Parkinsons

Question 1

What is the definition of Parkinsons

Answer 1

Progressive reduction on dopamine production from the basal ganglia leading to disorders of movement

Question 2

What specific part of the basal ganglia produces dopamine

Answer 2

Substantia Nigra

Question 3

What is the triad of symptoms found in Parkinsons

Answer 3

Unilateral Tremor => 4-6Hz

Cogwheel Rigidity => Resistance to passive movements

Bradykinesia => Shuffling gait / small handwriting

Question 4

Reduced facial movements found in Parkinsons is called what

Answer 4

Hypomimia

Question 5

What other disease presents with similar symptoms

Answer 5

Benign Essential Tumour

Question 6

What is a Benign Essential Tumour

Answer 6

Autosomal dominant Hand condition

Question 7

Is this Benign Essential Tumour or Parkinsons

Worse with intentional movement

Improves with alcohol

Symmetrical

Answer 7

Benign

Question 8

Is this Benign Essential Tumour or Parkinsons

Improves with intentional movement
No change with alcohol
Asymmetrical

Answer 8

P

Question 9

What management is given to px with Parkinsons

Answer 9

Synthetic Dopamine + Peripheral Decarboxylase inhibitors

Question 10

What is the specific drug given in Parkinsons

Answer 10

Co-Benyldopa

Question 11

Dystonia =>

Answer 11

Excessive muscle contraction leads to abnormal posture // exaggerated movements

Question 12

Chorea =>

Answer 12

Abnormal involuntary movements that are jerky + Random

Question 13

Athetosis =>

Answer 13

Involuntary twisting / writhing movements usually in fingers / hands / feet