Tremor

Question 1

A tremor is bilateral and associated with purposeful movement and includes head tremor and voice tremor is likely…

Answer 1

Essential tremor

Question 2

A tremor that decreases with alcohol is likely..

Answer 2

Essential

Question 3

What is the mainstay of tremor treatment?

Answer 3

Beta blockers, primidone

Question 4

What part of the brain is most implicated in essential tremor?

Answer 4

Thalamus

Question 5

What pattern of inheritance does ET follow?

Answer 5

AD

Question 6

What is the most common pathologic sign of Parkinson’s disease?

Answer 6

Loss of pigment in substantia nigra

Intracytoplasmic Lewy bodies

Question 7

What are some common Parkinson’s mimics?

Answer 7

Multiple system atrophy - very similar, tremor less prominent and symmetric
Corticobasal ganglionic degeneration - also asymmetric
Progressive supra nuclear palsy - down gaze palsy, frequent falls, no tremor

Question 8

What are the testament options for Parkinson’s?

Answer 8

Levodopa, dopamine agonists, MAO inhibitors (selegine, rasagilene) j

Question 9

What therapy has been shown to reduce levodopa induced dyskinesia?

Answer 9

Amantidine

Question 10

What medications are most responsible for drug induced Parkinsonism?

Answer 10

Metoclopramide, antipsychotic