Parkinsons questions Flashcards

1
Q

name the structures involved in the direct pathway

A

cortex, neostriatum, medial globus pallidus, thalamus

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2
Q

what structures are involved in the indirect pathway

A

cortex, neostriatum, GPL, subthalamic nucleus, GPM, thalamus

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3
Q

what structure in the substantia nigra produces dopamine

A

pars compacta and pars reticularis

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4
Q

what structure produces dopamine 1R

A

pars reticularis

this enhances the direct pathway

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5
Q

what structure produces dopamine 2R

A

pars compacta

this reduces the indirect pathway

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6
Q

what is the basis of huntingtons disease

A

heritable mutation in huntingtons protein

loss of encephalinergic and gabaergic neurons in the neostriatum

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7
Q

what pathway is affected in huntingtons

A

decrease in indirect pathway

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8
Q

why do striatal inteneurones (cholinergic) turn down the direct pathway

A

releases aCh from the striatum to the substantia nigra which inhibits dopamine release

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9
Q

what molecule is accumulated in the bowel of patients

A

alpha synuclein

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10
Q

what factors can increase neurodegeneration

A

toxins,
immune attach
oxidative stress
cell death pathways

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11
Q

what two drugs is levodopa combined with

A

carbidopa or benserazide

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12
Q

what is pramipexole

A

dopamine agonist

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13
Q

ropinirole

A

dopamine agonist

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14
Q

bromocriptine

A

dopamine agonist

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15
Q

what is selegiline and rasegiline

A

MAOs

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16
Q

what is benzehexol,

A

aCh antagonist

17
Q

what is the precursor of dopamine

A

tyrosine

18
Q

what is a COMT inhibitor

A

blocks degradation of DA and levodopa

19
Q

what do bromocriptine, cabergoline and pergolide work on

A

d1 and 2

20
Q

pramipexole and ropinole

A

d2/3

21
Q

what are the features of dopamine dysregulation syndrome

A

sudden onset sleep
impulse control disorder
hypotension
neuroleptic malignant syndrome

22
Q

what are the aCh inhibitors

A

benzhexol, orphenadrine, procyclidine

23
Q

what neurones does deep brain stimulation act on

A

subthalamic