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A 38-Year-Old Woman Visits the Physician Because of Uncontrolled Movements

Question 16

Multiple Choice

A 38-year-old woman visits the physician because of uncontrolled movements of the arms, legs, head, face, and upper body. These symptoms have increased progressively over the past 12 months. She is also depressed and irritable, and she repeats the same question six times during the 30-minute office visit. Gene analyses show expansion of a CAG triplet repeat on chromosome 4. Use this information to answer the next two questions.
-Which of the following is most likely to be decreased in this woman?


A) Acetylcholine neurons in the magnocellular forebrain nucleus
B) Dopamine neurons in the substantia nigra
C) Gamma-aminobutyric acid neurons in the caudate nucleus and putamen
D) Serotonin neurons in the raphe nuclei

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