Movement Disorders

Matthew Coulson
Quiz by Matthew Coulson, updated 11 months ago
Matthew Coulson
Created by Matthew Coulson over 1 year ago
19
1

Description

Movement Disorders lecture given in Week 3

Resource summary

Question 1

Question
Easy first question: Hyperkinetic diseases: [blank_start]Excessive/unwanted movement[blank_end] Example: [blank_start]Tremor[blank_end] Hypokinetic diseases: [blank_start]Lack of movement[blank_end] Example: [blank_start]Parkinsonism[blank_end]
Answer
  • Excessive/unwanted movement
  • Tremor
  • Lack of movement
  • Parkinsonism

Question 2

Question
Match the Dyskinesia to its definition: [blank_start]Tremor[blank_end] - Rhythmic sinusoidal oscillation of a body part [blank_start]Tic[blank_end] - An involuntary stereotyped movement or vocalisation (can occur singularly) [blank_start]Chorea[blank_end] - Brief irregular purposeless movements which move from one body part to another [blank_start]Myoclonus[blank_end] - Brief electric shock like jerks in groups of muscles [blank_start]Dystonia[blank_end] - Twisting and repetitive movements or an abnormal fixed posture in the affected body part
Answer
  • Dystonia
  • Myoclonus
  • Chorea
  • Tic
  • Tremor

Question 3

Question
What is the most common form of dyskinesia? [blank_start]Tremor[blank_end]
Answer
  • Tremor

Question 4

Question
Resting tremor is a condition whereby a tremor occurs when muscles are at rest. This type of tremor typically affects the [blank_start]hands/fingers[blank_end] and is the tremor most commonly associated with [blank_start]Parkinson's[blank_end] disease
Answer
  • Parkinson's
  • Huntington's
  • Wilson's
  • hands/fingers
  • feet/toes
  • legs
  • arms

Question 5

Question
Which type of tremor is the most common generally? [blank_start]Essential[blank_end] tremor
Answer
  • Essential

Question 6

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

Question 7

Question
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 [blank_start]postural[blank_end] tremor whereas parkinson's features only [blank_start]resting[blank_end] tremors
Answer
  • resting
  • postural
  • kinetic
  • postural
  • resting
  • kinetic

Question 8

Question
Which of the following conditions is associated with a kinetic tremor? (tremor exacerbated by purposeful movements)
Answer
  • Wilson's Disease
  • Huntington's Disease
  • Parkinson's Disease

Question 9

Question
Wilson's disease a genetic disorder in which [blank_start]copper[blank_end] builds up in the body, resulting in jaundice, vomiting and a kinetic tremor.
Answer
  • copper

Question 10

Question
Apart from a resting tremor typically in the hands, Parkinson's disease patients can also experience a [blank_start]Jaw[blank_end] tremor
Answer
  • Jaw
  • Head
  • Shoulder

Question 11

Question
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 [blank_start]Wilson's[blank_end] Disease
Answer
  • Wilson's

Question 12

Question
What are the two first line treatments for essential tremor? (only prescribe one at a time)
Answer
  • Primidone
  • Propranolol
  • Atenolol
  • Gabapentin
  • Alpraxolam
  • Topiramate

Question 13

Question
Propranolol - [blank_start]Beta Blocker[blank_end] Primidone - [blank_start]Anticonvulsant[blank_end]
Answer
  • Anticonvulsant
  • Antidepressant
  • Antiemetic
  • Beta Blocker
  • ACE Inhibitor

Question 14

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

Question 15

Question
[blank_start]Huntington's[blank_end] Disease is the most common inherited cause of Chorea
Answer
  • Huntington's

Question 16

Question
Medications for Chorea in Huntington's Disease: [blank_start]Haloperidol[blank_end] - Antipsychotic medication [blank_start]Tetrabenazine[blank_end] - Blocks Dopamine transport into synaptic vesicles in CNS
Answer
  • Tetrabenazine
  • Haloperidol
  • Primidone

Question 17

Question
[blank_start]Haloperidol[blank_end] has side effects such as night sedation and weight gain which can be beneficial to Huntington's Disease patients. [blank_start]Tetrabenazine[blank_end] does not have these side effects, however is more likely to cause depression.
Answer
  • Tetrabenazine
  • Haloperidol
  • Haloperidol
  • Tetrabenazine

Question 18

Question
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 [blank_start]hypnic[blank_end] jerks
Answer
  • hypnic

Question 19

Question
Hypnic jerks are often associated with a feeling of falling, and are categorised as a type of [blank_start]myoclonus[blank_end]
Answer
  • myoclonus
  • chorea
  • tic
  • dystonia

Question 20

Question
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? [blank_start]Juvenile Myoclonic Epilepsy[blank_end]
Answer
  • Juvenile Myoclonic Epilepsy

Question 21

Question
Juvenile Myoclonic Epilepsy (JME) is normally treated with which medication?
Answer
  • Sodium Valproate
  • Lamotrigine
  • Gabapentin
  • Phenytoin

Question 22

Question
Hiccups are a form of [blank_start]myoclonus[blank_end]
Answer
  • myoclonus
  • tremor
  • chorea
  • tic
  • dystonia
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