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8 Cards in this Set

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  • Back
A person with equal bilateral hand tremor, increasing when the hands are moving and stretched out in front of them might have what disorder?
Benign essential tremor. Patients with BET typically do not have symptoms of rigidity or bradykinesia, as in Parkinson’s Disease. Only about 5% of persons diagnosed with BET develop PD.
A patient initially diagnosed with PD has dizziness on standing, bladder difficulty, and impotence. What might they actually have?
Autonomic Nervous System insufficiency in Shy Drager Syndrome. These individuals might later develop PD symptoms of rigidity, tremor, bradykinesia, postural instability, and gait difficulty.
True or false, persons with Striato-Nigral Degeneration have tremor?
False. Persons with Stiato-Nigral Degeneration become stiff and slow and develop difficulty with balance and walking; however, they usually do not have tremor. This is an uncommon disorder.
Can an individual with Striato-Nigral Degeneration be distinguished from PD on a neurologic exam? If so, how? If not, why?
No. This can only be done post-mortem because damage is in the striatum and not the substantia nigra (reverse of PD).
What are risk factors of Pseudobulbar Palsy that are not risk factors with PD?
Hypertension and arteriosclerosis. This is related to small strokes so mild that the patient is often unaware of them. Pseudobulbar Palsy can often not be distinguished from PD on neurologic exam.
A disorder, more extensive than PD, but with eye movement paralysis, difficulty in speaking, rigidity, and senility is…
Progressive Supranuclear Palsy. This condition does not respond to antiparkinsonian drugs.
Olivopontocerebellar Degeneration causes ataxia and possibly action or sustention tremor, but it lacks what features of PD?
Rigidity and bradykinesia. This disorder results from deterioration of the Cerebellum, Pons, and Olives, and does not respond to antiparkinsonian medications.
In what way is the early stage of Huntington’s Disease different from PD?
HD can involve early changes in behavior, personality, and mood. Early chorea might resemble the involuntary movements caused by Levodopa and may precede, occur simultaneously, or follow, mental changes.