60 years old man came with restin tremor, that improves with movement, he also complained of slowed movement, difficulty initiating movement. Neurological examination reveals normal reflexes and no additional abnormalities.whats the most appropriate treatment for his condition?
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الإجابة: B. Levodpoa
Rest tremor that improves with movement plus bradykinesia (slowness, difficulty initiating movement) is Parkinson disease. Levodopa (with carbidopa) is the drug of choice for symptomatic therapy. Propranolol treats essential tremor (postural/action tremor), and botulinum toxin is used for focal dystonia. (The summary notes dopamine agonists are an alternative first line in fit patients under 65, but they are not offered here.)
ليش كل خيار صح أو غلط
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A
ليش غلط
Propranolol (with primidone) is first-line treatment for essential tremor, not for this patient's resting tremor with slowness and difficulty initiating movement.
✓ Basics of Neurology-Ali Rawas.pdf · p. 197 -
B
ليش صح
A resting tremor that subsides with voluntary movement plus bradykinesia is Parkinson disease, and levodopa is the drug of choice for its symptomatic therapy.
✓ Movement disorder.pdf · p. 3 -
C
ليش غلط
Botulinum toxin is listed as a medication option for debilitating focal tics; it is not the drug of choice for Parkinson disease, which is levodopa.
✓ Step Up To Medicine 6th Edition 2024(MOVEMENT DISORDER).pdf · p. 7 -
D
ليش غلط
Baclofen is a muscle relaxant used for spasticity (for example in multiple sclerosis); this patient has Parkinson disease, where levodopa is the drug of choice.
✓ MS.pdf · p. 2
- المصدر
- Movement disorder.pdf · p. 3
- المحاضرة
- Movement Disorders · Neurology · Module C
- ظهر في
- MED42 ♀ EOM C