PD

Question 1

Motor BG functions

Answer 1

Initiation (reaction time)
Selection and recruitment (movement time)
Sequence (recruitment order)

Question 2

Rigidity

Answer 2

resistance to passive movment

Question 3

hypokinetic

Answer 3

movement doesn’t occur when it should

Question 4

hyperkinetic

Answer 4

movement occurs when it should not

Question 5

unknown process; may be indirect effects of BG on reticulospinal tracts

Answer 5

Rigitity

Question 6

impaired initiation of movement

Answer 6

akinesia

Question 7

decreased amplitude and velocity of movment

Answer 7

bradykinesia

Question 8

hypokinetic disorders are usually accompanied by tone changes

Answer 8

rigitity

Question 9

excessive involuntary movment

Answer 9

dyskinesias

Question 10

tremor

Answer 10

rhythmic, involuntary, oscillatory movements

Question 11

athetosis

Answer 11

slow, writing movemnt of extremities

Question 12

chorea

Answer 12

jerky, random limb and orofacial movements

Question 13

ballism

Answer 13

violent, large amplitude proximal limb movement

Question 14

dystonia

Answer 14

sustained postures and slow con-contractions

Question 15

tic

Answer 15

brief, repetitive, involuntary movements

Question 16

most common non motor BG function

Answer 16

cognitive

Question 17

bradyphrenia

Answer 17

speed of mental processing

Question 18

common cognitive problems

Answer 18

bradyphrenia, executive function, discrimination, memory, motivation and reward, dementia

Question 19

neurobehavioral symptoms

Answer 19

compulsion, obsessive and addictive behaviors
hyperactive behavior- agitation, isolation, euphoria, or anxiety
hypokinetic behavior -apathy

Question 20

Non-motor BG functions

Answer 20

cognitive deficits, neurobehavioral symptoms, sleep disorders, loss of ANS control (constipation, blood flow (hypotension) swallowing and speech volume, ED)
Fatigue
Loss of sense of smell
Depression

Question 21

Average age of PD diagnosis

Answer 21

60

Question 22

onset of huntington disease

Answer 22

30-40

Question 23

symptoms of huntington disease

Answer 23

hallucinations, irritability, demential, restlessness/figeting, chorea (facial grimace, jeaking movments along with slow uncontrolled onse, unsteady gait)

Question 24

flinging movment of UE’s

Answer 24

ballismus

Question 25

T/F rigitiy is velocity related

Answer 25

F

Question 26

freezing of gait

Answer 26

akinesia

Question 27

difficulty with initiation of gait

Answer 27

akinesia

Question 28

characerized by slow movements

Answer 28

bradykinesia

Question 29

characterized by small amplitude of movment

Answer 29

hypokinesia

Question 30

Micrographia

Answer 30

handwriting will start normal and become smaller and smaller

Question 31

Sinement

Answer 31

L-dopa and carbidopa combined

Question 32

during sit to stand pts with PD have difficulty

Answer 32

wiht flexion momentum

Question 33

360 turn

Answer 33

pt may take up to 20 steps to turn

Question 34

T/F you shouldnt see strength deficits early on

Answer 34

T

Question 35

positive pull test

Answer 35

if pt takes 2 or more steps back

Question 36

push and release test 0

Answer 36

recovers independently with 1 step of normal length and width

Question 37

push and release test 1

Answer 37

2-3 steps backward, but recovers

Question 38

push and release test 2

Answer 38

4 or more steps, but recovers

Question 39

push and release test 3

Answer 39

steps but needs to be assisted to prevent fall

Question 40

push and release test 4

Answer 40

falls without attempting a step or unable to stand without assistance.

Question 41

Huntington's disease causes uncontrolled movements called

Answer 41

chorea

Question 42

most common type of dystonia

Answer 42

cervical dystonia

Question 43

Rating scale for cervical dystonia

Answer 43

Toronto Western Spasmodic Torticollis Rating Scale (TWSTRS)

Question 44

Treatment for cervical dystonia typically includes

Answer 44

botox injections

Question 45

sustained involuntary muscle contraction

Answer 45

dystonia

Question 46

Primary impairments of PD

Answer 46

Rigidity, akinesia, bradykinesia, hypokinesia, postural instability, tremor

Question 47

Secondary impairments of PD

Answer 47

kyphotic stooped posture, impaired aerobic capacity, contractures

Question 48

Off phase

Answer 48

L-dopa levels are low and movement are hypokinetic

Question 49

On phase

Answer 49

L-dopa generally at peak dose, movements are more normal

Question 50

Should train activites that maintain general strength, ROM, fitness as task-specific training when patients are

Answer 50

on

Question 51

People with PD can move more easily with

Answer 51

external cues

Question 52

They use _____ strategies to compensate for BG insufficiency at appropriate stage

Answer 52

cognitive (frontal lobe)

Question 53

Hypokinesia

Answer 53

Think BIG

Question 54

"feet glued to the floor"

Answer 54

akinesia - start hesitation