's criteria? (4)

Motor and phonic for > 1yr
Onset < 18yo
No 2° cause
Copralalia (swearing) uncommon

21

Tourette's tx? (3)

Meds
Botox
Deep Brain Stim (DBS)

22

Dystonia is?

Primary/Generalized?

Primary/Focal? (6)

Abn posture/position

Idiopath torsion (childhood)

Cervical, eyelids, task-specific, oral-mandibular, lingual, laryngeal

23

Dystonia: 2°?

Neurodegenerative

24

Geste Antagoniste is?

Physical gesture (e.g. touching one's chin ) which temporarily interrupts dystonia

25

Dystonia tx? (6)

DA
MM relax
BZs
Antichol
Botox
DBS

26

Fxnl Mvmt Disorders are?

Multiple somatizations (sxs) w/o cause

27

Fxnl Mvmt Disorders presentation? (4)

Abrupt onset
Bizarre, exaggerated, rhythmic movements
Distraction/inconsistent movements
Spontaneous remission