CMN 350 exam 2
vb vb vb
NormalvbExtrapyramidalvbSystemvb-vbcorrectvbanswer✔ ✔ -
normalvbcoordinationvbofvbinvoluntaryvbmovement
-involuntaryvbmovementvbsupportsvbvoluntaryvbmovementvbwhilevbwalking
-balancevbofvbAChvbandvbDAvbisvbrequiredvbforvbnormalvbfunctioning
Parkinson'svbandvbEPSEvb-vbcorrectvbanswer✔ ✔
Parkinson'svbisvbprogressive,vbchronic,vbdegenerativevbwithvbunknownvbcau
se
Associatedvbsymptoms:vbdifficultyvbswallowing,vbdrooling,vbweightvbloss,vbc
hoking,vbimpairedvbbreathing,vburinaryvbrtn,vbconstipation
ImbalancevbwithvbAchvbandvbdopaminevb(toovbmuchvbAChvbcomparedvbtovbD
A)
EPSEvb-vbcorrectvbanswer✔ ✔ treatedvbwithvbanticholinergicsvbonly
EPSEvbcanvboccurvbbcvbof:
A.vbHighvbDAvb
B.vbAntipsychoticvbdrugsvbblockingvbDA
,C.vbImbalancevbofvbAChvbandvbDA
D.vbAllvbofvbthevbabovevb-vbcorrectvbanswer✔ ✔ Allvbofvbthevbabove
Akathisiavb-vbcorrectvbanswer✔ ✔ -Subjectivevbfeelingvbofvbrestlessness
-Restlessvblegs,vbjitteryvbfeeling,vbnervousvbenergy
-Occursvbearlyvbinvbcoursevbofvbantipsychoticvbtx
-MostvbcommonvbEPSE
Akinesiavb-vbcorrectvbanswer✔ ✔ -
Bradykinesia,vborvbabsencevbofvbmovement
-Weakness,vbfatigue,vbpainfulvbmuscles,vbAnergia
-Mayvborvbmayvbnotvbrespondvbtovbanticholinergics
-Changevbdosevbofvbantipsychotic
Dystoniavb-vbcorrectvbanswer✔ ✔ -
Abnormal,vbsustainedvbcontractedvbpostures
-Affectsvblimbs,vbtrunk,vbneck,vbeyes
-Appearsvbearlyvbinvbtxvb(withinvb3vbdays)
-respondsvbtovbanticholinergics
Torticollisvb-vbcorrectvbanswer✔ ✔ Contractedvbpositioningvbofvbneck
, Oculogyricvbcrisisvb-vbcorrectvbanswer✔ ✔
contractedvbpositionvbofvbeyesvbupward
Benzotropinevb-vbcorrectvbanswer✔ ✔ Anticholinergic
Drugvbinducedvbparkinsonismvb-vbcorrectvbanswer✔ ✔
Tremors,vbbradykinesia,vbrigidity,vbposturalvbinstability
-Developsvbearly
Tardivevbdyskinesiavb-vbcorrectvbanswer✔ ✔
Causedvbbyvblongvbtermvbusevbofvbantipsychotics,vboccursvbaftervb6movborvbm
ore.vb
-lipvbsmacking,vbteethvbgrinding,vbtonguevbthrustingvborvbwrithing
-symptomsvbstopvbwithvbsleep
-worsensvbwithvbanticholinergics
-novbtxvbdeveloped
Neurolepticvbmalignantvbsyndromevb-vbcorrectvbanswer✔ ✔ **lethal**
-Hyperthermiavb(101-108)
-Rigidity
-Autonomicvbdysfunction
vb vb vb
NormalvbExtrapyramidalvbSystemvb-vbcorrectvbanswer✔ ✔ -
normalvbcoordinationvbofvbinvoluntaryvbmovement
-involuntaryvbmovementvbsupportsvbvoluntaryvbmovementvbwhilevbwalking
-balancevbofvbAChvbandvbDAvbisvbrequiredvbforvbnormalvbfunctioning
Parkinson'svbandvbEPSEvb-vbcorrectvbanswer✔ ✔
Parkinson'svbisvbprogressive,vbchronic,vbdegenerativevbwithvbunknownvbcau
se
Associatedvbsymptoms:vbdifficultyvbswallowing,vbdrooling,vbweightvbloss,vbc
hoking,vbimpairedvbbreathing,vburinaryvbrtn,vbconstipation
ImbalancevbwithvbAchvbandvbdopaminevb(toovbmuchvbAChvbcomparedvbtovbD
A)
EPSEvb-vbcorrectvbanswer✔ ✔ treatedvbwithvbanticholinergicsvbonly
EPSEvbcanvboccurvbbcvbof:
A.vbHighvbDAvb
B.vbAntipsychoticvbdrugsvbblockingvbDA
,C.vbImbalancevbofvbAChvbandvbDA
D.vbAllvbofvbthevbabovevb-vbcorrectvbanswer✔ ✔ Allvbofvbthevbabove
Akathisiavb-vbcorrectvbanswer✔ ✔ -Subjectivevbfeelingvbofvbrestlessness
-Restlessvblegs,vbjitteryvbfeeling,vbnervousvbenergy
-Occursvbearlyvbinvbcoursevbofvbantipsychoticvbtx
-MostvbcommonvbEPSE
Akinesiavb-vbcorrectvbanswer✔ ✔ -
Bradykinesia,vborvbabsencevbofvbmovement
-Weakness,vbfatigue,vbpainfulvbmuscles,vbAnergia
-Mayvborvbmayvbnotvbrespondvbtovbanticholinergics
-Changevbdosevbofvbantipsychotic
Dystoniavb-vbcorrectvbanswer✔ ✔ -
Abnormal,vbsustainedvbcontractedvbpostures
-Affectsvblimbs,vbtrunk,vbneck,vbeyes
-Appearsvbearlyvbinvbtxvb(withinvb3vbdays)
-respondsvbtovbanticholinergics
Torticollisvb-vbcorrectvbanswer✔ ✔ Contractedvbpositioningvbofvbneck
, Oculogyricvbcrisisvb-vbcorrectvbanswer✔ ✔
contractedvbpositionvbofvbeyesvbupward
Benzotropinevb-vbcorrectvbanswer✔ ✔ Anticholinergic
Drugvbinducedvbparkinsonismvb-vbcorrectvbanswer✔ ✔
Tremors,vbbradykinesia,vbrigidity,vbposturalvbinstability
-Developsvbearly
Tardivevbdyskinesiavb-vbcorrectvbanswer✔ ✔
Causedvbbyvblongvbtermvbusevbofvbantipsychotics,vboccursvbaftervb6movborvbm
ore.vb
-lipvbsmacking,vbteethvbgrinding,vbtonguevbthrustingvborvbwrithing
-symptomsvbstopvbwithvbsleep
-worsensvbwithvbanticholinergics
-novbtxvbdeveloped
Neurolepticvbmalignantvbsyndromevb-vbcorrectvbanswer✔ ✔ **lethal**
-Hyperthermiavb(101-108)
-Rigidity
-Autonomicvbdysfunction
