sandra
Forum Guru
Topics: 201
Posts: 470
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A previously healthy 72-year-old man comes to
the physician
because of a 2-year history of hand tremors and
progressive difficulty
walking. He lives alone and has no close relatives.
He is alert and
oriented. Physical examination shows a decreased rate
of eye blinking.
Neurologic examination shows masked facies and a
pill-rolling resting
tremor of both hands. There is cogwheel rigidity of
the upper extremities
and generalized bradykinesia. His handwriting has
become small and
illegible. He has a slow, shuffling, festinating gait
with a tendency to
lean forward. Postural reflexes are impaired. This
patient is at
greatest risk for injury due to which of the
following?
A
) Bradykinesia
B
) Cogwheel rigidity
C
) Decreased rate of eye blinking
D
) Postural reflex impairment
E
) Tremor
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| hope4dabest
Forum Elite
Topics: 18
Posts: 435
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D ???
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| sandra
Forum Guru
Topics: 201
Posts: 470
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c?
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| Miradautas Vras
Forum Senior
Topics: 11
Posts: 219
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D patients many times present with complaint of suddenly falling during walking straight/taking a turn
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| shahnaz.r
Forum Junior
Topics: 7
Posts: 77
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D is probably right.
Pateints may have trouble adjusting with the posture change due to Loss of posteral reflex and have had tendency to fall.
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