CMN 350 EXAM 2 QUESTIONS WITH
100% CORRECT ANSWERS
\.Normal Extrapyramidal System - ANSWERS✔--normal coordination of
involuntary movement
-involuntary movement supports voluntary movement while walking
-balance of ACh and DA is required for normal functioning
\.Parkinson's and EPSE - ANSWERS✔-Parkinson's is progressive, chronic,
degenerative with unknown cause
Associated symptoms: difficulty swallowing, drooling, weight loss, choking,
impaired breathing, urinary rtn, constipation
Imbalance with Ach and dopamine (too much ACh compared to DA)
\.EPSE - ANSWERS✔-treated with anticholinergics only
\.EPSE can occur bc of:
A. High DA
B. Antipsychotic drugs blocking DA
C. Imbalance of ACh and DA
, D. All of the above - ANSWERS✔-All of the above
\.Akathisia - ANSWERS✔--Subjective feeling of restlessness
-Restless legs, jittery feeling, nervous energy
-Occurs early in course of antipsychotic tx
-Most common EPSE
\.Akinesia - ANSWERS✔--Bradykinesia, or absence of movement
-Weakness, fatigue, painful muscles, Anergia
-May or may not respond to anticholinergics
-Change dose of antipsychotic
\.Dystonia - ANSWERS✔--Abnormal, sustained contracted postures
-Affects limbs, trunk, neck, eyes
-Appears early in tx (within 3 days)
-responds to anticholinergics
\.Torticollis - ANSWERS✔-Contracted positioning of neck
\.Oculogyric crisis - ANSWERS✔-contracted position of eyes upward
\.Benzotropine - ANSWERS✔-Anticholinergic
100% CORRECT ANSWERS
\.Normal Extrapyramidal System - ANSWERS✔--normal coordination of
involuntary movement
-involuntary movement supports voluntary movement while walking
-balance of ACh and DA is required for normal functioning
\.Parkinson's and EPSE - ANSWERS✔-Parkinson's is progressive, chronic,
degenerative with unknown cause
Associated symptoms: difficulty swallowing, drooling, weight loss, choking,
impaired breathing, urinary rtn, constipation
Imbalance with Ach and dopamine (too much ACh compared to DA)
\.EPSE - ANSWERS✔-treated with anticholinergics only
\.EPSE can occur bc of:
A. High DA
B. Antipsychotic drugs blocking DA
C. Imbalance of ACh and DA
, D. All of the above - ANSWERS✔-All of the above
\.Akathisia - ANSWERS✔--Subjective feeling of restlessness
-Restless legs, jittery feeling, nervous energy
-Occurs early in course of antipsychotic tx
-Most common EPSE
\.Akinesia - ANSWERS✔--Bradykinesia, or absence of movement
-Weakness, fatigue, painful muscles, Anergia
-May or may not respond to anticholinergics
-Change dose of antipsychotic
\.Dystonia - ANSWERS✔--Abnormal, sustained contracted postures
-Affects limbs, trunk, neck, eyes
-Appears early in tx (within 3 days)
-responds to anticholinergics
\.Torticollis - ANSWERS✔-Contracted positioning of neck
\.Oculogyric crisis - ANSWERS✔-contracted position of eyes upward
\.Benzotropine - ANSWERS✔-Anticholinergic
