All Exams Test series for 1 year @ ₹349 only
Question

Consider the following clinical features : 

1. Hypomimia 

2. Dysphonia 

3. Festination gait 

4. Cogwheel rigidity 

Which of the features given above are generally present in Parkinsonism?

The correct answer is
1, 2, 3 and 4

Parkinsonism Clinical Features Explained

Parkinsonism is a clinical syndrome characterized by specific motor symptoms. Let's examine the features provided:

  • Hypomimia: Often referred to as "masked facies," this is the reduced or diminished facial expression seen in Parkinsonism due to decreased muscle movement.
  • Dysphonia: This involves impaired voice production, often presenting as a soft, breathy, or monotonous voice, which is a common symptom in Parkinsonism.
  • Festination gait: Characterized by short, shuffling steps and increased speed, this abnormal gait pattern is a hallmark of Parkinsonism.
  • Cogwheel rigidity: This is a type of muscle stiffness where resistance to passive movement intermittently catches or releases, described as a ratchet-like movement. It is a classic sign of Parkinsonism.

All the listed clinical features—hypomimia, dysphonia, festination gait, and cogwheel rigidity—are generally considered characteristic signs and symptoms associated with Parkinsonism.

Was this answer helpful?

Important Questions from Neuropathies

  1. Circuits between the basal ganglia and the motor cortex constitute the extra pyramidal system which controls muscle tone, body posture and the initiation of movement. Lesions of the extra pyramidal system present clinically with :
  2. Consider the following statements regarding Transient Global Amnesia (TGA): 

    1. TGA mainly affects middle aged persons who present with abrupt, discrete loss of anterograde memory lasting for few hours. 

    2. During the episode, the patients are unable to record new memories resulting in repetitive questioning. 

    3. Consciousness is impaired during the episode and the patient is unable to perform even simple motor functions. 

    4. After 4-6 hours, memory function and behaviour return to normal but the patient has complete and persistent amnesia for the duration of the episode. 

    Which of the statements given above are correct?

  3. Which of the following correctly describes the primary position of the right eye in right 3rd cranial nerve palsy?
  4. Which one of the following distinguishes axonal degeneration from segmental demyelination on electrophysiological studies?
  5. Which of the following are correct with regard to Levodopa ?
    1. It is most effective for relieving tremors
    2. Only a small portion of total drug reaches the brain
    3. Nausea may be offset by domperidone
    4. It may trigger hallucinations
    Select the correct answer using the code given below :
Need Expert Advice?

Start Your Preparation with Prepp Mobile App

Download the app from Google Play & App Store
Download the app from Google Play & App Store
Prepp Mobile App