Movement Disorders
General Medicine · Topic 19
Source: NMC CBME Curriculum 2024 · Volume II · General Medicine · Topic 19 · combined PDF page 311
Practice questions
- A clinician begins assessment of a child with an abnormal movement. Which approach best matches a structured diagnostic framework for paediatric movement disorders?
- Which group contains only movement-disorder phenotypes specifically listed in a clinical practice guide to paediatric movement disorders?
- A child has a movement presentation containing more than one recognizable phenotype. Which interpretation is most consistent with the paediatric diagnostic literature?
- After a genetic test identifies a potentially relevant variant in a child with a movement disorder, what is an important next component of the diagnostic process?
- A clinician is considering brain imaging during the initial evaluation of a patient with a movement disorder. Which statement best reflects the imaging guidance?
- A patient has overlapping features that make a neurodegenerative diagnosis uncertain. Which approach is most consistent with the ACR imaging guidance?
- Which set consists entirely of vocal tasks recommended as integral components of motor-speech assessment in movement disorders?
- A clinic wants speech recordings from patients with movement disorders to be comparable across visits and sites. Which protocol element is specifically emphasized in the speech-assessment review?
- Speech impairment in movement disorders may arise from sensorimotor abnormalities affecting which broad speech subsystems?
- In the speech-analysis study summarized in the review, which comparison was reported between hyperkinetic and hypokinetic dysarthria groups?
- A child has episodic movement symptoms and is being assessed for GLUT1 deficiency syndrome. Which phenotype was most frequent in the systematic review of reported cases?
- Which statement best summarizes the reported treatment response of movement symptoms in GLUT1 deficiency syndrome?
- A systematic review of GLUT1 deficiency cases reported ataxia in what approximate proportion of patients?
- In the systematic review of GLUT1 deficiency, which description best characterizes the phenotype of patients whose disease began with a movement disorder?
- Which statement about movement disorders in GLUT1 deficiency is best supported by the systematic review?
- A patient receiving an antipsychotic develops a movement adverse effect. Which pair correctly represents the broad categories used to describe antipsychotic-induced movement disorders in the systematic review?
- In the 2026 African systematic review and meta-analysis, which antipsychotic-associated movement-disorder subtype had the highest pooled prevalence?
- The African systematic review estimated a pooled prevalence of antipsychotic-induced movement disorders of approximately:
- A patient on long-term antipsychotic therapy is being reviewed for movement adverse effects. Which action is most consistent with the systematic review's clinical implications?
- Which set contains only factors reported as significantly associated with antipsychotic-induced movement disorders in the African meta-analysis?
- The meta-analysis found an odds ratio of 3.2 for which factor in relation to antipsychotic-induced movement disorders?
- Which factor had the largest reported odds ratio among the four significant correlates of antipsychotic-induced movement disorders in the meta-analysis?
- A clinician notes that longer antipsychotic treatment was associated with increased odds of movement adverse effects in a meta-analysis. Which interpretation is most appropriate?
- A patient with Parkinson disease presents with both motor and non-motor concerns. Which management principle is emphasized by the 2025 consensus on non-motor symptoms?
- Which group consists entirely of non-motor symptom domains explicitly addressed in the Parkinson disease consensus?
- Beyond neuropsychiatric symptoms, which set of domains is explicitly included in the Parkinson disease non-motor consensus?
- A movement-disorders service is designing a speech-assessment battery for research across centres. Which rationale best supports using common recording and task protocols?
- A clinician is deciding whether to pursue genetic evaluation in a child with a movement disorder. Which statement is best supported by the paediatric diagnostic guide?