Movement Disorders

Pregunta 1 de 22

1

Easy first question:

Hyperkinetic diseases: ❌
Example: ❌

Hypokinetic diseases: ❌
Example: ❌

Arrastra y suelta para completar el texto.

Excessive/unwanted movement

Tremor

Lack of movement

Parkinsonism

Explicación

Pregunta 2 de 22

1

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

Arrastra y suelta para completar el texto.

Dystonia

Myoclonus

Chorea

Tic

Tremor

Explicación

Pregunta 3 de 22

1

Rellena el espacio en blanco para completar el texto.

What is the most common form of dyskinesia?

Explicación

Pregunta 4 de 22

1

Selecciona la opción correcta de los menús desplegables para completar el texto.

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

Explicación

Pregunta 5 de 22

1

Rellena el espacio en blanco para completar el texto.

Which type of tremor is the most common generally?
tremor

Explicación

Pregunta 6 de 22

1

Selecciona la opción correcta del menú desplegable para completar el texto.

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)

Explicación

Pregunta 7 de 22

1

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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

Explicación

Pregunta 8 de 22

1

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

Selecciona una de las siguientes respuestas posibles:

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

Explicación

Pregunta 9 de 22

1

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 10 de 22

1

Selecciona la opción correcta del menú desplegable para completar el texto.

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

Explicación

Pregunta 11 de 22

1

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 12 de 22

1

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

Selecciona una o más de las siguientes respuestas posibles:

Primidone
Propranolol
Atenolol
Gabapentin
Alpraxolam
Topiramate

Explicación

Pregunta 13 de 22

1

Propranolol - ❌
Primidone - ❌

Arrastra y suelta para completar el texto.

Anticonvulsant

Antidepressant

Antiemetic

Beta Blocker

ACE Inhibitor

Explicación

Pregunta 14 de 22

1

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

Selecciona uno de los siguientes:

VERDADERO
FALSO

Explicación

Pregunta 15 de 22

1

Rellena el espacio en blanco para completar el texto.

Disease is the most common inherited cause of Chorea

Explicación

Pregunta 16 de 22

1

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

Arrastra y suelta para completar el texto.

Tetrabenazine

Haloperidol

Primidone

Explicación

Pregunta 17 de 22

1

Selecciona la opción correcta de los menús desplegables para completar el texto.

( 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.

Explicación

Pregunta 18 de 22

1

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 19 de 22

1

Selecciona la opción correcta del menú desplegable para completar el texto.

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

Explicación

Pregunta 20 de 22

1

Rellena el espacio en blanco para completar el texto.

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?

	Creado por Matthew Coulson hace casi 6 años

Movement Disorders lecture given in Week 3

Movement Disorders

Movement Disorders

Pregunta 1 de 22

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

Arrastra y suelta para completar el texto.

Explicación

Pregunta 2 de 22

Arrastra y suelta para completar el texto.

Explicación

Pregunta 3 de 22

Rellena el espacio en blanco para completar el texto.

What is the most common form of dyskinesia?

Explicación

Pregunta 4 de 22

Selecciona la opción correcta de los menús desplegables para completar el texto.

Explicación

Pregunta 5 de 22

Rellena el espacio en blanco para completar el texto.

Which type of tremor is the most common generally? tremor

Explicación

Pregunta 6 de 22

Selecciona la opción correcta del menú desplegable para completar el texto.

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)

Explicación

Pregunta 7 de 22

Selecciona la opción correcta de los menús desplegables para completar el texto.

Explicación

Pregunta 8 de 22

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

Selecciona una de las siguientes respuestas posibles:

Explicación

Pregunta 9 de 22

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 10 de 22

Selecciona la opción correcta del menú desplegable para completar el texto.

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

Explicación

Pregunta 11 de 22

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 12 de 22

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

Selecciona una o más de las siguientes respuestas posibles:

Explicación

Pregunta 13 de 22

Propranolol - ❌ Primidone - ❌

Arrastra y suelta para completar el texto.

Explicación

Pregunta 14 de 22

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

Selecciona uno de los siguientes:

Explicación

Pregunta 15 de 22

Rellena el espacio en blanco para completar el texto.

Disease is the most common inherited cause of Chorea

Explicación

Pregunta 16 de 22

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

Arrastra y suelta para completar el texto.

Explicación

Pregunta 17 de 22

Selecciona la opción correcta de los menús desplegables para completar el texto.

Explicación

Pregunta 18 de 22

Rellena el espacio en blanco para completar el texto.

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

Explicación

Pregunta 19 de 22

Selecciona la opción correcta del menú desplegable para completar el texto.

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 )

Explicación

Pregunta 20 de 22

Rellena el espacio en blanco para completar el texto.

Explicación

Pregunta 21 de 22

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

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 )