Parkinson's Disease Overview
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Questions and Answers

Which symptom is commonly associated with Parkinson's disease?

  • Tremor at rest (correct)
  • Rapid involuntary movements
  • Uncontrolled muscle movements
  • Difficulty with hearing
  • What is the primary cause of the symptoms experienced in Amyotrophic Lateral Sclerosis (ALS)?

  • Loss of nerve cells controlling muscles (correct)
  • Viral infection
  • Autoimmune response
  • Dopamine depletion
  • What is a common early sign of Huntington's disease?

  • Loss of voice
  • Severe tremors
  • Hallucinations
  • Mood swings (correct)
  • Which of the following describes a significant intervention for managing swallowing in Parkinson's disease?

    <p>Providing thickened fluids (B)</p> Signup and view all the answers

    Which condition is characterized by rapid demyelination due to an autoimmune response?

    <p>Guillain-Barré syndrome (B)</p> Signup and view all the answers

    What is a common symptom of generalized seizures?

    <p>Intense rigidity of the body (D)</p> Signup and view all the answers

    What dietary recommendation is given for patients with Huntington's disease?

    <p>Soft or purred diet (B)</p> Signup and view all the answers

    Which medication is commonly used to manage Parkinson's disease symptoms?

    <p>Sinemet (levodopa, carbidopa) (B)</p> Signup and view all the answers

    What critical support may be needed for patients with Guillain-Barré syndrome?

    <p>Intensive care management (A)</p> Signup and view all the answers

    Which of the following classical symptoms is not associated with ALS?

    <p>Uncontrollable eye movements (A)</p> Signup and view all the answers

    In managing seizures, what type of medication is commonly prescribed?

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

    Which symptom indicates a medical emergency known as status epilepticus?

    <p>Seizures occurring without full recovery for at least 30 minutes (D)</p> Signup and view all the answers

    Which psychiatric change is often associated with Parkinson's disease?

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

    What type of gait is often observed in Parkinson's disease patients?

    <p>A shuffling gait (C)</p> Signup and view all the answers

    Flashcards

    Parkinson's Disease

    A progressive neurological disorder causing movement problems due to dopamine deficiency.

    Dopamine Deficiency

    Low levels of dopamine in the brain.

    Bradykinesia

    Slowed movement, affecting tasks like walking.

    Huntington's Disease

    Hereditary brain disorder causing uncontrolled movements and decline.

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    Chorea

    Involuntary, jerky movements.

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    ALS (Amyotrophic Lateral Sclerosis)

    Progressive muscle loss due to nerve cell damage.

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    Seizures

    Episodes of abnormal brain activity causing involuntary movements.

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    Generalized Seizures

    Seizures affecting the entire brain.

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    Focal Seizures

    Seizures starting in one part of the brain.

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    Status Epilepticus

    Continuous seizures without recovery.

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    Guillain-Barré Syndrome

    Autoimmune disorder causing nerve damage.

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    Plasmapheresis

    Treatment for Guillain-Barré removing antibodies from blood.

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    Antiparkinsonian Agents

    Medications that treat Parkinson's.

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    Micrographia

    Small, cramped handwriting.

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    Sinemet

    A medication for Parkinson's Disease that prevents dopamine breakdown.

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    Study Notes

    Parkinson's Disease

    • Slowly progressing neurological movement disorder
    • Caused by decreased dopamine levels due to the destruction of cells in the substantia nigra of the basal ganglia
    • Manifestations: Tremor (at rest), rigidity (resistance to movement), bradykinesia (slowed movement, shuffling gait, mask-like face), postural instability (forward flexion), depression, dementia, autonomic symptoms, sleep disturbances, and micrographia (small handwriting)
    • Medical Management: Treatment focuses on symptom control and function management
    • Antiparkinsonian Agents: Sinemet (levodopa, carbidopa) prevents dopamine breakdown; long-term use can cause dyskinesia (involuntary movements)
    • Interventions: Enhance swallowing (e.g., proper food positioning), encourage assistive devices to prevent falls, improve communication (due to slowed speech and jaw rigidity), support coping abilities, improve mobility (gentle ROM, rest breaks), enhance self-care, improve bowel elimination, and improve nutrition (monitor intake, soft foods)

    Huntington's Disease

    • Chronic, progressive, hereditary disease
    • Autosomal dominant trait (50% risk of inheritance)
    • Characterized by progressive involuntary movements (chorea) and dementia
    • Clinical Signs & Symptoms: Abnormal involuntary movements (chorea), intellectual decline, emotional disturbances, constant writhing/twisting movements, speech/visual impairment, and voluntary movement impairment
    • Early Symptoms: Mood swings, depression, irritability, trouble with driving, learning, memory, and decision-making
    • Late Symptoms: Difficulty concentrating, feeding/swallowing problems, uncontrolled movements
    • Home Teaching: Focus on high-calorie, high-protein diet (soft or pureed), passive ROM exercise, and home safety (no door alarms)

    Amyotrophic Lateral Sclerosis (ALS)

    • Also known as Lou Gehrig's disease
    • Onset typically in the 50s-60s
    • Loss of nerve cells controlling muscles leads to progressive weakness and atrophy (primarily in extremities and trunk)
    • Swallowing and respiratory function are impaired (risk of aspiration)
    • Chief Symptoms: Fatigue, progressive muscle weakness, cramps, fasciculations (twitching), incoordination, and eventually, compromised respiratory function

    Seizures

    • Episodes of abnormal neural activity
    • Classifications: Generalized seizures (bilaterally distributed), focal seizures (one hemisphere origin)
    • Specific Causes: Cerebrovascular disease, hypoxemia, fever (especially in children), head injury, hypertension, infections, metabolic/toxic conditions, brain tumors, drug/alcohol withdrawal, allergies
    • Generalized Seizures: Intense body rigidity, followed by alternating muscle relaxation and contraction
    • Focal Seizures: Possible impairment of consciousness/awareness
    • Interventions: Anticonvulsant medications (e.g., valproic acid, benzodiazepines)
    • Status Epilepticus: Continuous seizures without full recovery between attacks (medical emergency)

    Guillain-Barré Syndrome

    • Autoimmune disorder affecting peripheral nerves' myelin
    • Often follows a viral infection
    • Manifestations: Weakness, paralysis, paresthesias (numbness/tingling), pain, diminished/absent reflexes (initially in lower extremities) and tachycardia, hypertension
    • Medical Management: Intensive care, continuous monitoring, respiratory support, plasmapheresis, and IVIG to reduce antibodies; recovery rates vary but most people recover completely.

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    Description

    Test your knowledge on Parkinson's Disease, a slowly progressing neurological movement disorder characterized by decreased dopamine levels. Explore its manifestations, medical management, and interventions to improve quality of life for patients. This quiz will help reinforce your understanding of this condition and its treatment.

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