Movement Disorders

Question 1

Name the 5 muscles to botox in torticollis

Answer 1

ipsilateral splenius capitis
Contralateral SCM
Splenius Cervicis
Levator Scapulae
Inferior oblique longus capitis

Question 2

Name the 4 muscles to botox in Lateralcollis

Answer 2

splenius capitis
ipsilateral scalene complex
levator scapulae
longissimus

Question 3

Name the 3 muscles to botox in retrocollis

Answer 3

bilateral splenius capitis
posterior capitis
longissimus

Question 4

Name the 2 muscles to botox in anterocollis

Answer 4

bilateral scm

Question 5

Name the 4 dopamine receptor agonists for parkinsons

Answer 5

Ergot derivatives

• bromocrimptine (D2)
• pergolide (D1 & D2)

NOn-ergot derivatives

• ropinirole
• pramipexole

Question 6

Name the 4 anticholinergic agents typically used in PD for minimizing tremor

Answer 6

• trihexyphenidyl
• benztropine (cogentin)
• procyclidine (kemadrin)
• Orphenadrine (disipal)

Question 7

Name the 2 MAO-B inhibitors used in PD

Answer 7

Selegiline (eldepryl)
Rasagiline (Azilect)

may reduce oxidative damage in the substantia nigra and slow disease progression

Question 8

Name the 2 COMT inhibitors used in PD

Answer 8

Tolcapone (tasmar)
Entacapone (comtan)

inhibits metabolism of dopamine and its precursor levodopa in the liver, GI tract, and other peripheral organs. Used as adjunct and may allow a reduction on the levodopa usage.

Question 9

Name the 5 agents that can cause PD like symptoms

Answer 9

Neuroleptic agents (haldol)
Metoclopramide (reglan)
reserpine 
amiodarone
lithium

Question 10

name the 3 toxins that can cause PD

Answer 10

1-methyl 4-phenyl 1,2,3,6 - tetrahydropyridine, manganese, carbon monoxide