Movement Disorders & Demyelinating Disease

1.A 64 year old man presented with progressive slowing of all movements since one year with tremors for the last 6 months. On examination his face was expressionless with increased tone in all four limbs

• a) What is the probable diagnosis.
• b) List other clinical signs of this disease
• c) Name other diseases associated with this disease
• d) How will you manage this disease

1.Management of Parkinson’s disease

2.Clinical features of cerebellar disease

3.Investigations for a suspected case of multiple sclerosis

4.Four causes of chorea

5.Four clinical signs of cerebellar dysfunction

6.Name two causes for cerebellar dysfunction

7.What is myoclonus. List two causes

8.Treatment of acute inflammatory demyelinating polyneuropathy (AIDP)

9.Myotonic dystrophy

10.Treatment of parkinsonism

11.Mention 4 causes for flapping tremor

1.1) Circumduction gait - Parkinson’s disease

• 2) Waddling gait
• 3) Ataxic gait
• 4) High-stepping gait -
• a) 1 & 2 are correct
• b) 1 & 3 are correct
• c) 3 & 4 are correct
• d) 2 & 4 are correct

2.1) TICS - Tourette syndrome

• 2) Myoclonus -
• 3) Chorea
• 4) Essential tremor
• a) 1 & 2 are correct
• b) 1 & 3 are correct
• c) 3 & 4 are correct
• d) 2 & 4 are correct