Movement Disorders

Question 1

Hoehn and yahr scale stages

Answer 1

1. Unilateral involvement only usually with minimal or no functional disability
2. bilateral or midline involvement without impairment of balance
3. Bilateral disease : mild to moderate disability with impaired postural reflexes ; physically independent.
4. Severely disabling disease ; still able to walk or stand unassisted
5. Confinement to bed or wheelchair unless aided

Question 2

Hoehn and Yahr scale severity

Answer 2

Stage 1 and 2 are mild

Stage 3 moderate

Stage 4+5 severe

Question 3

Goals of Parkinson’s disease therapy

Answer 3

Effective control of symptoms

Motor fluctuation control

Continuous control of ought the day and night

Maintainance of independence and quality of life

Question 4

Motor problems in PD

Answer 4

Balance, walking + freezing

Question 5

Signs in patient writing with PD

Answer 5

Small writing /

Question 6

Tremors when writing indicate

Answer 6

Not necessary Parkinson’s

Question 7

PD most common motor problems

Answer 7

Urination
Libido
Insomnia
Concentration 
Anxiety 
Restless legs

Question 8

Progression of Pd

Answer 8

Unilateral-> bilateral -> motor complications-> instability and falls-> psychosisx> dementia

Question 9

Aspect imaging shows what

Answer 9

Full stop comma looking dopamine cells (assymetric)

Question 10

Treatments main aim is

Answer 10

Dopamine replacement

Question 11

Which type of dopamine replacement

Answer 11

Levedopa- tablet

Or dopamine agonist

Question 12

Levedopa side effect

Answer 12

Can overdose and cause dyskinesia) too much movement

Question 13

How much levedopa should you take

Answer 13

As disease progresses, overdose occurs at lower levels