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EMQs in Clinical Medicine.pdf - Peshawar Medical College

EMQs in Clinical Medicine.pdf - Peshawar Medical College

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80 Neurology<br />

34 Abnormal movements<br />

A<br />

B<br />

C<br />

D<br />

E<br />

F<br />

tardive dysk<strong>in</strong>esia<br />

senile dystonia<br />

myoclonus<br />

chorea<br />

akathisia<br />

dysmetria<br />

G<br />

H<br />

I<br />

J<br />

K<br />

L<br />

hemiballismus<br />

Tourette’s syndrome<br />

tics<br />

pill-roll<strong>in</strong>g tremor<br />

torticollis<br />

asterixis<br />

Choose from the options above the term that describes the types of movement <strong>in</strong><br />

the follow<strong>in</strong>g cl<strong>in</strong>ical situations.<br />

1 A jerky tremor of outstretched hands <strong>in</strong> an alcoholic with decompensated liver<br />

disease.<br />

2 Non-rhythmic jerky purposeless movements <strong>in</strong> the hands of a 55-year-old man.<br />

3 A 75-year-old man with poorly controlled diabetes is distressed by wild fl<strong>in</strong>g<strong>in</strong>g<br />

of his right arm and right leg.<br />

4 Grimac<strong>in</strong>g and <strong>in</strong>voluntary chew<strong>in</strong>g <strong>in</strong> a 75-year-old woman on long-term<br />

treatment with neuroleptics.<br />

5 Past-po<strong>in</strong>t<strong>in</strong>g <strong>in</strong> a 60-year-old woman be<strong>in</strong>g <strong>in</strong>vestigated for unsteady gait.<br />

Answers: see page 95.

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