General management in geriatrics and MCQs

Question 1

What is the first line therapy for PD patients with significant early motor symptoms?

Answer 1

carbidopa/levodopa

Question 2

What 3 options are there for patients in early parkinsons who do not have significant motor symptoms?

Answer 2

Consider a choice of dopamine agonists, levodopa or MAO-B inhibitors for people in the early stages of Parkinson’s disease whose motor symptoms do not impact on their quality of life.

Question 3

Offer a choice of 1__________ agonists, 2________ inhibitors or 3_________ inhibitors as an adjunct to levodopa for people with Parkinson’s disease who have developed dyskinesia or motor fluctuations despite optimal levodopa therapy, after discussing:

Answer 3

1. dopamine
2. MOA-b
3. COMT