INSTRUCTIONS Management of patients with Parkinson disease
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- You will receive your CE certificate of earned contact hours and an answer key to review your results.There is no minimum passing grade.
- Registration deadline is October 31, 2015.
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Management of patients with Parkinson disease
General Purpose: The purpose of this learning activity is to provide information about PD and its management. Learning Objectives: After reading this article and taking the test, the learner will be able to: 1. Discuss the incidence, pathophysiology, clinical manifestations, and diagnosis of PD. 2. Describe pharmacologic and nonpharmacologic management strategies for PD.
- What percentage of patients is unable to live at home 10 years after PD diagnosis?
- more than 75%
- less than 10%
- The most characteristic pathologic feature of PD is the
- development of concentric hyaline inclusions (Lewy bodies) found in cytoplasm.
- loss of dopamine-containing neurons in the substantia nigra pars compacta.
- degeneration of serotonergic neurons.
- degeneration of noradrenergic neurons.
- Potential risk factors for PD include
- exposure to pesticides.
- drinking caffeinated beverages.
- genetic mutations on chromosomes 2 and 8.
- only genetic abnormalities.
- Which symptom of PD has a diagnostic sensitivity of 99%?
- intentional tremor
- cogwheel rigidity
- postural instability
- Which nonmotor symptoms are associated with basal ganglia involvement?
- mild dementia and psychosis
- apathy, restlessness, and impulse control
- depression, anxiety, and sleep disorders
- orthostatic hypotension, constipation, and sensory disorders
- Of the nonmotor symptoms, dysphagia usually
- occurs late in PD disease progression.
- occurs early in PD disease progression.
- occurs before dysarthria.
- is not associated with PD.
- What percentage of PD patients has clinically significant depression?
- When making a differential diagnosis, imaging tests can identify
- multiple cerebral infarctions.
- Alzheimer disease.
- Which medication or drug category is most effective for managing PD symptoms?
- dopamine agonists
- Bromocriptine and pramipexole are examples of drugs from which category?
- COMT inhibitors
- MAO-B inhibitors
- dopamine agonists
- The action of the MAO-B inhibitor selegiline is to
- stimulate the subthalamic nucleus.
- stimulate dopamine receptors in the brain.
- block proteins that inactivate dopamine.
- block cholinesterase effects at the synapse.
- What is the effect of anticholinergic drugs in treating PD?
- decrease rigidity
- reduce tremors
- decrease “wearing off” periods
- reduce incidence of dyskinesias
- Because of adverse reactions, which antidepressant should be used cautiously in older patients with PD?
- Adverse reactions to DBS include
- risk of increasing “on-off time.”
- risk of unintentional pallidotomy.
- speech disorders and seizures.
- stimulation of the subthalamic nucleus.
- The authors advise using all these nonpharmacologic PD management strategiesexcept
- patient and family education.
- cognitive stimulation exercises.
- occupational and physical therapy.
- support groups for the patient and family.
- Which wasnot reported as research-based for reducing motor-related symptoms?
- Tai Chi
- Which organization developed the10Quality Measures for PD Improvement?
- National Institutes of Health
- Movement Disorder Society
- Parkinson's Disease Association
- American Academy of Neurology
- What resource do the authors suggest for setting goals and advanced care planning?
- Parkinson's Disease Model of Care
- 10 Qualities for PD Improvement
- Unified Parkinson Disease Rating Scale
- Parkinson's Disease Common Data Elements Standards