movement disorders

Question 1

postural tremor of hands, head, or voice, FHx common, may improve temporarily c/ alcohol, no abnormal findings other than tremor

Answer 1

benign essential tremor

Question 2

any combo of tremor, rigidity, bradykinesia, and progressive postural instability, cognitive impairment is sometimes prominent

Answer 2

parkinsonism

Question 3

multiple motor and phonic tics, symptoms begin before age 21, tics for at least a yr- vary in #,freq and nature

Answer 3

tourette syn

Question 4

primary idiopathic or 2/2 parkinson dz, preg, iron def anemia, peripheral neuropathy,
irresistible urge to move limbs esp at rest

Answer 4

restless leg syn

Question 5

nonspecific chronic static impairment of muscle tone, strength, coordination or movement. nonprogressive insult before birth, during delivery, or perinatal- neuro deficits, spasticity, ataxia, seizure, mental retard

Answer 5

cerebral palsy

Question 6

occasional jerks esp when drifting to sleep- epilepsy, seizure, uremic/ metab encephalopathies, drugs (levodopa, TCA), withdrawal, anoxic brain inj

Answer 6

myoclonus

Question 7

blepharospasm, periorbital twitch, protracted stare, gaze deviated up and lat or down, open mouth tongue protrusion- antiemetics, HSV, MS, neurosyphilis

Answer 7

oculogyric crisus

Question 8

most common focal dystonia, abnormal head posture, irregular tremor “wry neck”

Answer 8

torticollis

Question 9

broad term includes dystonia, chorea, athetosis and tremor, hyperkinetic

Answer 9

dyskinesia

Question 10

inability to perform voluntary muscular movements, continuous movements of mouth, tongue, jaw, facial grimace, trunk sway, uncontrolled movements of arms, legs, fingers and toes

Answer 10

tardive dyskinesia