CME Movement disorders (100624): self-assessment questionnaire
SAQs and answers are ONLINE for RCP fellows and collegiate members
The SAQs printed in the CME section can only be answered online to achieve external CPD credits. Any comments should be sent in via email only: clinicalmedicine{at}rcplondon.ac.uk
Format
Candidates are asked to choose the best answer from the five possible answers. This best of five format is used in many medical examinations, however the questions are not intended to be representative of those used in the MRCP(UK) Part 1 or Part 2 Written Examinations.
The answering process
Go to www.rcplondon.ac.uk/SAQ
Log on using your usual RCP username and password
Select the relevant CME question paper
Answer all 10 questions by selecting the best answer from the options provided
Once you have answered all the questions, click on Submit
Registering your external CPD credits
Carrying out this activity allows you to claim two external CPD credits. These will be automatically transferred to your CPD diary, where you can review the activity and claim your points.
Which of the following symptoms is most predictive of future development of the clinical motor aspects of Parkinson’s disease?
anxiety
depression
gastrointestinal disorders
hyposmia
rapid eye movement behaviour disorder
In Parkinson’s disease, during which of the following stages are non-motor symptoms present?
advanced stage Parkinson’s disease
all throughout the disease course
at diagnosis (early disease)
on commencing therapy
preclinical phase (prodromal Parkinson’s disease)
What are the most common psychiatric disorders associated with Tourette syndrome?
anxiety and obsessive compulsive disorder
attention-deficit/hyperactivity disorder and anxiety
attention-deficit/hyperactivity disorder and obsessive compulsive disorder
depression and anxiety
schizophrenia and depression
What is the most successful deep brain stimulation target in patients with dystonia?
external globus pallidum
internal globus pallidum
sub-thalamic nucleus
substantia nigra
thalamus
What is the most common cause for restless legs syndrome (RLS)?
anaemia
diabetes
idiopathic
neuroleptics
pregnancy
Which of the following treatment options is the most appropriate in a patient with severe RLS symptoms without any treatment at the moment?
levodopa/carbidopa or levodopa/benzerazid
lifestyle changes
opioids
pregabalin
ropinirole
Approximately what percentage of patients met the criteria for minimal cognitive impairment (MCI) at the time of first diagnosis of Parkinson’s disease?
5–10%
20–50%
70–90%
More than 90%
Unclear data
Which drug was shown to be the most effective in treating psychosis in Parkinson’s disease?
amitriptyline
clozapine
nortriptyline
olanzapine
quietapine
Which of the following statements regarding the diagnosis of Parkinson’s disease is correct?
The diagnosis of Parkinson’s disease is based on clinical symptoms. DaTSCANTM is useful in the differential diagnosis between Parkinson’s disease and atypical parkinsonism (eg MSA, PSP). Cardiac MIBG is useful in the differential diagnosis between Parkinson’s disease and non-degenerative forms of parkinsonism such as essential tremor.
The diagnosis of Parkinson’s disease is based on the evidence of dopaminergic deficits assessed with DaTSCANTM. Clinical symptoms may be only suggestive of disease but imaging is mandatory.
The diagnosis of Parkinson’s disease is based on clinical symptoms. DaTSCANTM is useful in the differential diagnosis between Parkinson’s disease and non-degenerative forms of parkinsonism such as essential tremor. Cardiac mIBG could be useful in the differential diagnosis between Parkinson’s disease and atypical parkinsonism (e.g. MSA, PSP).
The diagnosis of Parkinson’s disease is based on the evidence of noradrenergic deficits assessed with cardiac mIBG. Clinical symptoms may be only suggestive of disease but imaging is mandatory.
The diagnosis of Parkinson’s disease is based on the combination of dopaminergic deficits assessed with a DaTSCANTM and noradrenergic deficits assessed with cardiac mIBG. Clinical symptoms may be only suggestive of disease but imaging is mandatory.
Which of the following statements regarding the imaging of Parkinson’s disease is correct?
Striatal DaTSCANTM binding is reduced in Parkinson’s disease compared with atypical parkinsonism (MSA, PSP) and cardiac mIBG is reduced in atypical parkinsonism (MSA, PSP) compared with Parkinson’s disease.
Striatal DaTSCANTM binding is reduced in Parkinson’s disease compared with non-degenerative forms of parkinsonism, such as essential tremor, and cardiac mIBG is reduced in Parkinson’s disease compared with atypical parkinsonism (MSA, PSP).
Striatal DaTSCANTM binding is reduced in non-degenerative forms of parkinsonism, such as essential tremor, compared with Parkinson’s disease and cardiac mIBG is reduced in Parkinson’s disease compared with atypical parkinsonism (MSA, PSP).
Striatal DaTSCANTM binding is reduced in Parkinson’s disease compared to atypical parkinsonism (MSA, PSP) and Cardiac MIBG is reduced in atypical parkinsonism (MSA, PSP) compared to non-degenerative forms of parkinsonism such as essential tremor.
Striatal DaTSCANTM binding is reduced in non-degenerative forms of parkinsonism, such as essential tremor, compared with Parkinson’s disease and cardiac mIBG is reduced in atypical parkinsonism (MSA, PSP) compared with Parkinson’s disease.
CME Genitourinary medicine SAQ
Answers to the CME SAQ published in Clinical Medicine April 2016
Q1 Q2 Q3 Q4 Q5 Q6 Q7 Q8 Q9 Q10
(d) (e) (b) (c) (e) (d) (c) (e) (a) (d)
- © 2016 Royal College of Physicians
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