Golf and Risk of Parkinson Disease

Living within 1 to 3 miles of a golf course is associated with an increased risk of parkinson disease.

  • True
  • False
Volume 40.6 - Question 17

Parkinson’s Disease

Which one of the following statements about Parkinson’s disease is false?

  • Nonmotor symptoms often predate the onset of motor symptoms by many years.
  • No imaging technique can confirm the diagnosis.
  • Motor symptoms of slowness tend to be symmetric.
  • No available pharmacologic therapy slows progression of the disease.
Volume 40.1 - Question 31

Lixisenatide in Parkinson’s Disease

In early Parkinson’s disease, glucagon-like peptide-1 (GLP-1) receptor agonist lixisenatide results in less progression of motor disability than placebo at 12 months.

  • True
  • False
Volume 39.6 - Question 33

Parkinson Disease

Which one of the following is a common feature of Parkinson Disease?

  • Neck and trunk rigidity more prominent than limb rigidity.
  • Prominent postural instability early in the course of illness.
  • Absence of nonmotor symptoms after 5 years.
  • Neuropsychiatric symptoms in early stages.
Volume 38.3 - Question 30

Parkinson – Treatment

Which one of the following about the treatment of Parkinson Disease is false?

  • Delaying levodopa initiation until severe symptoms develop worsens disability.
  • Medications for Parkinson Disease should not be stopped abruptly.
  • Psyllium is the treatment of choice for constipation.
  • Botulinum toxin A injections are highly effective for the treatment of sialorrhea.
Volume 38.6 - Question 36

Parkinson Disease and Trichloroethylene

Remote occupational exposure to trichloroethylene in drinking water may increase the risk of Parkinson disease.

  • True
  • False
Volume 38.6 - Question 9

Long-Term Sequelae of Carbon Monoxide Toxicity

The Glasgow Coma Scale is a valuable prognostic tool for predicting delayed neuropsychiatric sequelae in carbon monoxide poisoning.

  • True
  • False
Volume 41.2 - Question 23

Inappropriate Sexual Behaviour in Persons with Dementia

Which one of the following statements about inappropriate sexual behaviour in persons with dementia is false?

  • The behaviour is less common in people with Parkinson’s disease dementia after treatment with dopaminergic agents.
  • Non-pharmacological interventions are effective.
  • Hormonal therapies can decrease the behaviours in males.
  • Antiandrogens are most associated with adverse side effects.
Volume 41.2 - Question 15

Essential Tremor

A 72-year-old woman presents for a general checkup. She mentions that she is bothered increasingly by shaking of her right hand and her head. It interferes with her ability to eat, drink and write. She is concerned that she may have Parkinsons disease. You make a diagnosis of essential tremor which is considered an action tremor.

Volume 40.21 - Question 12

Malnutrition

In evaluating adults for possible malnutrition, serum albumin should be used as an indicator of nutritional status.

  • True
  • False
Volume 40.2 - Question 34

Essential Tremor

A 72-year-old woman presents for a general checkup. She mentions that she is bothered increasingly by shaking of her right hand and her head. It interferes with her ability to eat, drink and write. She is concerned that she may have Parkinsons disease. You make a diagnosis of essential tremor which is considered an action tremor.

Volume 40.1 - Question 38

Falls

An 85-year-old female patient was brought in by her daughter today to discuss her mother’s recent falls in her current residence. This patient lives alone in a house with 2 staircases for the 2 floors and basement. She has fallen multiple times in her house recently. She is experiencing pains in various parts of her body.

Volume 39.6 - Question 42

Vestibular Rehabilitation after Stroke

Patients suffering from stroke can continue to see improvement in balance and gait with vestibular rehabilitation therapy up to 6 months after stroke onset.

  • True
  • False
Volume 39.6 - Question 34

The Twitchy Tongue - An Approach

Which one of the following statements about hyperkinetic movements of the tongue is false?

  • Epileptic conditions are a situation in which hyperkinetic movements of the tongue may be represented.
  • Cortical infarcts could be manifested as tongue tremors.
  • Tardive dyskinesia does not involve any parts of the tongue.
  • Isolated tongue tremor may be a presentation of idiopathic Parkinson’s disease.
Volume 39.6 - Question 25

Dementia

Three years of daily use of a single strong anticholinergic medication at the minimum effective dose recommended for older people is associated with 50% increased odds of dementia.

  • True
  • False
Volume 35.61 - Question 28

Medical Assistance in Dying

In Canada, chronic pain syndromes represent the most common diagnosis for medical assistance in dying requests when death is not reasonably foreseeable.

  • True
  • False
Volume 39.3 - Question 40

Transportation Noise and Dementia

Transportation noise is associated with a higher risk of all-cause dementia.

  • True
  • False
Volume 37.2 - Question 9

Rapid Agitation Control

For patients in the emergency department with severe agitation, intramuscular ketamine resulted in a significantly shorter time to adequate sedation than a combination of intramuscular midazolam and haloperidol.

  • True
  • False
Volume 37.4 - Question 34

Bullous Pemphigoid

Which one of the following statements about bullous pemphigoid due to dipeptidyl-peptidase 4 (DPP4) inhibitors is false?

  • Median onset time from DPP4 inhibitor commencement is 11 months.
  • Skin biopsy is required for diagnosis.
  • Clinically, lesions are more widespread than traditionally described bullous pemphigoid.
  • Most patients with moderate to severe cases are sufficiently treated by potent topical corticosteroids.
Volume 37.5 - Question 29

Wilson’s Disease

Which one of the following statements about Wilson’s disease is false?

  • Dysarthria is often the first prominent neurological symptom.
  • Serum ceruloplasmin level alone is adequate for diagnosis.
  • Acute liver failure may be the first manifestation.
  • Screening of all first-degree relatives is mandatory.
Volume 39.2 - Question 18

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