Parkinson's Disease and Syndromes Quiz
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Questions and Answers

What is a common cause of epidural bleeding?

  • Surgical complications
  • Tear in middle meningeal artery (correct)
  • Tear in bridging veins
  • Rupture of cranial arteries
  • Which of the following features is characteristic of subdural bleeding?

  • Lucid interval without deterioration
  • Rapid accumulation of blood (correct)
  • Commonly caused by arterial tears
  • Gradual increase in consciousness
  • What is the typical mortality rate associated with subdural bleeding?

  • 40-50%
  • 10-15%
  • 50-80% (correct)
  • 20-30%
  • Which symptom is considered the most reliable indicator of a concussion?

    <p>Retrograde/anterograde amnesia</p> Signup and view all the answers

    What is the main treatment method for resolving a subdural hematoma?

    <p>Neurosurgical evacuation</p> Signup and view all the answers

    Which condition is characterized by rhythmic, uniphasic contractions without spreading?

    <p>Epilepsia partialis continua</p> Signup and view all the answers

    What describes asterixis in terms of muscle activity?

    <p>Lapses in sustained posture causing involuntary movements</p> Signup and view all the answers

    Which movement disorder involves the involuntary contraction of eyelid muscles?

    <p>Blepharospasm</p> Signup and view all the answers

    What is the primary characteristic of polymyoclonus?

    <p>Widespread, lightning-like a rhythmic contractions</p> Signup and view all the answers

    What best describes Meige’s syndrome?

    <p>Forceful jaw opening with facial spasms</p> Signup and view all the answers

    What is a common symptom of an MCA stroke when the dominant hemisphere is affected?

    <p>Global aphasia</p> Signup and view all the answers

    Which symptom is characteristic of a PCA stroke?

    <p>Hemisensory deficit</p> Signup and view all the answers

    What effect does damage to the optic tract have on visual fields?

    <p>Contralateral homonymous hemianopia</p> Signup and view all the answers

    What is the gold standard treatment for acute ischemic stroke?

    <p>Intravenous recombinant tissue plasminogen activator (rt-PA)</p> Signup and view all the answers

    Which symptom is typically spared in an ACA stroke affecting the motor regions?

    <p>Leg movement</p> Signup and view all the answers

    What is a common symptom associated with neglect syndrome?

    <p>Failure to respond to stimuli on one side of the body</p> Signup and view all the answers

    What is the primary benefit of using anticoagulation therapy in patients with atrial fibrillation?

    <p>To reduce the risk of stroke</p> Signup and view all the answers

    Which of the following is a component of Horner's syndrome?

    <p>Miosis</p> Signup and view all the answers

    Which of the following represents a management step for stroke patients?

    <p>Correct hyperglycemia gradually</p> Signup and view all the answers

    Which modality is directly involved in the rehabilitation of neurospasticity?

    <p>Daily stretching and static resting splints</p> Signup and view all the answers

    In the context of traumatic spinal cord injuries, what characterizes Brown-Sequard syndrome?

    <p>Complete loss of motor and sensory function on one side of the body</p> Signup and view all the answers

    Which intervention is most appropriate for treating aphasia?

    <p>Visual action therapy</p> Signup and view all the answers

    What is a common consideration in the rehabilitation of stroke patients related to their vital signs?

    <p>Best rehabilitation occurs when blood pressure and vital signs are stabilized</p> Signup and view all the answers

    Which complication is associated with neuroleptic drugs?

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

    What is the primary cause of traumatic brain injury (TBI) in adults?

    <p>Alcohol abuse</p> Signup and view all the answers

    What characterizes a closed head injury?

    <p>Blunt non-penetrating injury</p> Signup and view all the answers

    Which type of brain injury likely leads to generalized mass effect in the brain?

    <p>Diffuse axonal injury</p> Signup and view all the answers

    Which site of hemorrhage results in extreme headache and vomiting?

    <p>Subarachnoid hemorrhage</p> Signup and view all the answers

    What type of injury is associated with the atlanto-axial dislocation?

    <p>Whip splash injury</p> Signup and view all the answers

    What can occur as a result of a basal skull fracture?

    <p>Anosmia</p> Signup and view all the answers

    Which statement about secondary traumatic brain injury (TBI) is true?

    <p>It is triggered by initial physiological processes.</p> Signup and view all the answers

    What is the primary role of the Circle of Willis in the brain's vascular system?

    <p>Providing collateral circulation</p> Signup and view all the answers

    Which condition is characterized by occlusion due to atherosclerotic plaque?

    <p>Thrombosis</p> Signup and view all the answers

    What are the primary components of the vertebrobasilar territory?

    <p>Basilar artery and PICA</p> Signup and view all the answers

    What is a potential consequence of bilateral blockage in the carotid artery?

    <p>Diffuse global ischemia</p> Signup and view all the answers

    Which type of stroke involves blood from a weak heart after an acute myocardial infarction?

    <p>Embolic stroke</p> Signup and view all the answers

    What is the most common location for an intracerebral hemorrhage?

    <p>Putamen</p> Signup and view all the answers

    What type of aneurysm is characterized by a bulging outpouching of a blood vessel?

    <p>Saccular aneurysm</p> Signup and view all the answers

    What are the potential outcomes of an abnormal connection between arteries and veins known as an AVM?

    <p>Mixing of oxygenated and deoxygenated blood</p> Signup and view all the answers

    Study Notes

    Parkinson Syndrome

    • Primarily a deficit of akinesia (or hypokinesia)
    • Bradykinesia is evident as slow movement and reaction time delays
    • Rigidity is manifest as increased muscle tone
    • Tremor is typically 3-5 per second, affecting fingers, arms, and chin
    • Postural imbalance is commonly associated
    • Flexed posture, rounded shoulders, and slightly flexed arms/knees/legs are common
    • Disequilibrium and festination (quickening steps) are often observed

    Parkinsonism

    • A drug-induced symptom
    • Dopamine depletion is characteristic
    • Drugs competing with dopamine can trigger parkinsonism
    • Symetry is a common feature, with tremor less frequently involved
    • Symptoms often appear after 3 months of drug intake
    • Haloperidol is a common drug associated with the disease

    Parkinson's Disease

    • Synonymous with Paralysis Agitans
    • Neurodegenerative disorder of the extrapyramidal system
    • Characterized by resting tremor, rigidity, and bradykinesia
    • Typically an adult-onset condition
    • Idiopathic in origin
    • Treatment typically involves levodopa
    • Genetic factors can increase risk by seven times
    • Loss of pigmented cells in the substantia nigra is a key pathological finding
    • Dopamine loss, in particular, is a key feature

    Diagnostic Criteria

    • Clinically probable Parkinsonism if one symptom is present: resting tremor, rigidity, or bradykinesia
    • Clinically probable if 2 symptoms are present
    • Clinically definite if 3 symptoms are present and at least 1 displays symmetry

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    Description

    Test your knowledge on Parkinson's disease, its symptoms, and related syndromes. This quiz covers akinesia, bradykinesia, rigidity, and drug-induced parkinsonism. Challenge yourself to understand the nuances and classifications of these medical conditions.

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