CMN 350 exam 2 Questions With Complete Solutions

Normal Extrapyramidal System correct answer: -normal coordination of involuntary movement -involuntary movement supports voluntary movement while walking -balance of ACh and DA is required for normal functioning Parkinson's and EPSE correct answer: Parkinson's is progressive, chronic, degenerative with unknown cause Associated symptoms: difficulty swallowing, drooling, weight loss, choking, impaired breathing, urinary rtn, constipation Imbalance with Ach and dopamine (too much ACh compared to DA) EPSE correct answer: treated with anticholinergics only EPSE can occur bc of: A. High DA B. Antipsychotic drugs blocking DA C. Imbalance of ACh and DA D. All of the above correct answer: All of the above Akathisia correct answer: -Subjective feeling of restlessness -Restless legs, jittery feeling, nervous energy -Occurs early in course of antipsychotic tx -Most common EPSE Akinesia correct answer: -Bradykinesia, or absence of movement -Weakness, fatigue, painful muscles, Anergia -May or may not respond to anticholinergics -Change dose of antipsychotic Dystonia correct answer: -Abnormal, sustained contracted postures -Affects limbs, trunk, neck, eyes -Appears early in tx (within 3 days) -responds to anticholinergics Torticollis correct answer: Contracted positioning of neck Oculogyric crisis correct answer: contracted position of eyes upward Benzotropine correct answer: Anticholinergic Drug induced parkinsonism correct answer: Tremors, bradykinesia, rigidity, postural instability -Develops early Tardive dyskinesia correct answer: Caused by long term use of antipsychotics, occurs after 6mo or more. -lip smacking, teeth grinding, tongue thrusting or writhing -symptoms stop with sleep -worsens with anticholinergics -no tx developed