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pals > Movement DOs > Flashcards

Movement DOs Flashcards

1
Q

MCC of action tremors in adults

A

Essential tremors

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2
Q

Meds that can trigger essential tremors

A
  • Caffeine
  • ETOH Withdrawal
  • Sympathomimetics
  • Antipsychotics
  • Theophyline
  • Metoclopramide
  • Lithium
  • Levothyroxine
  • TCAs
  • Valproic Acid
  • Reserpine
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3
Q

Relatioship b/w alcohol and essential tremors?

A

alcohol helps tremors!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

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4
Q

What part of body is most likely to shake with essential tremors?

A

HANDS

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5
Q

Essential tremors are very common with _____ Dz

A

Wilson’s
Check LFT, Serum Ceruloplasmin, Cu (copper), 24Hr urine copper piss

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5
Q

1st line Tx for essential tremors

A

Propanolol or Primidone

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6
Q

Get imaging for suspected essential tremors if <___yo

A

40

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7
Q

Essential tremors pathophys occurs in what part of the brain?

A

Thalamus

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8
Q

Huntington Dz = defect on chromosome ___ -> CAG repeats -> too much glutamine

A

4p

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9
Q

MC Early stage SS for huntington Dz

A

DEPRESSION

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10
Q

Huntington Dz WU

A
  • genetic counseling/testing
  • CT/MRI -> cerebral and caudate nucleus atrophy (large lateral ventricles)
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11
Q

Huntington Dz Tx for chorea if depressed

A

Risperidone or Haloperidol

Avoid VMAT2 Inhibitors (Tetrabenazine & Deutrabenazine) bc they will make the depression worse :(

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12
Q

MCC of Death in those with Huntington Dz

A

Sepsis

100% mortality???? damn

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13
Q

1 ET of parkinson

A

idiopathic

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14
Q

Genetically inherited parkinsons put you at higher risk for ______

A

lew body dementia

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15
Q

is parkinsons high or low dopamine?

A

LOW
ther is progressive degeration of dopamine producing neurons in the substantia nigra pars compacta

16
Q

when you tap over the nasal bridge of someone with parkinsons, do you expect them to blink more or less than a normal person?

A

LESS
DECR EYE BLINK RATE

17
Q

MAO-B Inhibitors are really only effective in which group of patients with parkinsons?

Rasagiline, Safinamide

A

YOUNGER Pts

18
Q

Does levodopa or Carbidopa cross the blood brain barrier?

A

LEVODOPA

19
Q

Mainstay pharm Tx for parkinsons

A

Dopaminergics -> Levodopa (dopamine precursor)

20
Q

Stopping levodopa abruptly may cause

A

Akinetic crisis -> FROZEN RIGIDITY

21
Q

SS of dementia with lewy bodies

A

flunctuations in attention and alertness
visual hallucinations
REM sleep DOS (kicking, fighting) - SHILOH

22
Q
A

pals (7 decks)

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