NHM UP Staff Nurse - 2019
Medical Surgical Nursing
Easy
The classic manifestation of Parkinson's disease is?
Appeared in: NHM UP Staff Nurse - 2019
Explanation
- The correct option identifies the classic triad of motor symptoms for Parkinson's disease (PD).
- This triad consists of Tremor, Bradykinesia, and Rigidity.
- Tremor in PD is typically a resting tremor, often described as 'pill-rolling'.
- Bradykinesia is the slowness of voluntary movements, a core and disabling feature.
- Rigidity refers to increased muscle tone, leading to stiffness, often felt as 'cogwheel' or 'lead-pipe' resistance on examination.
- The presence of at least two of these three signs is required for a clinical diagnosis of parkinsonism.
Why Other Options Were Wrong
- Option A: This option incorrectly includes irritability and seizures. Seizures are not a feature of Parkinson's disease, and irritability is not a cardinal motor symptom.
- Option B: This option incorrectly includes irritability. While mood and behavioral changes can occur in PD, irritability is not considered one of the classic motor manifestations required for diagnosis.
- Option C: This option incorrectly includes irritability. Tremor and bradykinesia are core features, but irritability is a non-motor symptom and not part of the classic diagnostic triad.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Classic motor symptoms of Parkinson's disease helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Recognizing the classic triad (Tremor, Rigidity, Bradykinesia) is crucial for nurses in early identification and assessment of Parkinson's disease.
- Nursing care focuses on safety, especially preventing falls due to postural instability and shuffling gait. Interventions include ensuring a clutter-free environment and recommending assistive devices.
- Patient education is vital, covering medication adherence (e.g., timing of Levodopa), managing motor fluctuations ('on-off' periods), and coping with non-motor symptoms like depression and constipation.
How to Approach the Question
- First, identify the core subject of the question, which is the 'classic manifestation' of 'Parkinson's disease'.
- This is a factual recall question. Access your knowledge about the cardinal signs of Parkinson's disease.
- A common mnemonic for the cardinal signs is TRAP: Tremor (at rest), Rigidity, Akinesia/Bradykinesia, and Postural instability.
- Evaluate each option against this established triad.
- Option A includes 'seizures', which are not typical of PD.
- Options A, B, and C all include 'irritability'. While mood changes can occur, it's not a defining motor symptom of the classic triad.
Concept Tested & Keywords
- Concept Tested: Classic motor symptoms of Parkinson's disease
- Stem keywords: classic manifestation, Parkinson's disease
- Lead-in keywords: BEST, MOST RELEVANT CLUE
- Negative lead-in flag: false
Question ID
Qo6bqerLza0UDkwvdPFRcz
Reference Book
E6 Pharmacology Nursing Lilley 11e Part 1 p. 253-255
E6 Pathology- ROBBINS & COTRAN PATHOLOGIC BASIS OF DISEASE 10TH Ed p. 1280-1282
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 1844-1846
Practise the full NHM UP Staff Nurse - 2019
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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