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Author Question: Which statement about patients with Parkinson's disease (PD) accurately describes when ... (Read 71 times)

nmorano1

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on: Jul 23, 2018
Which statement about patients with Parkinson's disease (PD) accurately describes when anti-cholinergic drugs are most useful in treating them?
 
  a. The patient is early in the course of the disease, with tremor but with little rigidity or bradykinesia.
  b. The patient has moderate tremor and rigidity accompanied by drooling.
  c. The patient is late in the course of the disease, with many symptoms.
  d. The patient is an older adult and is unable to tolerate dopaminergic drugs.

Question 2

The primary care provider is considering adding a cephalosporin to the patient's medication reg-imen. Before initiating this therapy, the provider should determine if the patient has experienced an anaphylactic reaction to:
 
  a. Sulfonamides
  b. Tetracyclines
  c. Penicillins
  d. Aminoglycosides


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chereeb

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Anticholinergics are useful early in younger patients with PD, more to control tremor by relaxing smooth muscle than for treatment of the other manifestations of the disease. Anticholinergics are also a reasonable treatment option for middle-aged adults who have tremor but little rigidity or bradykinesia.

Answer to Question 2

ANS: C
Those patients who have had an anaphylactic reaction to penicillin should avoid cephalosporin.


nmorano1

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


chereeb

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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