1. Roughly how many Canadians suffer from Parkinson’s disease?
- a) 20,000
- b) 50,000
- c) 100,000
- d) 250,000
2. Which of these is not a common symptom of Parkinson’s disease?
- a) excessive daytime sleepiness
- b) anosmia (no sense of smell)
- c) orthostatic hypotension
- d) xerostomia (dry mouth)
- e) bladder dysfunction
3. Severe constipation is also common in the disease, a side effect of the parkinsonian medications.
- a) true
- b) false
4. People who have more than one bowel movement a day are at increased risk of developing Parkinson’s later in life.
- a) true
- b) false
5. Acting out dreams (kicking, talking, flailing, falling out of bed), particularly in the early morning, may precede many neurodegenerative syndromes including Parkinson’s, and signals increased risk of developing such a disease.
- a) true
- b) false
6. Impulse control disorders are a risk in patients on dopaminergic medications. Among Parkinson’s patients, the most common ICDs are:
- a) pathological gambling and hypersexuality
- b) binge eating and compulsive shopping
- c) punding (repetitively performing meaningless tasks) and compulsive medication use
7. Young-Onset Parkinson’s is commonly associated with rapid development of dementia.
- a) true
- b) false
8. Hallucinations are often an early sign of Parkinson’s disease onset.
- a) true
- b) false
1. c) About 100,000 Canadians suffer from Parkinson’s.
2. d) Xerostomia (dry mouth). In fact a major symptom is sialorrhea or drooling.
3. b) False. Constipation is indeed a common symptom, but while medications are often blamed, the problem occurs regardless of medication.
4. b) False. In fact, people who have fewer than one bowel movement a day are at 3-4 times increased risk of developing Parkinson’s later in life.
5. a) True
6. a) Pathological gambling and hypersexuality are the most common ICDs.
7. b) False. Dementia is rare in Parkinson’s patients aged under 65.
8. b) False. Hallucinations are typically a manifestation of advanced disease.
We'll send you $100 if we print your diagnostic challenge. Send case description (app. 450 words) with final diagnosis and outcome to: parkex@parkpub.com.
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