Parkinson's

Question 1

What are the 4 cardinal features of Parkinson’s disease?

Answer 1

• Bradykinesia
• Rigidity
• Postural instability
• Resting tremor

Question 2

What is the greatest risk factor for developing this disease?

Answer 2

Age

Question 3

How can we test for bradykinesia?

Answer 3

Ask them to perform some repetitive movements (e.g. opening and closing the hand)

Question 4

What is the best way to go about observing a tremor?

Answer 4

Have the patient focus on a particular mental task (e.g. counting backwards from 100)

Question 5

What distinguishes rigidity in UMN lesions with rigidity in PD?

Answer 5

UMN lesions have velocity dependent rigidity, which is made worse by moving the affected limb quickly.

Question 6

Amantadine should be avoided in which 2 groups of PD patients?

Answer 6

• Hx of Epilepsy

- Hx of GI ulceration

Question 7

Which type of agent have been shown to be effective in dealing with tremor?

Answer 7

Anitcholinergic

Question 8

Does true Parkinson’s disease have a symmetrical or asymmetrical tremor?

Answer 8

Asymmetrical