Test Bank Chapter 49 Epidemiology Of Parkinson’S Disease - Test Bank | Epidemiology of Chronic Disease 2e by Harris by Randall E. Harris. DOCX document preview.
Chapter 49. Epidemiology of Parkinson’s Disease
TEST BANK
True/False Questions
- Parkinson’s disease is characterized by death of neurons in the substantia nigra of the midbrain resulting in a deficit of the important neurotransmitter, dopamine.
- Misfolded forms of the protein, alpha-synuclein, accumulate in abnormal inclusions called Lewy Bodies that cause the death of neurons in Parkinson’s disease.
- Familial clustering of Parkinson’s disease is associated with heritable missense mutations in the gene encoding alpha-synuclein.
- In 2005, approximately 4.1 million people were suffering from Parkinson’s disease.
- In the US population, Parkinson’s disease is diagnosed in about 1% of adults over the age of 60 years and 4% over the age of 80 years.
- Parkinson’s disease is frequently diagnosed in adults under 50 years of age.
- The age-specific prevalence of Parkinson’s disease is higher in women than men.
- Smoking increases the risk of developing Parkinson’s disease.
- Autosomal dominant and autosomal recessive genes have been discovered that cause familial Parkinson’s disease.
- After crossing the blood brain barrier, MPTP is converted to a neurotoxic compound specific for neurons of the substantia nigra.
- MPTP has a chemical structure similar to many pesticides and herbicides.
- Excess exposure to certain pesticides and herbicides has not been proven to increase the risk of developing Parkinson’s disease.
- Excess exposure to manganese increases the risk of developing Parkinson’s disease.
- Regular use of NSAIDs has no influence on the risk of developing Parkinson’s disease.
- Dementia is an uncommon development in patients with Parkinson’s disease.
Multiple Choice Questions
- Approximately what percentage of cases of Parkinson’s disease are diagnosed in adults 50 years or older?
- 50%
- 75%
- 90%
- 99%
- Risk factors for Parkinson’s disease include all of the following except:
- excess exposure to pesticides and/or herbicides.
- excess exposure to manganese.
- genetic predisposition.
- chronic tobacco smoking.
- What is the approximate cumulative risk of developing Parkinson’s disease during one’s lifetime?
- 0-1%
- 2-3%
- 4-5%
- 6-7%
- Favorable prognostic indicators for survival in patients newly diagnosed with Alzheimer’s disease include all of the following except:
- mild disease.
- young age.
- being female.
- being male.
- Mutant forms of all of the following genes predispose to Parkinson’s disease except:
- BRCA-1,2.
- Parkin.
- Leucine Rich Repeat Protein Kinase (LRRK2).
- alpha-synuclein (SNCA).
- PTEN-induced kinase (PINK-1).
- All of the following have been found to protect against the development of Parkinson’s disease except:
- coffee consumption.
- cigarette smoking.
- regular intake of NSAIDs.
- repeated head trauma.
- Lewy Body dementia is characterized by:
- Parkinsonian symptoms.
- clumps of alpha-synuclein and ubiquitin protein in neurons.
- declining levels of the neurotransmitter, acetylcholine.
- gradual progression.
- Indicators of a poor prognosis for patients diagnosed with Parkinson’s disease include all of the following except:
- APOE ε4 genotype.
- avoidance of caffeine.
- continuation of cigarette smoking.
- smoking cessation.
Essay Questions
- Characterize the pathologic features of Parkinson’s disease.
LatinneuromelanindopaminergicneuronsParkinson's diseasepars compacta
- Discuss the molecular biology of Parkinson’s disease.
- Discuss the global distribution of Parkinson’s disease.
- Discuss risk factors for Parkinson’s disease.
- Discuss results of studies of cigarette smoking and Parkinson’s disease.
- Describe rare genetic syndromes that predispose to the development of familial Parkinson’s disease.
- What are the effects of MPTP exposure on the neurons of the substantia nigra?
dopamine-producingneuronssubstantia nigraelectron transport chain
- Discuss results of studies of Parkinson’s disease and exposure to herbicides/pesticides.
- Discuss manganese exposure and Parkinson’s disease.
- Discuss strategies for the prevention, control, and treatment of Parkinson’s disease and other forms of dementia.
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Test Bank | Epidemiology of Chronic Disease 2e by Harris
By Randall E. Harris
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