Zagat!

Question 1

Persistent vegetative state

Answer 1

6 weeks for formal criteria. Awake w/out being alert. Unresponsive to stimuli, roving conjugate eye movements

Question 2

Locked-in

Answer 2

Cannot move except vertical eye movements

Question 3

Cataplexy

Answer 3

Treat with modafinil- funny/emotional situation

Question 4

REM sleep disturbance

Answer 4

Pts act our their dreams,mybe harbringer of Parkinsons

Question 5

Progressive supranuclear palsy

Answer 5

A parkinsonism plus, with oculomotor issues, not as responsive to dopaminergics
Fall backwards, slow in verbal response, stiff limbs, diffuse atrophy

Question 6

Panic attacks

Answer 6

Common in pts who discontinue epilepsy meds- fear of seizures looks like seizures!

Question 7

Detrusor Hyperreflexia

Answer 7

Small capacity UMN bladder in MS. Post void residual (if big) can make UTIs more frequent
Tx w/ oxybutnin (Ditropan) or tolterodine (detrol)
But antichols can cause cognitive dysfn