Matthew Coulson
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Movement Disorders lecture given in Week 3

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Matthew Coulson
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Movement Disorders

Questão 1 de 22

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Easy first question:

Hyperkinetic diseases:
Example:

Hypokinetic diseases:
Example:

Arraste e solte para completar o texto.

    Excessive/unwanted movement
    Tremor
    Lack of movement
    Parkinsonism

Explicação

Questão 2 de 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

Arraste e solte para completar o texto.

    Dystonia
    Myoclonus
    Chorea
    Tic
    Tremor

Explicação

Questão 3 de 22

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Preencha o espaço em branco para completar o texto.

What is the most common form of dyskinesia?

Explicação

Questão 4 de 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

Explicação

Questão 5 de 22

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Which type of tremor is the most common generally?
tremor

Explicação

Questão 6 de 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)

Explicação

Questão 7 de 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

Explicação

Questão 8 de 22

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

Selecione uma das seguintes:

  • Wilson's Disease

  • Huntington's Disease

  • Parkinson's Disease

Explicação

Questão 9 de 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.

Explicação

Questão 10 de 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

Explicação

Questão 11 de 22

1

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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

Explicação

Questão 12 de 22

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

Selecione uma ou mais das seguintes:

  • Primidone

  • Propranolol

  • Atenolol

  • Gabapentin

  • Alpraxolam

  • Topiramate

Explicação

Questão 13 de 22

1

Propranolol -
Primidone -

Arraste e solte para completar o texto.

    Anticonvulsant
    Antidepressant
    Antiemetic
    Beta Blocker
    ACE Inhibitor

Explicação

Questão 14 de 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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 15 de 22

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Disease is the most common inherited cause of Chorea

Explicação

Questão 16 de 22

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

Arraste e solte para completar o texto.

    Tetrabenazine
    Haloperidol
    Primidone

Explicação

Questão 17 de 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.

Explicação

Questão 18 de 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

Explicação

Questão 19 de 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 )

Explicação

Questão 20 de 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?

Explicação

Questão 21 de 22

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

Selecione uma das seguintes:

  • Sodium Valproate

  • Lamotrigine

  • Gabapentin

  • Phenytoin

Explicação

Questão 22 de 22

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

Explicação