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NMSP > Approach to Movement Disorders > Flashcards

Approach to Movement Disorders Flashcards

1
Q

Bradykinetic movements are ____

A

Slow

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2
Q

Hyperkinetic movements involve ____

A

Extra movements

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3
Q

What is another name for Bradykinetic Disorders that classifies the main symptoms?

A

Akinetic Rigid Syndromes

= SLOW AND STIFF

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4
Q

What are the cardinal features of Parkinson’s Disease?

A
  1. Resting, unilateral pill rolling tremor
  2. Rigidity (stiff)
  3. Bradykinesia (slow)
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5
Q

What type of tremor will be seen with Parkinson’s Disease?

A

Resting, often unilateral at first, pill rolling quality

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6
Q

Besides Parkinson’s Disease, what are 3 other Akinetic Rigid Syndromes (Bradykinetic/Stiff)?

A
  • Progressive Supranuclear Palsy
  • Multiple Systems Atrophy
  • Corticobasal Degeneration
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7
Q

Besides bradykinesia and rigidity, what symptoms present with Progressive Supranuclear Palsy?

A

Loss of VOLUNTARY control of eye movements especially vertical gaze

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8
Q

A patient presents with bradykinesia and rigidity with loss of voluntary control of vertical gaze of the eyes

A

Progressive Supranuclear Palsy

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9
Q

Besides bradykinesia and rigidity, what symptoms will present with Multiple Systems Atrophy?

A

Autonomic Dysfunction

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10
Q

A patient presents with bradykinesia, rigidity and autonomic dysfunction

A

Multiple Systems Atrophy

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11
Q

Besides bradykinesia and rigidity, what symptoms will present with Corticobasal Degeneration?

A

Cortical dysfunction

– sensory/motor issues

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12
Q

A patient presents with bradykinesia, rigidity and cortical dysfunction

A

Corticobasal Degeneration

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13
Q

Do anti-parkinsonian medications work well for the other Akinetic Rigid Syndromes?

A

NO

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14
Q

Dancelike movements that may be incorporated into purposeful movements

A

Chorea

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15
Q

Writhing, sinuous (curvy) movement

A

Athetosis

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16
Q

Athetosis (writhing and sinuous movements) often occur in combination with?

A

Chorea

17
Q

Sustained muscle contractions that produce twisting and abnormal postures

A

Dystonia

18
Q

Large flinging movement of the upper extremity

A

Ballism

19
Q

Brief, rapid and repetitive action

A

Tic

20
Q

What are the symptoms of Huntington’s Disease?

A

Chorea and Dementia

21
Q

When do symptoms usually arise for Huntington’s Disease patients and is there a cure?

A

30-50

– no cure

22
Q

In what age of patients does Sydenham’s Chorea occur?

A

Children and adolescents

23
Q

What cause Sydenham’s Chorea?

A

Previous infection with Group A Hemolytic Streptococcus

24
Q

What is Sydenham’s Chorea?

A

Unilateral chorea movements which can be mild and confused with fidgeting

25
Q

What will be seen with Idiopathic Torsion Dystonia?

A

Dystonic movements and postures only

26
Q

What will be seen with Focal Torsion Dystonia?

A

Dystonia confined to a FOCAL area

27
Q

What medication can be helpful to weaken the involved muscles with FOCAL Torsion Dystonia?

A

BOTOX injections

28
Q

Wilson’s Disease is a disorder of ____ metabolism

A

Copper

29
Q

When does Wilson’s Disease usually present and what are the general dysfunctions?

A

Presents in childhood or young adult life

= Neurological and Hepatic Dysfunction

30
Q

What types of movements will be seen with Wilson’s Disease?

A

Bradykinetic and Hyperkinetic

31
Q

What will the levels of copper be in the urine and ceruloplasmin in the serum with Wilson’s Disease?

A
  • HIGH copper in the urine

- LOW ceruloplasmin in the serum (copper is not bound)

32
Q

Tic Disorders are usually single motoc tics that are benign. If they are not benign, what is a common syndrome?

A

Tourette’s Syndrome

33
Q

Tourette’s Syndrome

A

Multiple motor and vocal tics before 21

34
Q

Multiple motor and vocal tics with onset before age 21

A

Tourette’s Syndrome

35
Q

When are Essential Tremors often pronounced?

A

Kinetic – trying to do a task

36
Q

Essential Tremors often affect which parts of the body?

A

Both hands and head

37
Q

Essential tremors progress very slowly, what can weirdly decrease the tremor temporarily?

A

Alcohol

38
Q

Tremor of both hands or head when trying to complete a task

A

Essential Tremor

NMSP (28 decks)

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