Movement/Tic D/O 2

Question 1

68 y/o pt w/ hx of schizophrenia since early adulthood maintained for yrs on thioridazine. On exam: pt’s tongue frequently retracts on its longitudinal axis and moves in lateral directions. No other findings. When
tongue movements are pointed out, pt reports being unaware of making them.
What recommendation for best tx:

Answer 1

Gradually decrease thorazine and start low dose risperdal

Question 2

Tx for acute dystonia?

Answer 2

Benztropine

Question 3

Symptoms most commonly associated w/ tourettes?

Answer 3

Obsessions and compulsions

Question 4

Pathological finding in brain of tourette’s?

Answer 4

None.

Question 5

One of earliest sxs of Tourettes?

Answer 5

Eye blinking and head jerking

Question 6

Tic severity begins to decrease during which age period

Answer 6

Adolescence

Question 7

Common cause of acute cerebellar ataxia in adults?

Answer 7

Intoxication w/ antiepileptics

Question 8

Initial approach for child w/ new onset tic disorder

Answer 8

Clinical monitoring

Question 9

Comorbid condition w/ Tourette’s in kids

Answer 9

ADHD