Disorder of motor behavior

Question 1

catatonia - excitement

Answer 1

extreme purposeless motor activity

Question 2

cataplexy

Answer 2

Episodic loss of motor & postural control precipitated by laughter or strong emotions / momentary loss of voluntary motor power including speech, w/o loss of consciousness or postural tone

Question 3

mannerisms

Answer 3

affected/exaggerated behavior; associated with malingering (exaggerate or feign illness in order to escape duty or work)

Question 4

automatisms

Answer 4

repetitive, unconscious behaviors such as lip-smacking, swallowing, or sleepwalking; can be seizure related or side-effect of meds like zolpidem (ambien)

Question 5

psychomotor agitation

Answer 5

unintentional and purposeless motions that stem from mental tension and anxiety of an individual. Associated w/ withdrawl symptoms, OCD, major depressive disorder, and manic phase bi-polar DZ

Question 6

retardation

Answer 6

slowing-down of thought and a reduction of physical movements: depressed emotional response and affect, & slowed speech; seen in: depression, depressive phase of bi-polar DZ, use of benzo’s and anti-psychotic meds.

Question 7

somnambulism

Answer 7

Repeated episodes of rising from bed during sleep and walking about usually during the first third of the major sleep episode; blank stare and unresponsive; awakened w/ great difficulty; no memory of incident; not due to the direct physiological effects of a substance

Question 8

akathisia

Answer 8

An inner feeling of restlessness, an inability to sit still, and a compulsion to move about. Most prominent in LE’s; neuroleptic medications, and the “restless legs” syndrome

Question 9

catatonia - withdrawn

Answer 9

negativism, mutism, rigidity, posturing, waxy flexibility, and stupor

Question 10

catatonia

Answer 10

EMERGENCY - must rule out encephalitis & other physiologic causes of delirium! Characterized by either excitement OR withdrawal