Parkinson's Disease Flashcards

1
Q

most common symptom in parkinsons

A

resting tremor

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2
Q

surgical procedure of choice in controlling parkinsonian symptoms

A

deep brain stimulation

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3
Q

What pathway is degenerated in parkinson’s

A

nigrostriatal pathway, which connects the substantia nigra to the corpus striatum

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4
Q

MOA of amantadine

A
  1. potentiates release of endogenous dopamine
  2. mild anticholinergic activity
  3. inhibits dopamine reuptake
  4. blocks glutamate receptors
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5
Q

most common parkinson-plus syndrome

A

progressive supranuclear palsy

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6
Q

parkinsonian features with dystonia (anterocollis)

A

striatonigral degeneration

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7
Q

2 types of multiple system atrophy

A

parkinsonian type and cerebellar type

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8
Q

what part of the brain is affected in parkinson’s

A

substantia nigra and locus coeruleus in the basal ganglia

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9
Q

parkinsonian features with ataxia and dysarthria

A

olivopontocerebellar atrophy

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10
Q

examples of anticholinergics

A
  1. trihexyphenidyl
  2. benztropine
  3. procyclidine
  4. orphenadrine
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11
Q

parkinsonian features with dysautonomia (autonomic dysfunction)

A

shy-drager syndrome

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12
Q

what are some examples of ergot derivatives

A

bromocriptine and pergolide

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13
Q

microscopically, what is found in damaged cells in the brain in parkinson’s

A

lewy bodies, which are intracytoplasmic eosinophilic inclusion bodies

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14
Q

what is MOA of carbidopa

A

dopa-decarboxylase inhibitor that prevents metabolism of L-dopa

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15
Q

what is MOA of ergot derivatives

A

dopamine agonist agents that directly stimulate dopamine receptors

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16
Q

in treatment of parkinson’s, what class of drugs is used to treat the tremor?

A

anticholinergics (muscarinic antagonists)

17
Q

why was pergolide taken off the market

A

heart valve damage

18
Q

what are some examples of non-ergot dopamine receptor agonists

A

pramipexole and ropinirole