neuro diff dx

Question 1

where does dopamine deplete ?

Answer 1

substantia nigra in the basal ganglia

Question 2

are males or females more likely to have Parkinson’s?

Answer 2

males, older

Question 3

PD symptoms?

Answer 3

resting Tremor (usually u/l)
Rigidity (not velocity dependent)
Akinesia
Postural instability

TRAP

Question 4

list the stages of Hoehn and Yar

Answer 4

I. minimal disability, u/l if present
II. b/l sx
III. 3 Balance affected, pt can still be independent
IV: needs AD to amb (think four legs of a walker)
V: bedbound/WC bound

Question 5

T/F: PD pts sometimes have loss of smell

Answer 5

T

Question 6

mask-like face is seen in which neurological disorder?

Answer 6

PD

Question 7

why does restrictive lung disease happen in PD ?

Answer 7

decreased chest expansion

Question 8

describe gait in PD

Answer 8

freezing
festinating

Question 9

would you add a toe or heel wedge to a pt with PD?

Answer 9

toe to help them move COM posteriorly

Question 10

how can you help a PD pt with gait training?

Answer 10

using metronome, music, one step commands when frozen

Question 11

what’s the gold standard treatment for PD? (hint: it’s a drug)

Answer 11

levadopa/Carbidopa

Question 12

when treating PD, do you want your pt to do exercises with big movements or small?

Answer 12

big

Question 13

how long should you wait to do PT after taking levadopa?

Answer 13

1 hour

Question 14

side effect or levadopa?

Answer 14

random fluctuations in motor performance
dyskinesia: on phase
dystonia: off phase