Involuntary Movement

Question 1

What 3 questions should be asked of involuntary movements

Answer 1

When it started, does it come and go, and what makes them worse

Question 2

T/F: Involuntary movements can be normal variants

Answer 2

True

Question 3

Shaking of in the fingers due to agonists and antagonists actions is what kind of tremor

Answer 3

Physiologic

Question 4

What are startle reactions and are usually normal occurrences. can be whole body or just one m. group. if occurring regularly, considered a type of seizure disorder

Answer 4

Myoclonic jerks

Question 5

Twitches within the m. aka

Answer 5

Benign Fasciculations

Question 6

What is decreased movement and is seen is Depression or Parkinson’s

Answer 6

Hypokinesia

Question 7

What is increased movement that may be exacerbated by emotional stress, and decreased with repose

Answer 7

Hyperkinesia

Question 8

What type of tremor: rapid tremor, low amplitude, worsens with volitional movement

Answer 8

Emotional

Question 9

What type of tremor: hereditary, usually affects the hands

Answer 9

Familial

Question 10

What type of tremor: associated with agin

Answer 10

Senile

Question 11

What type of tremor: “pill-rolling” at rest, disappears or dampens with volitional movement (basal ganglion lesion)

Answer 11

Parkinsonian

Question 12

What type of tremor: worsens with refined volitional movement (cerebellar pathology)

Answer 12

Intention

Question 13

What type of tremor: occurs during maintenance of an intentional posture, disappears with movement (basal ganglion)

Answer 13

Postural

Question 14

What are random, quick movements stimulating fragments of normal movements

Answer 14

Nontremorous Hyperkinesia or Chorea

Question 15

What are slow, writhing movements of the fingers and extremities that may come and go and are usually associated with the pyramidal tract signs

Answer 15

Athetosis

Question 16

What are slow, alternating contraction and relaxation of agonists and antagonists with one movement predominating for a long time which leads to fixed joint contractures

Answer 16

Dystonia

Question 17

What are violent, flinging movements of half of the body

Answer 17

Hemiballismus

Question 18

What are quick, repetitive movements of the face, tongue, or extremitites, associated with emotional stress

Answer 18

Tics

Question 19

Motor unrest manifested as continual shifting of posture and/or movement (Parkinson’s and psychotropic med use)

Answer 19

Akathisia

Question 20

What are tonic or clonic spasms of all or part of the body

Answer 20

Epilepsy

Question 21

What are involuntary movements of the face, mouth, tongue, and limbs. Onset usually occurs months after prolonged use of neuroleptic agents

Answer 21

Tardive dyskinesias

Question 22

Basal ganglia vs cerebellar lesions

Answer 22

Basal ganglia typically go away with movement