Neuro CIS

Question 1

What is the disease triad for PD?

Answer 1

Tremor
Bradykinesia
Rigidity

Question 2

Masked facies and micrographia are associated with PD or essential tremor?

Answer 2

PD

Question 3

When would DOPA agonist be used to Tx PD?

Answer 3

in pts < 60 yo or with advanced PD

Question 4

What are ME OMM options for PD?

Answer 4

Hamstring/psoas
C-spine, T-spine, L-spine
Still’s technique for C-spine

Question 5

What are other OMM Tx’s that can be used for PD?

Answer 5

MFR, HVLA, articulatory to carpal/metacarpals and radial head

Question 6

What OCMM dysfunction is most prevalent in PD pts?

Answer 6

SB rotation SD

Question 7

What OCMM techniques can be used for PD pts?

Answer 7

CV4, V-spread to OM suture, Decompression for OA joint

Question 8

When getting a CT scan for PD or ET, should contrast be used?

Answer 8

No, it will obscure any potential blood

Question 9

If a pts INR is 3.5-5.0, what should be done?

Answer 9

Lower Warfarin dose OR skip a dose then restart with a lower dose

Question 10

If a pts INR is 5.0-9.0, what should be done?

Answer 10

Omit 1-2 Warfarin doses then restart with a lower dose OR skip a dose and give oral vitamin K

Question 11

If a pts INR is > 9.0 what should be done?

Answer 11

Hold Warfarin and give large vitamin K dose then resume Warfarin at a lower dose

Question 12

If a pts INR is any number and they have serious bleeding occuring, what should be done?

Answer 12

Hold Warfarin and give 10 mg of IV vitamin K and 4-factor PCC or FFP