Dystonic Gait and Foot Posture Quiz
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Questions and Answers

What is the huffing and puffing sign highly specific for?

  • Orthostatic tremor
  • Functional gait disorders (correct)
  • Myoclonus
  • Parkinson's disease

What is a potential clinical sign pointing towards a functional nature of a gait disorder?

  • Fixed plantar flexion and inversion of one foot or both feet (correct)
  • Periodic paralysis
  • Episodic ataxias
  • Cautious gait

What is the drug of choice for the treatment of the gait disorder of Parkinson's disease?

  • Orthostatic tremor
  • Myoclonus
  • Levodopa (correct)
  • Cervical spondylotic myelopathy

What is a potential precursor of falls in elderly persons?

<p>Gait disorders (D)</p> Signup and view all the answers

What is a fundamental function that determines human life beyond early infancy?

<p>Bipedal gait (D)</p> Signup and view all the answers

What should be considered as a surgical treatment in normal pressure hydrocephalus and hip or knee osteoarthritis?

<p>Surgical treatment should be considered (B)</p> Signup and view all the answers

What are patients with gait disorders not amenable to specific treatment likely to benefit from?

<p>Multimodal rehabilitation (D)</p> Signup and view all the answers

What type of training can improve habitual and maximum gait speed in elderly subjects?

<p>Power training (B)</p> Signup and view all the answers

What is characterized by manipulation-resistant dorsiflexion of the first toe, fixed plantar flexion, and inversion of one foot or both feet?

<p>Functional gait disorders (D)</p> Signup and view all the answers

What is the swivel chair sign indicative of?

<p>Functional gait disorders (C)</p> Signup and view all the answers

What should the prevention and treatment of iatrogenic gait disorders focus on, especially in the geriatric population?

<p>Reducing medication-induced gait disorders (A)</p> Signup and view all the answers

What should be considered as an important measure to reduce the burden of falls in the geriatric population?

<p>Prevention and treatment of iatrogenic gait disorders (B)</p> Signup and view all the answers

What is the main characteristic of orthostatic tremor?

<p>Tremor of very high frequency upon standing up (D)</p> Signup and view all the answers

What may lead to confusion with a functional disorder in patients with orthostatic tremor?

<p>The long average latency period between disease onset and the correct diagnosis (D)</p> Signup and view all the answers

Which medication shows at least mild benefits in the majority of patients with orthostatic tremor?

<p>Clonazepam (A)</p> Signup and view all the answers

What type of gait disorder may cause a consistent deviation from a straight line while walking?

<p>Vestibulopathic gait (D)</p> Signup and view all the answers

What are the main features of myoclonus?

<p>Involuntary jerks resulting in the movement of a joint and sudden loss of muscle tone (D)</p> Signup and view all the answers

Which area is implicated in thalamic astasia?

<p>Thalamus or lenticular nucleus (D)</p> Signup and view all the answers

What is the characteristic feature of acute peripheral vestibular dysfunction on one side?

<p>Feeling of being pulled to the ipsilateral side (D)</p> Signup and view all the answers

What may cause marked impairment of balance and gait initiation?

<p>Lesions of the pontomesencephalic area involving the pedunculopontine nucleus (C)</p> Signup and view all the answers

What is a common characteristic of psychogenic gait disorders?

<p>Inconsistencies in clinical neurological findings (C)</p> Signup and view all the answers

What is a typical cause of myoclonic gait disorder in older age groups?

<p>Generalized cerebral ischemia or hypoxia (A)</p> Signup and view all the answers

Which gait disorder mainly affects standing more than walking?

<p>Orthostatic tremor (B)</p> Signup and view all the answers

What is a possible associated problem with thalamic astasia?

<p>Motor neglect of the contralateral side of the body (C)</p> Signup and view all the answers

What is the most common abnormal posture of the foot in dystonic gait?

<p>Inversion, plantar flexion, and tonic extension of the big toe (C)</p> Signup and view all the answers

Which type of walking may be paradoxically less impaired than walking forward in patients with dystonic gait?

<p>Walking backwards (A)</p> Signup and view all the answers

What might improve or even normalize dystonic gait in some patients?

<p>Resting one's hand on one's neck (C)</p> Signup and view all the answers

Which movement disorder is characterized by cognitive decline and psychiatric disturbance and also affects the patients’ gait?

<p>Huntington’s disease (D)</p> Signup and view all the answers

In which condition may choreatic gait disorders occur as a side effect?

<p>Parkinson's disease (B)</p> Signup and view all the answers

What are the typical characteristics of choreatic gait in patients?

<p>Impaired by sudden involuntary movements, irregular, dance-like, and swaying (D)</p> Signup and view all the answers

What do patients with choreatic gait do to compensate for intrusive movements?

<p>They widen their stance base and walk more slowly (C)</p> Signup and view all the answers

In which condition may stereotypical or bizarre dyskinesia appear?

<p>Tardive dyskinesia (C)</p> Signup and view all the answers

What type of inheritance pattern does Huntington's disease have?

<p>Autosomal dominant inheritance pattern (A)</p> Signup and view all the answers

Which part of the body does choreatic movement disorder also affect in Huntington's disease?

<p>Legs and feet (D)</p> Signup and view all the answers

In which condition may choreatic gait disorders occur less frequently?

<p>Hypoxic lesions in the basal ganglia following cardiopulmonary bypass surgery (A)</p> Signup and view all the answers

When do falls typically occur in patients with typical choreatic gait?

<p>Falls typically occur only in severe cases (D)</p> Signup and view all the answers

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