Question

A 63-year-old woman presents with gradual onset tremor of her right hand at rest, bradykinesia and rigidity. She has hypomimia and reduced arm swing when walking. There is no history of drug use that could cause parkinsonism. What is the most appropriate initial pharmacological treatment?

Accepted Answer

Levodopa with a dopa-decarboxylase inhibitor.

Answer

High-dose oral Propranolol.

Answer

Carbamazepine.

Answer

Diazepam as required.

Answer

Amantadine monotherapy.

Practice question

A 63-year-old woman presents with gradual onset tremor of her right hand at rest, bradykinesia and rigidity. She has hypomimia and reduced arm swing when walking. There is no history of drug use that could cause parkinsonism. What is the most appropriate initial pharmacological treatment?