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Multiple Choice

Acute dyskinesias often emerge within days and can include akathisia, neuroleptic-malignant syndrome, and parkinsonism. Which category do these features describe?

Acute movement side effects from antipsychotic meds arise quickly, within days, as the drug blocks dopamine D2 receptors in the nigrostriatal pathways that regulate movement. Akathisia (a subjective sense of restlessness with an urge to move), drug-induced parkinsonism (tasterigid, slowed movement, tremor), and the more severe neuroleptic malignant syndrome all fit this rapid-onset group of motor symptoms. Collectively, these acute, drug-induced motor disturbances are described as acute dyskinesias. This category fits best because tardive dyskinesia, by contrast, develops after months to years of antipsychotic exposure and tends to involve often involuntary facial and oral movements and other choreiform or dystonic movements that persist even after stopping the drug. Myoclonus and stereotypy describe different kinds of movements not characteristically tied to the immediate, rapid onset seen with acute EPS.

Acute movement side effects from antipsychotic meds arise quickly, within days, as the drug blocks dopamine D2 receptors in the nigrostriatal pathways that regulate movement. Akathisia (a subjective sense of restlessness with an urge to move), drug-induced parkinsonism (tasterigid, slowed movement, tremor), and the more severe neuroleptic malignant syndrome all fit this rapid-onset group of motor symptoms. Collectively, these acute, drug-induced motor disturbances are described as acute dyskinesias.

This category fits best because tardive dyskinesia, by contrast, develops after months to years of antipsychotic exposure and tends to involve often involuntary facial and oral movements and other choreiform or dystonic movements that persist even after stopping the drug. Myoclonus and stereotypy describe different kinds of movements not characteristically tied to the immediate, rapid onset seen with acute EPS.