APPENDIX e-2

QUESTIONNAIRES OF YOUR UNDERSTANDING OF PARKINSON’S DISEASE

(With Answers)

Chulalongkorn Center of Excellence on Parkinson’s Disease & Related Disorders is embarking on a significant initiative to improve the diagnosis and treatment of Parkinson’s disease (PD) in Thailand. Physicians are the key to this initiative and we would appreciate a few minutes of your time to help use identify the areas where specialized training would enhance the quality of care for PD in both the urban and rural areas of the country.

Physician’s Profile

Your age:______

Years after graduation:______

Postgraduate qualification (Mark “X”)

·  Board-certified in Neurology ______

·  Board-certified in Medicine ______

·  Board-certified in other specialties ______

·  Other qualifications (Please indicate)______

Your current practice (Mark “X”)

·  Residency (Please indicate specialty) ______

·  University hospital practice ______

·  Private hospital practice ______

Please approximate how many PD patients you see per month______

Please place an “X” indicating which of the following is true or false:

A: Diagnosis of Parkinson's disease (PD) / TRUE / FALSE
Definite diagnosis of PD requires neuro-imaging confirmation / ×
PD only affects patients after 55 years of age / ×
The presence of rest tremor is mandatory for the diagnosis of PD / ×
The presence of bradykinesia is mandatory for the diagnosis of PD / ×
The following symptoms of PD often precede tremors and/or bradykinesia and Dyskinesias
a.  Hypsomia / X
b.Dementia / ×
c.Mood disorders / ×
d.Freezing of Gait / ×
e.Constipation / ×
f.Depression / ×
g.Sleep disturbances / ×
Both smoking and high caffeine consumption increase the risk of PD / ×
PD diagnosis can be confirmed by the response to a dopaminergic medication / ×
B: Pharmacological option / TRUE / FALSE
Almost all patients diagnosed with PD should begin dopaminergic drug as soon as possible / ×
Most of the available drug for PD both treat the symptoms and slow the progression of the disorder / ×
The most effective drug available for PD is levodopa / ×
Levodopa has been shown to accelerate the progression of PD / ×
Dopamine agonists have less risk of motor complications than levodopa / ×
Dopamine agonists have definite evidence on slowing disease progression / ×
PD can be cured by deep brain stimulation surgery / ×
C: Progression of PD / TRUE / FALSE
Patients with tremor predominant symptoms progress more rapidly in the degenerative process than those with postural instability and gait problems / ×
Wheelchair-or bed-bound is inevitable in PD / ×
Depression in PD is partly caused by dopamine deficiency / ×
The risk of dementia is greater for those patients with gait and speech disorders / ×
Deep brain stimulation surgery can stop PD progression / ×
Current evidence supports the use of stem cell transplantation as a curative treatment of PD / ×