Medicine Review MCQs-V

Oppositional paratonia also called as -

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Oppositional paratonia - "gegenhalten" occurs when subjects involuntarily resist to passive movements, Facilitatory paratonia - "mitgehen" occurs when subjects involuntary assist passive movements.

Paratonia have been associated with cognitive impairment, particularly in relation to -

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Paratonia have been associated with cognitive impairment or mental disorders, particularly in relation to frontal lobe dysfunction.

All of the following are seen in parkinsonism EXCEPT -

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Coarse, slow tremor seen in Parkinsonism

All of the following are correct regarding tremor of Parkinsonism EXCEPT -

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Disappears during voluntary movement
Typically appears in only one hand
It typically appears in only one hand, eventually affecting both hands as the disease progresses Frequency of PD tremor is between 4 and 6 hertz

Reduced motivation or ability to experience pleasure is called -

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Anhedonia is a diverse array of deficits in hedonic function, including reduced motivation or ability to experience pleasure
Alexithymia – a condition describing people who "lack words for their feelings
Avolition, as a symptom of various forms of psychopathology, is the decrease in the ability to initiate and persist in self-directed purposeful activities

The treatment of choice for Hashimoto thyroiditis -

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Hashimoto’s thyroiditis -Treatment of choice for Hashimoto thyroiditis (or hypothyroidism from any cause) is thyroid hormone replacement.
The drug of choice is orally administered levothyroxine sodium.

Which is correct for Subclinical hypothyroidism?

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Subclinical hypothyroidism suggests mild thyroid failure,


Evidenced by an elevated TSH above 4.0 μ IU/mL and normal free T4 levels

Hashimoto Thyroiditis rate of progression to overt hypothyroidism is estimated to be about ----- % per year.

Correct! Wrong!

The rate of progression to overt hypothyroidism is estimated to be about 5% per year.

Best marker of progression of Hashimoto Thyroiditis to overt hypothyroidism is -

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Best marker of progression of Hashimoto Thyroiditis to overt hypothyroidism is a combination of an elevated TSH level with the presence of thyroid autoantibodies, namely anti-TPO and anti-Tg antibodies.

Hashimoto's disease affects more -------- sex and ---------- age group.

Correct! Wrong!

Hashimoto's disease affects more women than men.
Most often appears between ages 40 and 60.

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