Movement disorders

Question 1

what is the most common action or postural tremor?

Answer 1

essential tremor

Question 2

what is the pattern of inheritance of ET?

Answer 2

AD

Question 3

what is the DOC for essential tremor?

Answer 3

primidone

Question 4

what type of ET might indicate a use for botox?

Answer 4

voice tremor

Question 5

what is Myerson’s tap?

Answer 5

tapping bridge of nose produces sustained blink response

Question 6

what is Shy-Drager?

Answer 6

Parkinson PLUS autonomic insufficiency (anhydrosis, impotence, etc)

Question 7

What is PSP?

Answer 7

progressive, supranuclear palsy

Parkinsons PLUS gaze paralysis (falls down the stairs)-usu. no tremor

Question 8

what is often the first sign of HD?

Answer 8

personality changes

Question 9

what is idiopathic torsion dystonia?

Answer 9

childhood onset usu. in legs (FH, more severe)

adult onset usu. in arms/axial (not as severe)

Question 10

what is akathesia?

Answer 10

dystonia

Question 11

what is coprolalia?

Answer 11

tourrettes outbursts of obscene speech

Question 12

what is echolalia?

Answer 12

repeating what other’s say “parroting”

Question 13

what is palilalia?

Answer 13

repeating words or phrases (OCD)

Question 14

when would you use oxitriptan?

Answer 14

f/ an anoxic brain injury

Question 15

which test in MG has a correlation to progression of dz?

Answer 15

interleukin 2

Question 16

which routine test in MG has NO correlation to progression of dz?

Answer 16

anti-ach receptor antibodies

Question 17

how do you treat MG?

Answer 17

ChEI
prednisone/(cyclosporie/Imuran) if refractory to steroids

acute therapy = plasmapheresis

Question 18

what would be present in CSF of an MS pt experiencing an exacerbation?

Answer 18

oligoclonal bands

Question 19

how do you treat MS exacerbations?

Answer 19

steroids

plasmapheresis

Question 20

how do you prophylax MS?

Answer 20

B-interferon
glatiramer acetate
humanized monoclonal antibodies

anti-CA

Question 21

which drugs should be avoided in parkinsons/

Answer 21

phenergan
metoclopramide
antiemetics

Question 22

how do you treat tourrettes?

Answer 22

haldol 0.5 mg
prolixin, orap
botox

Question 23

what do you use to treat alzheimers?

Answer 23

donepezil (aricept) 5-10mg
galantamine (razadyne) 8-12 mg BID maint
rivastigmine (exelon) 3-6 mg BID maint
Memantine (Namenda) 10 mg BID maint

Question 24

which AD drug has to be dose adjusted for CrCl of less that 60?

Answer 24

namenda
10 mg QD
contraindicated for CrCl <30

Question 25

which AD drug should avoid use with mucinex DM, and ketamine?

Answer 25

namenda