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NBME Q

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11 Posts

structure
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Topics: 26
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08/15/06 - 07:56 PM

An 80 yr old man has had poor balance for 6 months He has a history of hypertensin treated with hydrochlorothiazide. His blood pressure is 136/86 mmHg. Neurologic exam shows mild tremor of the hands. when his arms are outstretched and decreased vibratory sensation at the knees. Deep tendon reflexes of the quadriceps and gastrocnemius-soleus muscles are hyperactive. Babinski's sign present bilaterally. He is unable to stand with his eyes closed. Which of the following is the most consistent with normal age-related changes?

A. Babinski's sign
B. Hyperactive deep tendon reflexes og the gastrocnemius-soleus muscles
C. Inability to stand with the eyes closed
D. Reduced vibratory sensation at the knees
E. tremor of the outstretched hands

D?

Perhaps
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08/15/06 - 07:57 PM

agree D

frank100
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08/15/06 - 08:04 PM

study_ing
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08/15/06 - 10:08 PM

e.

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achilles
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08/16/06 - 07:27 AM

E

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wyvern
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08/16/06 - 07:42 AM

HighHopes
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08/16/06 - 07:46 AM

can you guys explain your choice?

shumaila
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08/16/06 - 11:29 AM

E

senile tremors

mohelgamal
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10/22/06 - 05:18 AM

it is e

+ loss of ankle reflex

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webjeee
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05/24/07 - 11:05 AM

#10

fox
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05/24/07 - 03:36 PM

#11

Im for E too

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