Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
18 Cards in this Set
- Front
- Back
|
140. Characteristics of Ataxia?
|
a. Gait instability
b. Loss of balance c. Impaired limb coordination |
|
|
141. Acquired causes of ataxia?
|
a. Alcohol intoxication
b. B12 of thiamine deficiency c. Cerebellar infarction or neoplasm d. Demyelinating disease (MS, AIDS) e. Tertiary syphilis (tabes dorsalis) |
|
|
142. 2 Inherited causes of Ataxia?
|
a. Friedreich’s ataxia
b. Ataxia Telangiectasia |
|
|
143. Friedreich’s ataxia inheritance type?
|
a. Autosomal dominant
|
|
|
144. Friedreich’s ataxia onset and presentation?
|
a. Young adulthood
b. Presents with: 1. Ataxia 2. Nystagmus 3. Impaired vibration and proprioception |
|
|
145. Ataxia telangiectasia inheritance type?
|
a. Autosomal dominant.
|
|
|
146. Ataxia telangiectasia onset and presentation?
|
a. Childhood onset
b. Symptoms similar to Friedreich’s ataxia plus telangiectasias. c. Increased risk of cancer. |
|
|
147. With what other condition is Tourette’s syndrome associated?
|
a. OCD
|
|
|
148. Onset of Tourette’s?
|
a. Before age 21.
b. Thought to have autosomal dominant inheritance pattern. |
|
|
149. Clinical features of Tourette’s?
|
a. Motor tics (multiple)
b. Phonic tics (at least one kind) c. These occur frequently and regularly. d. Not all pts w/tics have Tourette’s e. Not all pts w/Tourette’s experience coprolalia (involuntary swearing). |
|
|
150. Tx of Tourette’s (3)?
|
1. Clonidine
2. Pimozide 3. Haloperidol b. Pt education is important. |
|
|
151. Tremor characteristic with Parkinsons?
|
a. At rest
|
|
|
152. Tremor characteristic with Cerebellar “intention tremor”?
|
a. With action.
|
|
|
153. Tremor characteristic with Essential tremor?
|
a. Occurs with certain postures. E.g., arms outstretched or certain tasks (e.g., handwriting)
|
|
|
154. Description of Parkinsonian tremor vs. cerebellar tremor vs. essential tremor?
|
a. Parkinson’s: Pill-rollin
b. Cerebellar “intention tremor”: course c. Essential tremor: Fine |
|
|
155. Aetiology of Parkinsonian tremor vs. cerebellar tremor vs. essential tremor?
|
a. Parkinson’s: Idiopathic or adverse effect of neuroleptic
b. Cerebellar “intention tremor”: Multiple possible aetiologies. c. Essential tremor: Often familial |
|
|
156. Associated features of Parkinsonian tremor vs. cerebellar tremor vs. essential tremor?
|
a. Parkinson’s: Rigidity, bradykinesia, shuffling gait
b. Cerebellar “intention tremor”: ataxia, nystagmus, dysarthria c. Essential tremor: Head tremor, vocal tremulousness |
|
|
157. What are the following improved by Parkinsonian tremor vs. cerebellar tremor vs. essential tremor?
|
a. Parkinson’s: Action
b. Cerebellar “intention tremor”: Rest (no tremor at rest) c. Essential tremor: Alcohol |
