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Parkinson's Syndrome - PT - 4 Hour

INSTRUCTIONS
You will need to answer 14 questions correctly to pass the test.
(1) Which of the following is NOT a main symptom of Parkinson's Syndrome? (p.3)
(A) Tremor
(B) Rigidity
(C) Bradykinesia
(D) Cognitive impariment
(2) Dopamine is produced in the _______. (p.3)
(A) substantia nigra
(B) corpus callosum
(C) Broca's area
(D) Amygdala
(3) Parkinson's occurs in approximately 50% more women than men. (p.6)
(A) True
(B) False
(4) Which of the following symptoms is NOT typically associated with one of the primary symptoms of Parkinson's Syndrome? (p.8)
(A) Masked facial features
(B) Intermittent hand tapping
(C) Increased muscle tone in limbs
(D) Bladder incontinence
(5) Which of the following is best for diagnosing Parkinson's Syndrome? (p.12)
(A) Dopamine Agonist Assay
(B) EEG
(C) Triphasic CSF profile
(D) History and physical examination
(6) Apraxia, autonomics impairment, and cerebellar signs are all red flags that suggest a diagnosis other than Parkinson's syndrome. (p.14)
(A) True
(B) False
(7) Which disease has primary symptoms similar to those of PS, but also includes visual-spatial impairment, apraxia, myoclonus, and dysphagia? (p.14-17)
(A) Normal pressure hydrocephalus
(B) Progressive Subranuclear Palsy
(C) Corticobasal degeration
(D) Dementia with Lewy bodies
(8) An individual is experiencing bilateral finger tapping, moderate slowness of gait, and mild difficulty with grooming tasks. According to the Hoehn and Yahr Scale, they are in which stage of Parkinson's? (p.18-19)
(A) Stage 2
(B) Stage 3
(C) Stage 4
(D) Stage 5
(9) Which of the following is NOT accurately scored utilizing the Unified Parkinson Disease Rating Scale (UPDRS)? (p.19-24)
(A) Severe memory loss with disorientation to time and often place, severe impairment with problems (3 points)
(B) Can cut most foods, some help needed (2 points)
(C) Monotone speech, slurred but understandable (3 points)
(D) Unable to arise from chair without help (4 points)
(10) Parkinson's Syndrome is a fatal disease. (p.25)
(A) True
(B) False
(11) The benefit for most people is improvement of symptoms with the ability to maintain adequate physical activity, and the ability to continue working. (p.25)
(A) True
(B) False
(12) The cornerstone of therapy for PD is the drug _______. (p.26)
(A) Acetylcholine
(B) MAO-B inhibitors
(C) COMT inhibitors
(D) Levodopa
(13) Anticholinergics help to reduce _______. (p.28-29)
(A) Festination
(B) Orthostatic hypotension
(C) Tremors and muscle rigidity
(D) Bradykinesia
(14) Which of the following is NOT a complication of long-term levodopa use? (p.30-31)
(A) Dyskinesia
(B) "Frozen state"
(C) "On-Off" phenomenon
(D) Sundowning
(15) Which region of the brain is the most common target for DBS? (p.33)
(A) Subthalamic nucleus
(B) Amygdala
(C) Hypothalamus
(D) Red nucleus
(16) Stretching of which muscles are typically indicated for individuals with PS? (p.35)
(A) Quadriceps
(B) Thoracic paraspinals
(C) Hamstrings
(D) Triceps
(17) Strengthening exercises are important because Parkinson's Syndrome directly causes muscle weakness. (p.36)
(A) True
(B) False
(18) It now appears that people with PS are at high risk (10 times that of age-matched controls) of developing _______. (p.43)
(A) Hypertension
(B) Dementia
(C) Hepatomegaly
(D) Kidney damage
(19) Psychosis occurs in approximately 30% of people with PS within 5 years of starting treatment with L-dopa. (p.44)
(A) True
(B) False
(20) Approximately 30% of the caregivers of people with PS experience _______. (p.47)
(A) headaches
(B) depression
(C) back pain
(D) arthritis
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