Which statement about extrapyramidal symptoms is true?

Which statement about extrapyramidal symptoms is true?

• A. They are treated with antibiotics
• B. They are never associated with risperidone
• C. They include akathisia and parkinsonism
• D. They always present with fever

Answer: (C)

Extrapyramidal symptoms come from dopamine D2 blockade in the nigrostriatal pathway due to antipsychotic medications, leading to movement-related side effects. Akathisia—an inner restlessness with an urge to move—and parkinsonism—tremor, rigidity, bradykinesia, and slowed movement—are classic examples of these EPS. This is why the statement that EPS include akathisia and parkinsonism is true, and it applies to many antipsychotics, including risperidone, though the risk varies by drug. Antibiotics have no role in treating EPS, and fever is not a defining feature of EPS ( fever could point to a different, more serious condition like neuroleptic malignant syndrome).

Extrapyramidal symptoms come from dopamine D2 blockade in the nigrostriatal pathway due to antipsychotic medications, leading to movement-related side effects. Akathisia—an inner restlessness with an urge to move—and parkinsonism—tremor, rigidity, bradykinesia, and slowed movement—are classic examples of these EPS. This is why the statement that EPS include akathisia and parkinsonism is true, and it applies to many antipsychotics, including risperidone, though the risk varies by drug. Antibiotics have no role in treating EPS, and fever is not a defining feature of EPS ( fever could point to a different, more serious condition like neuroleptic malignant syndrome).