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ling
Forum Senior

Topics: 23
Posts: 46
03/25/07 - 07:18 PM       #1

An 80-year-old man has had poor balance for 6 months. He has a history of hypertension treated with hydrochlorothiazide. His blood pressure is 136/86 mm Hg. Neurologic examination 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 is present bilaterally. He is unable to stand with his eyes closed. Which of the following is most consistent with normal age-related changes?

A ) Babinski's sign

B ) Hyperactive deep tendon reflexes of 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




muna
Forum Senior

Topics: 17
Posts: 126
03/25/07 - 07:20 PM       #2

E

neuroblastoma
Forum Guru

Topics: 109
Posts: 1,091
03/25/07 - 09:14 PM       #3

A?

robin082006
Forum Hero
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Topics: 471
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03/25/07 - 10:13 PM       #4

E ) Tremor of the outstretched hands

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dr_jojo
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Topics: 3
Posts: 5
03/26/07 - 12:57 PM       #5

E

monterusca2004
Forum Junior

Topics: 7
Posts: 42
03/26/07 - 01:57 PM       #6

I will go for E too












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