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Regarding the epidemiology of Parkinson’s disease (PD):
Parkinson’s disease is:
Parkinsonism is a complication of a number of different aetiologies. Which of the following is not a recognised cause of Parkinsonism?
Which of the following would be consistent with this diagnosis?
Regarding the pharmacology of PD:
Parkinson’s disease should be diagnosed:
A 64-year-old man presents with a resting tremor affecting his right hand only. He has recently retired as a butcher and is enjoying his retirement. He spends much of his time hill walking and bird watching.
On examination, there is some increased tone in the right arm with a definite “cog-wheel” character. He has done an internet search and is keen to start treatment for what he thinks is PD. He has a history of well-controlled hypertension and episodic depressive episodes.
Which of the following is true?
A 71-year-old lady with a background of PD presents to the emergency department (ED). She has been brought in by her daughter because as of this morning she has become increasingly immobile and is essentially chair-bound. Her daughter is concerned she may have had a stroke.
On examination by the ST1, she is found to have increased tone in all limbs, a resting bilateral tremor and to be monosyllabic in her response to questions. However, when examined by yourself she has diminished tone and involuntary movements of her face and both arms (dyskinesias). She is able to answer questions and you are able to discern that she has had similar episodes before though they were fairly short-lived.
Which of the following statements is most true?
A 71-year-old lady with a background of PD presents to the emergency department. Which of these symptoms would not be attributed to PD medication?
Which of the following statements regarding ED attendance by patients with PD is correct? Attendances may occur:
It explains nicely
great module for ED Doctors.
Excellent Learning seesion
For a future review of this learning session, it would be extremely helpful to include how to convert the anti-Parkinson’s medication to a skin patch for patients with difficulty swallowing who cannot tolerate a nasogastric tube.
Great module
Great module