26 Questions
What is the cardinal symptom of resting tremor?
Postural or kinetic tremor
Which symptom is associated with hypokinesia?
Progressively smaller handwriting
What causes cogwheel rigidity in primary parkinsonism?
Co-contraction of agonist and antagonist muscles
Which symptom is a result of combined effects of bradykinesia and rigidity causing loss of postural reflexes and righting reactions?
Postural instability
What characterizes the gait presentation in patients with postural instability in primary parkinsonism?
Festinating (shuffling gait)
Which non-motor symptom is common in patients with primary parkinsonism?
Hallucinations or delusions
Which of the following is a goal in managing the patient's presentation?
Minimizing white matter disruption
Why is the patient normally immediately intubated/ventilated?
To support cervical innervation to the diaphragm
What is the purpose of administering Methylprednisolone to the patient?
To enhance blood flow and reduce inflammation
What are the potential long-term effects of initiating medical treatment within 8 hours of spinal cord injury?
Enhanced neurological recovery and function one year post-injury
What is the main objective of using modest systemic hypothermia in the treatment of spinal cord injury?
To prevent further neurological damage
What is the purpose of using endovascular cooling catheters in the context of spinal cord injury treatment?
To decrease body temperature rapidly
In the context of spinal cord injury, what is the significance of controlling bradycardia during treatment?
It ensures adequate blood supply to the spinal cord
What is the primary goal of stabilizing unstable fractures in spinal cord injury cases?
To decompress and fuse/fixate the fracture for stability
What is the main concern related to respiratory status in spinal cord injury cases?
Difficulty clearing secretions and hypoventilation
Which muscles are responsible for forced expiration and can be impaired in individuals with spinal cord injury?
Internal intercostals and abdominals
Which disorder is characterized by a masked face, rigidity, and loss of voluntary ocular motion?
Progressive Supranuclear Palsy (PSP)
Which condition results in rapidly progressive multisystem neurodegeneration and impacts autonomic function?
Multi-System Atrophy (MSA)
Which condition is characterized by degeneration of the frontal parietal cortex and basal ganglia?
Cortico-Basal Ganglionic Degeneration (CBGD)
Which condition is associated with a short lifespan of 5-7 years after diagnosis?
Progressive Supranuclear Palsy (PSP)
Which disorder is linked to the buildup of alpha-synuclein protein and impaired acetylcholine function?
Lewy Body Dementia
What are the common symptoms of both Parkinson's Disease and Normal Pressure Hydrocephalus?
Hypomimia, hypophonia, and gait disturbances
What disorder occurs from damage to the brain impacting ocular movement, frontal lobe function, and cerebellum?
Progressive Supranuclear Palsy (PSP)
Which condition is characterized by a short and shuffling gait pattern and is linked to the buildup of alpha-synuclein?
Lewy Body Dementia
Which neurological condition is not typically responsive to standard treatment or medication?
Parkinson's Plus Syndrome
What condition arises from a different disorder affecting the CNS and BG including brain injury, HIV, AIDS, and normal pressure hydrocephalus?
Secondary Parkinsonism
Test your knowledge of managing neurogenic shock in a medical emergency. This quiz covers resuscitation, blood perfusion, inflammation reduction, and the use of medical interventions such as intubation, ventilation, vasopressors, and fluid resuscitation.
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