movement disorders

Question 1

Which tremor is classified by: intensifies by emotional stress, invovles hands, head, or both, no abnormalities, but relieved by alcohol.

Answer 1

benign essential tremor

Question 2

IS treatment required for benign essential tumor?

Answer 2

no, can use propanolol for the disabling tremors.

Question 3

If the tremor of benign essential tumor is refractive to medication, what can be done?

Answer 3

high frequency thalamic stimulation

Question 4

What determines the presence of parkinsonism

Answer 4

any combination of tremor, rigidity, bradykinesia, progressive postural instability

Question 5

can parkinsonism have cognitive impairment?

Answer 5

yes, they can have prominent impairment in some cases.

Question 6

Is parkinsonism a progressive disease?

Answer 6

yes, it will onset 45-65 years of age.

Question 7

What is spescial about the tremor of parkinsonism?

Answer 7

it will be enhanced at rest, and it will be worse with emotional stress and voluntary movements.

Question 8

DO most parkinsonism tremors start localized, or genearlized?

Answer 8

they are more localized if there are any symptoms at all, then progressively become generalized

Question 9

What is the most detrimental effect of parkinsonism

Answer 9

bradykinesia

Question 10

Which disease is characterized by its early onset, kayser fleischer rings, abnormal movements, and chronic hepatitis?

Answer 10

wilsons disease

Question 11

which condition involves genetic progressive chorea and dimentia?

Answer 11

huntington disease

Question 12

which condition has parkinsonism features plus autonomic insufficiency like postural hypotension, ED. they could also have LMN signs

Answer 12

Shy Drager syndrome (multisystem atrophy)

Question 13

which disorder has bradykinesia, rigidity with supranuclear disorder of eye movements and pyramidal signs?

Answer 13

progressive supranuclear palsy

Question 14

What symptom do all parkinsons patients have?

Answer 14

bradykinesia and one other feature

Question 15

IS parkinson disease equal on both sides of the body?

Answer 15

they will usually always have it worse on one side, then progressively it will transfer to the other side.

Question 16

What are the 4 conditions of Parkinson’s disease?

Answer 16

tremor at rest 
ridigity
akinesia/bradykinesia
postural instability
TRAP

Question 17

How would you treat huntington’s disease?

Answer 17

cannot cure, decrease dyskinesias by giving dopamine agonist- haloperidol.

Question 18

What condiiton will have a movement that appears, with no MRI findings or deficiencies. They will go through development normally, then the sx will appear?

Answer 18

idiopathic torsion dystonia

Question 19

Focal torsion dystonia are what?

Answer 19

movements that happen in idiopathic.

Question 20

What are some focal torsion dystonia movements?

Answer 20

spasmodic torticollis, blepharospasm, oromandibular sx, writers cramps

Question 21

Which condition is described as desire to move the legs and discomfort until they are moved?

Answer 21

restless leg syndrome

Question 22

What is the most common symptoms of gilles de la tourette syndrome?

Answer 22

motor tics

Question 23

Before which age must tourettes present?

Answer 23

18

Question 24

What is the only approved treatment for tourettes?

Answer 24

alpha adrenergic agonists.

Question 25

What is an example of a hypokinetic diseases?

Answer 25

parkinson’s disease

Question 26

What is an example of the hyperkinetic-

Answer 26

tremors and mild clonus

Question 27

What are hypokinetic movements?

Answer 27

slow/ small movements that can involve stiffness or where feet freeze.