Notes in Case 2: Parkinson's

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Published 05/11/2024 Stimulation of the {{c1::mesolimbic}} dopamine pathway results in increased addiction behaviors in people taking levodop…
Published 05/11/2024 Stimulation of the {{c1::mesocortical}} dopamine pathway results in increased hallucinations and nightmares in people ta…
Published 05/11/2024 Head tremor = {{c1::Essential}} tremor, not Parkinson's
Published 05/11/2024 The cardinal feature of Parkinson's disease is {{c1::bradykinesia}}
Published 05/11/2024 Parkinson's is associated with {{c1::resting}} tremor
Published 05/11/2024 Parkinson's is associated with "{{c1::stooped}}" posture
Published 05/11/2024 Stimulation of the {{c1::nigrostriatal}} dopamine pathway results in decreased {{c2::bradykinesia}} and {{c2::rigidity}}…
Published 05/11/2024 In the US, levodopa is always paired with {{c1::carbidopa}}
Published 05/11/2024 {{c1::Lewy Body Dementia}} and {{c2::Multiple System Atrophy}} are Parkinson's plus syndromes that are characterized by accumulation of {{c3::synuclei…
Published 05/11/2024 Parkinson's plus syndromes that are characterized by the accumulation of {{c1::synuclein}} are more responsive to levodopa than those characteriz…
Published 05/11/2024 Parkinson's plus syndromes are somewhat responsive to {{c1::levodopa::drug(s)}} but not at all to {{c1::dopamine agonists::drug(s)}}
Published 05/11/2024 Both MAO-B inhibitors and COMT inhibitors extend the half-life of levodopa, but {{c1::MAO-B}} inhibitors can also be used standalone in early Par…
Published 05/11/2024 The picture below shows {{c1::Lewy bodies::what histological feature}}
Published 05/11/2024 Which antipsychotic is preferentially used to treat psychotic symptoms in Parkinson's disease with dementia?{{c1::Quetiapine}}
Published 05/11/2024 Early-onset dementia with Parkinsonian features is suggestive of {{c1::Lewy body}} dementia
Published 05/11/2024 {{c1::Levodopa (L-DOPA)}} is a precursor of dopamine that does cross the blood-brain barrier
Published 05/11/2024 Once in the CNS, L-DOPA may be converted to {{c2::dopamine}} via the enzyme {{c1::DOPA decarboxylase}}
Published 05/11/2024 {{c1::Carbidopa}} is a peripheral {{c2::DOPA decarboxylase}} inhibitor used to increase the bioavailability of levodopa
Published 05/11/2024 Dopamine in the CNS may be degraded to {{c2::3-methoxytyramine (3-MT)}} via the enzyme {{c1::catechol-O-methyltransferase (COMT)}}
Published 05/11/2024 {{c2::Entacapone}} is a peripheral {{c1::COMT}} inhibitor used to increase the bioavailability of levodopa
Published 05/11/2024 Dopamine in the CNS may be degraded to {{c2::DOPAC}} via the enzyme {{c1::MAO-B}}
Published 05/11/2024 {{c2::Ropinirole}} is a non-ergot {{c1::D2}} receptor agonist that is used in initial treatment of Parkinson disease
Published 05/11/2024 Dopamine receptor agonists, such as ropinirole, may {{c1::increase}} impulse activities (e.g. gambling, shopping, hypersexuality)
Published 05/11/2024 What form of parkinsonism presents with rapidly progressive gait dysfunction, falls, executive function loss, and vertical gaze palsy?{{c1::Progressiv…
Published 05/11/2024 {{c1::Multiple system atrophy (MSA)::What condition?}} involves 2/3 of:{{c2::Motor abnormalities (Parkinsonian)::M}} {{c2::"S"erebellar (cerebell…
Published 05/11/2024 What is the treatment of choice for Parkinson disease patients that are non-functional OR over 70 years old?{{c1::Carbidopa-levodopa}}
Published 05/11/2024 When levodopa/carbidopa starts to wear off for Parkinson disease, add:{{c1::MAO-B inhibitors (selegiline)::drug class}}{{c2::COMT inhibitors (-capone)…
Published 05/11/2024 REM sleep behavior disorder is associated with {{c1::alpha-synuclein}} neurodegenerative disorders
Published 05/11/2024 Which Parkinson's disease plus syndrome includes bradykinesia with vertical gaze palsy, apathy, and postural instability?{{c1::Progressive supranuclea…
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