Movement Disorders

Frage 1 von 22

1

Easy first question:

Hyperkinetic diseases: ❌
Example: ❌

Hypokinetic diseases: ❌
Example: ❌

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Excessive/unwanted movement

Tremor

Lack of movement

Parkinsonism

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Frage 2 von 22

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Match the Dyskinesia to its definition:
❌ - Rhythmic sinusoidal oscillation of a body part
❌ - An involuntary stereotyped movement or vocalisation (can occur singularly)
❌ - Brief irregular purposeless movements which move from one body part to another
❌ - Brief electric shock like jerks in groups of muscles
❌ - Twisting and repetitive movements or an abnormal fixed posture in the affected body part

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Dystonia

Myoclonus

Chorea

Tic

Tremor

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Frage 3 von 22

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What is the most common form of dyskinesia?

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Frage 4 von 22

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Resting tremor is a condition whereby a tremor occurs when muscles are at rest. This type of tremor typically affects the ( hands/fingers, feet/toes, legs, arms ) and is the tremor most commonly associated with ( Parkinson's, Huntington's, Wilson's ) disease

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Frage 5 von 22

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Which type of tremor is the most common generally?
tremor

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Frage 6 von 22

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Essential tremor is considered to be a type of ( postural, resting, kinetic ) tremor, which is a tremor that occur upon sustained muscle tone (e.g. holding arms out horizontally)

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Frage 7 von 22

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Patients with an essential tremor are commonly misdiagnosed as having Parkinson's disease. This is not the case as essential tremor is considered to be a ( postural, resting, kinetic ) tremor whereas parkinson's features only ( resting, postural, kinetic ) tremors

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Frage 8 von 22

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Which of the following conditions is associated with a kinetic tremor? (tremor exacerbated by purposeful movements)

Wähle eine der folgenden:

Wilson's Disease
Huntington's Disease
Parkinson's Disease

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Frage 9 von 22

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Wilson's disease a genetic disorder in which builds up in the body, resulting in jaundice, vomiting and a kinetic tremor.

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Frage 10 von 22

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Apart from a resting tremor typically in the hands, Parkinson's disease patients can also experience a ( Jaw, Head, Shoulder ) tremor

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Frage 11 von 22

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In the approach to a patient with a tremor, why might you want to test a young patient (<45) for copper and caeruloplasmin?
To test for Disease

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Frage 12 von 22

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What are the two first line treatments for essential tremor?
(only prescribe one at a time)

Wähle eine oder mehr der folgenden:

Primidone
Propranolol
Atenolol
Gabapentin
Alpraxolam
Topiramate

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Frage 13 von 22

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Propranolol - ❌
Primidone - ❌

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Anticonvulsant

Antidepressant

Antiemetic

Beta Blocker

ACE Inhibitor

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Frage 14 von 22

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Primary tic disorders almost always start in childhood - adult onset of tics is rare and almost always due to a secondary cause

Wähle eins der folgenden:

WAHR
FALSCH

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Frage 15 von 22

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Disease is the most common inherited cause of Chorea

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Frage 16 von 22

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Medications for Chorea in Huntington's Disease:
❌ - Antipsychotic medication
❌ - Blocks Dopamine transport into synaptic vesicles in CNS

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Tetrabenazine

Haloperidol

Primidone

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Frage 17 von 22

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( Haloperidol, Tetrabenazine ) has side effects such as night sedation and weight gain which can be beneficial to Huntington's Disease patients.
( Tetrabenazine, Haloperidol ) does not have these side effects, however is more likely to cause depression.

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Frage 18 von 22

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A 27 year old woman presents to her GP, describing that every so often at night as she is falling asleep she is suddenly awoken by a brief jerk and a feeling that she is falling. This woman is most likely suffering from jerks

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Frage 19 von 22

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Hypnic jerks are often associated with a feeling of falling, and are categorised as a type of ( myoclonus, chorea, tic, dystonia )

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Frage 20 von 22

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A 17 year old boy presents to his GP complaining of involuntary movements. This started around the age of 14 as brief twitches of his muscles in the mornings, but now consists of more forceful jerks occurring both in the mornings and before bed. He describes that the jerks are typically worse after he's been on a night out drinking alcohol, or when he is very tired.
What condition is he suffering from?

	Erstellt von Matthew Coulson vor etwa 6 Jahre

Movement Disorders lecture given in Week 3

Movement Disorders

Frage 1 von 22

Easy first question: Hyperkinetic diseases: ❌ Example: ❌ Hypokinetic diseases: ❌ Example: ❌

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Frage 2 von 22

Klicke und ziehe, um den Text zu vervollständigen.

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Frage 3 von 22

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What is the most common form of dyskinesia?

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Frage 4 von 22

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

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Frage 5 von 22

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Which type of tremor is the most common generally? tremor

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Frage 6 von 22

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Essential tremor is considered to be a type of postural resting kinetic( postural, resting, kinetic ) tremor, which is a tremor that occur upon sustained muscle tone (e.g. holding arms out horizontally)

Erklärung

Frage 7 von 22

Wähle von der Dropdown-Liste, um den Text zu vervollständigen.

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Frage 8 von 22

Which of the following conditions is associated with a kinetic tremor? (tremor exacerbated by purposeful movements)

Wähle eine der folgenden:

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Frage 9 von 22

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Wilson's disease a genetic disorder in which builds up in the body, resulting in jaundice, vomiting and a kinetic tremor.

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Frage 10 von 22

Wähle von der Aufklappliste, um den Text zu vervollständigen.

Apart from a resting tremor typically in the hands, Parkinson's disease patients can also experience a Jaw Head Shoulder( Jaw, Head, Shoulder ) tremor

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Frage 11 von 22

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In the approach to a patient with a tremor, why might you want to test a young patient (<45) for copper and caeruloplasmin? To test for Disease

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Frage 12 von 22

What are the two first line treatments for essential tremor? (only prescribe one at a time)

Wähle eine oder mehr der folgenden:

Erklärung

Frage 13 von 22

Propranolol - ❌ Primidone - ❌

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Frage 14 von 22

Primary tic disorders almost always start in childhood - adult onset of tics is rare and almost always due to a secondary cause

Wähle eins der folgenden:

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Frage 15 von 22

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Disease is the most common inherited cause of Chorea

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Frage 16 von 22

Medications for Chorea in Huntington's Disease: ❌ - Antipsychotic medication ❌ - Blocks Dopamine transport into synaptic vesicles in CNS

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Frage 17 von 22

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Frage 18 von 22

Fülle die Lücke, um den Text zu vervollständigen

A 27 year old woman presents to her GP, describing that every so often at night as she is falling asleep she is suddenly awoken by a brief jerk and a feeling that she is falling. This woman is most likely suffering from jerks

Erklärung

Frage 19 von 22

Wähle von der Aufklappliste, um den Text zu vervollständigen.

Hypnic jerks are often associated with a feeling of falling, and are categorised as a type of myoclonus chorea tic dystonia( myoclonus, chorea, tic, dystonia )

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Frage 20 von 22

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Frage 21 von 22

Juvenile Myoclonic Epilepsy (JME) is normally treated with which medication?

Wähle eine der folgenden:

Easy first question:

Hyperkinetic diseases: ❌
Example: ❌

Hypokinetic diseases: ❌
Example: ❌

Which type of tremor is the most common generally?
tremor

Essential tremor is considered to be a type of ( postural, resting, kinetic ) tremor, which is a tremor that occur upon sustained muscle tone (e.g. holding arms out horizontally)

Apart from a resting tremor typically in the hands, Parkinson's disease patients can also experience a ( Jaw, Head, Shoulder ) tremor

In the approach to a patient with a tremor, why might you want to test a young patient (<45) for copper and caeruloplasmin?
To test for Disease

What are the two first line treatments for essential tremor?
(only prescribe one at a time)

Propranolol - ❌
Primidone - ❌

Medications for Chorea in Huntington's Disease:
❌ - Antipsychotic medication
❌ - Blocks Dopamine transport into synaptic vesicles in CNS

Hypnic jerks are often associated with a feeling of falling, and are categorised as a type of ( myoclonus, chorea, tic, dystonia )

Hiccups are a form of ( myoclonus, tremor, chorea, tic, dystonia )