2easy qs - the_dumb

[ArchivalUser]

1.A 63 year old male comes to office with complaints of frequent falling recently and tremors which worsens at rest and improves after approaching to some objects.On physical examination,his body is rigid and walks with a stooped posture.His facial expressions are hypo reactive.Which of the following is the next best step in the management of patient's tremors?

A.Levodopa

B.Carbogiline

C.Amantadine

D.Bromocriptine

E.Trihexyphenidyl

2.A 32 year old white woman presents to the ED with progressive loss of vision in left eye and left arm weakness.She also complaints of getting fatigued and depressed lately.Neurological examination reveals hyperreflexia,spasticity with upgoing extensor plantars and neurogenic bladder.Which of the following can be given to relive fatigue in this patient?

A.Vit B12 injection

B.Folic acid

C.Baclofen

D.Amantadine

E.Blood transfusion

[ArchivalUser]

1.a
2c

[ArchivalUser]

1-ee
2=cc

[ArchivalUser]

wow

[ArchivalUser]

waw for whom here?

[ArchivalUser]

a,c

[ArchivalUser]

I was just surprised with levodopa ans,whoever has gone for this.For relieving tremors,anticholinergics are given,so a was no where.Thing is old patients can not tolerate well anticholinergics due to constipation,urinary retention(which can lead to fatal outcomes on chronic basis in elderly pts,and dry congested eyes(get into glaucoma much faster and often than young people,tachycardia in elderly can lead to frequent arrythmias etc etc....

Correct ans is C.Amantadine

Age60 Amantadine

2.Correct ans is D.

Amantadine is the DOC for fatigue in MS.

[ArchivalUser]

now i know ur waw meaning!!! bad

[ArchivalUser]

age>60 give amantadine as indications are set up.Given in MTB too.
age

[ArchivalUser]

Hi doc,thx for the information.