MRCP UK EXAMINATIONS

NEUROLOGY

HEMIPARESIS

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The nurse is caring for a patient with Huntington’s disease in the long-term care facility. What does the nurse recognize as the most prominent symptom of the disease that the patient exhibits?
A
Rapid, jerky, involuntary movements
B
Slow, shuffling gait
C
Dysphagia and dysphonia
D
Dementia
Explanation: 

Detailed explanation-1: -The most common psychiatric disorder associated with Huntington’s disease is depression. This isn’t simply a reaction to receiving a diagnosis of Huntington’s disease. Instead, depression appears to occur because of injury to the brain and subsequent changes in brain function.

Detailed explanation-2: -Nursing considerations include educating the patient about the stages of Huntington’s disease and recommending a high calorie diet to prevent malnutrition. Huntington’s disease is associated with decreased serotonin and GABA. Decreased levels of serotonin affect memory and learning abilities.

Detailed explanation-3: -Early signs and symptoms can include irritability, depression, small involuntary movements, poor coordination, and trouble learning new information or making decisions. Many people with Huntington disease develop involuntary jerking or twitching movements known as chorea.

Detailed explanation-4: -difficulty concentrating. memory lapses. depression – including low mood, a lack of interest in things, and feelings of hopelessness. stumbling and clumsiness. mood swings, such as irritability or aggressive behaviour.

There is 1 question to complete.