Tremor, Myoclonus, Focal Dystonias, Tics

Question 1

commonest type of tremor

frequency

Answer 1

essential tremor

4-8Hz

Question 2

T/F

Essential tremor is worsened by emotion, exercise and fatigue.

Answer 2

True

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Question 3

T/F

Essential tremor most often appears late in the second decade, but it may begin in childhood and then persist.

Answer 3

True
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A second peak of increased incidence
occurs in adults older than 35 years of age.

Question 4

T/F
essential tremor

The tremor practically always begins in the arms
and is usually almost symmetrical, however, it may appear first in the dominant hand.

Answer 4

true
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may appear in dominant hand first in 15% of patients

Question 5

T/F
essential tremor

In certain cases of essential tremor, there is involvement
of the jaw, lips, tongue, and larynx, the latter imparting
a severe quaver to the voice.

Answer 5

true
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voice tremor

Question 6

T/F
Essential Tremor

1. The head tremor is postural in nature and disappears when the head is supported.
2. The limb and head tremors tend to be muted when the patient walks.
3. The lower limbs are usually iinvolved in more than half of cases.
4. Tremor may be ameliorated especially during
   emergence from anesthesia in a few patients.

Answer 6

1. True - The head tremor is postural in nature and disappears when the head is supported.
2. True - The limb and head tremors tend to be muted when the patient walks.
3. False - The lower limbs are usually SPARED
4. False - We have also observed the tremor to become greatly exaggerated during emergence from anesthesia in a few patients.

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