A nursing student asks the nurse to differentiate the pathology of Alzheimer's disease from that of Parkinson's disease.
Which description is correct?
Parkinson's disease is characterized by an imbalance of dopamine and acetylcholine.
Parkinson disease involves increased dopamine production and decreased acetylcholine.
Alzheimer’s disease is caused by decreased amount of dopamine and degeneration of cholinergic neurons.
Alzheimer’s disease involves a possible excess of acetylcholine and neuritic plaques.
The Correct Answer is A
Choice A rationale
Parkinson's disease is characterized by an imbalance of dopamine and acetylcholine, primarily due to the degeneration of dopamine-producing neurons in the substantia nigra. This imbalance results in the characteristic motor symptoms of Parkinson's disease, such as tremors, rigidity, and bradykinesia.
Choice B rationale
Parkinson's disease involves decreased dopamine production, not increased. The disease is caused by the progressive loss of dopamine-producing neurons in the brain, leading to reduced dopamine levels and an imbalance with acetylcholine.
Choice C rationale
Alzheimer's disease is not primarily characterized by a decrease in dopamine. Instead, it involves the degeneration of cholinergic neurons and a deficiency in acetylcholine, which is crucial for memory and cognitive functions.
Choice D rationale
Alzheimer's disease is associated with a deficiency of acetylcholine rather than an excess. The disease is also characterized by the presence of neuritic plaques and neurofibrillary tangles in the brain, which contribute to cognitive decline.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Barrier contraceptives are recommended for women taking HMG-CoA reductase inhibitors due to the potential teratogenic effects of these drugs. This precaution is crucial as these medications can cause fetal harm if used during pregnancy.
Choice B rationale
While ophthalmic examinations may be important for other medications, they are not a primary concern for HMG-CoA reductase inhibitors. These drugs mainly affect cholesterol synthesis and have less direct impact on vision.
Choice C rationale
Although a cholesterol-lowering diet is beneficial, it is not the primary teaching point when discussing HMG-CoA reductase inhibitors. The emphasis should be on medication adherence and managing potential adverse effects.
Choice D rationale
Reporting respiratory symptoms is important for many medications but is not the primary focus for HMG-CoA reductase inhibitors. The priority is to inform patients about the importance of contraception and potential side effects related to the medication.
Correct Answer is D
Explanation
Choice A rationale
Clonic-tonic muscle contraction is related to convulsions and seizures but does not accurately define epilepsy. Epilepsy is a neurological disorder characterized by recurrent seizures due to abnormal electrical activity in the brain.
Choice B rationale
Epilepsy involves abnormal electrical discharges in the brain, not in the muscles. Muscle contractions are a symptom of seizures, not the cause of epilepsy.
Choice C rationale
Epilepsy is not a single disease; it encompasses various conditions characterized by recurrent seizures. It is a spectrum of disorders with different causes and manifestations.
Choice D rationale
This choice accurately describes epilepsy as characterized by sudden, recurrent, and transient disturbances in brain function due to abnormal electrical discharges in the brain.
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