Order Treatments For Pediatric Dystonia

Order Treatments For Pediatric Dystonia
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Order Treatments For Pediatric Dystonia
1. The fluoroscopic image below most likely
shows:
a. Catheter leak
b. Curling of catheter in subcutaneous tissues
c. Disconnection at pump catheter
d. Extradural position of catheter
e. Kinking of catheter
2. Selective dorsal rhizotomy for spastic cerebral palsy works by:
a. Electrical stimulation of dorsal root entry
zone
b. Interruption of a subset of alpha-motor
neurons
c. Interruption of gamma-motor neurons
d. Interruption of the spinal reflex arc
e. Restoration of GABAergic inhibition of
alpha-motor neurons
Order Treatments For Pediatric Dystonia
3. Which one of the following treatments for
pediatric dystonia works via vesicular monoamine transporter inhibition?
a. Baclofen
b. Carbamazepine
c. Carbidopa-levodopa
d. Clonazepam
e. Tetrabenazine
f. Trihexiphenidyl
4. The surgical treatment of choice for primary
dystonia is likely to be:
a. Bilateral GPi DBS
b. Epidural motor cortex stimulation
c. Intrathecal baclofen pump
d. Pallidotomy
e. Selective dorsal rhizotomy
5. A child with cerebral palsy and a long-term
intrathecal infusion pump presents with
fever, seizures, and rebound spasticity. This
is most likely to be:
a. Acute dystonic reaction
b. Baclofen withdrawal
c. Malignant hyperthermia
d. Neuroleptic malignant syndrome
e. Status dystonicus
EXTENDED MATCHING ITEM (EMI)
QUESTIONS
6. Drug treatment of spasticity:
a. Carbidopa-levodopa
b. Cyproheptadine
c. Dantrolene
d. Diazepam
e. Gabapentin
f. Intrathecal baclofen
g. Oral baclofen
h. Physostigmine
i. Pregabalin
j. Tetrabenazine
k. Tizanidine
l. Trihexyphenidyl
Order Treatments For Pediatric Dystonia
For each of the following descriptions, select the
most appropriate answers from the list above.
Each answer may be used once, more than once
or not at all.
1. Half-life is 4-5 h, therefore 24 h is required
to achieve steady-state concentration after a
change in dosage
2. Reduces intracellular calcium by binding
ryanodine receptor in skeletal muscle
3. Alpha2 adrenergic antagonist
7. Dystonia:
a. Dopa-responsive dystonia (Segawa’s
disease)
b. Dystonic cerebral palsy
c. DYT-1 dystonia
d. Gangliosidoses
e. Glutaric aciduria
f. Leigh’s disease
g. Mitochondrial disorders
h. Pantothenate kinase-associated
neurodegeneration
i. Post-head injury dystonia
j. Post-stroke dystonia
k. Rett’s syndrome
l. Wilson’s disease
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