Part 2: Evlauation And Medial Management Of PD

Question 1

What are the 3 PD specific measure

Answer 1

• unified Parkinson’s disease rating scale
• gait and balance scale
• profile PD

Question 2

What is the unified Parkinson’s disease rating scale used to assess

Answer 2

Effects of meds and sx

Question 3

Which measure is seen as the “gold standard” for PD

Answer 3

Unified Parkinson’s Disease Rating
Scale

Question 4

What are teh 6 core measures for documenting status of people with PD

Answer 4

1. Berg
2. FGA
3. 5x STS or 30 sec sit to stand (use if someone is really weak)
4. 10 meter
5. 6 min or 2 min step test
6. ABC scale

Question 5

What are the 3 primary groups of medications for PD

Answer 5

 Dopaminergics – increase availability of dopamine
 Anticholinergics – decrease availability of Ach
 MAO-B inhibitors – decrease breakdown of DA

Question 6

What is the gold standard medication used from PD

Answer 6

Sinement (carbidopa and levadopa)

Question 7

What are some side effeects that Sinemet (carbidopa and levadopa) can ahve

Answer 7

• GI issues
• hallucination
• depression
• hypotension
• dyskinesia’s (the longer they are one more of this )
• dystonias

Question 8

What is an implanted pump that delivers a
continuous dose

Answer 8

DUOPA

Question 9

surgical oblation of selective neurons in
the globus pallidus internus, previously performed to improve tremor, bradykinesia, and rigidity on side opposite the lesion, but did not improve postural instability

Answer 9

Pallidotomy

Question 10

What is a good sx option for patients that need bilateral control

Answer 10

Deep brain stimulation - improves tremors and rigidity

Question 11

What is a non-invasive, non-surgical
procedure that induces an ablation in a zone that helps with symptoms in tremor and Parkinson’s.

Answer 11

Focused ultrasound

Question 12

What is specifically targets with focused ultrasound

Answer 12

BG