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

Exam 4 Tremors Flashcards

1
Q

Essential Tremor is?

A

Auto-dominant: FET1/EMT1 or FET2/EMT2

Disruption of cerebellar outflow

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2
Q

Essential Tremor presentation? (5)

A 
Postural or kinetic
U upper extrem
Resting tremor later
P improvement w/ EtOH
P head/chin/voice tremors
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3
Q

Essential Tremor tx? (4)

A

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

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4
Q

Restless Leg (Ekbom Dz) is? (3)

A

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

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5
Q

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

A

Neuropathy
Fe deficiency
Preggo
Renal fail

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6
Q

Restless Leg tx? (5)

A 
Only in p.m.
Fe
DA agonists
Anti-epileptics
BZs
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7
Q

Chorea: Hereditary causes? (3)

A

Huntington Disease
Neuroacanthocytosis
Sickle Cell Anemia

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8
Q

Chorea: Metabolic causes? (2)

A

Wilson’s (copper)

Porphyria (heme disorder)

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9
Q

Chorea: Drug causes? (6)

A 
Parkinson's meds
Anti-epileptics
Cocaine
TCAs
OCPs
Li+
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10
Q

Chorea: Systemic causes? (4)

A

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

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11
Q

Chorea: Infectious causes? (3)

A

Sydenam’s (rheumatic fever)
TB
AIDS

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12
Q

Huntington’s Dz is?

A

Auto-dom tri repeat

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13
Q

Huntington’s Dz: Motor sxs? (5)

A 
Chorea
Dystonia
Brady
Dysarthria
Wide gait
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14
Q

Huntington’s Dz: Cognitive sxs? (2)

A

Executive fxn

Visual-spacial

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15
Q

Huntington’s Dz: Psych sxs? (3)

A

Depression
Mania
Psychosis

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16
Q

Huntington’s Dz: Progress?

A

Onset 35-40 yo

Time till death ~ 15 yrs

17
Q

Huntington’s Dz: Tx? (3)

A

Anti-DA
BZs
Antidepress

18
Q

Huntington’s Dz: Juvenile?

A

Onset < 20 yo
From father
Akinetic-rigid phenotype

19
Q

Tics are?

Simple? (3)

Complex? (3)

A

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

20
Q

Tourette’s criteria? (4)

A

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

21
Q

Tourette’s tx? (3)

A

Meds
Botox
Deep Brain Stim (DBS)

22
Q

Dystonia is?

Primary/Generalized?

Primary/Focal? (6)

A

Abn posture/position

Idiopath torsion (childhood)

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

23
Q

Dystonia: 2°?

A

Neurodegenerative

24
Q

Geste Antagoniste is?

A

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

25
Q

Dystonia tx? (6)

A 
DA
MM relax
BZs
Antichol
Botox
DBS
26
Q

Fxnl Mvmt Disorders are?

A

Multiple somatizations (sxs) w/o cause

27
Q

Fxnl Mvmt Disorders presentation? (4)

A

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

Q4 Clin Med III (GI) (32 decks)

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