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Neurology
Movement Disorders: Review Questions
Donald S. Higgins, Jr., MD
Dr. Higgins is an Associate Professor, Center for Neuropharmacology
and Neuroscience and Department of Neurology, Albany Medical College, Albany, NY; and a member of the Hospital Physician Editorial Board.
Choose the single best answer for each question.
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1. The primary neurochemical disturbance in idiopathic Parkinsons
disease involves which of the following neurotransmitters?
- Gamma-aminobutyric acid
- Dopamine
- Glutamate
- Serotonin
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2. Which of the following pathologic abnormalities are characteristically
found in patients with Parkinsons disease?
- Corpora amylacea
- Lewy bodies
- Neurofibrillary tangles
- Pick bodies
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3. Parkinsons disease is characterized by each of the following clinical
symptoms EXCEPT:
- Action tremor
- Bradykinesia
- Postural instability
- Resting tremor
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4. Which of the following symptoms or symptom complexes must be present to
diagnose Tourettes syndrome?
- Coprolalia
- Multiple motor tics present for 6 months
- Multiple motor and phonic tics present for 12 months
- Vocal tics present for 3 months
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5. What is the genetic inheritance pattern of Huntingtons disease?
- Autosomal dominant
- Autosomal recessive
- Maternal
- X-linked
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6. What is the gene mutation present in Huntingtons disease?
- Frameshift mutation
- Mitochondrial DNA deletion
- Nuclear point mutation
- Trinucleotide repeat expansion
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7. Which of the following is the most common tardive, drug-induced
movement disorder?
- Chorea
- Myoclonus
- Orolingual dyskinesia
- Tremor
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