25. Parkinson’s disease

  1. Is a neurodegenerative diseases characterised by the abnormal accumulation of aggregates of tau protein in neurons?
  2. The main pathological characteristic of the disease is cell death in the substantia nigra pars reticulata?
  3. There is a reduced risk of the disease in cigarette smokers and coffee and tea drinkers?
  4. Idiopathic Parkinson’s disease usually has bilateral, symmetrical onset of symptoms?
  5. Levodopa is typically more effective at controlling symptoms in Parkinson plus syndromes than in PD?
  6. Parkinson-plus syndromes are usually more slowly progressive than the idiopathic Parkinson’s disease?

  1. F
  2. F
  3. T
  4. F
  5. F
  6. F

24. Response fluctuations in Parkinson’s disease

  1. Wearing off: a sudden, brief inability to start movement or to continue repeated movements?
  2. Protein related offs: trans­port of levodopa across the intestinal wall is decreased because of competition for facilitated transport by large amounts of neutral amino acids?
  3. Delayed on: a prolongation of the time required for levodopa effect to appear?
  4. Peak-dose dyskinesias: occurs at the time of peak levodopa plasma concentrations?
  5. Freezing: reemergence of parkinsonian symptoms before the next scheduled levodopa dose?
  6. Diphasic dyskinesia: a dyskinesia in which involuntary movements occur during both peak and trough levodopa concentrations?

  1. F
  2. T
  3. T
  4. T
  5. F
  6. T