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PD – Medication Timing in Care Homes — SCE Neurology MCQ

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HardMovement DisordersPD – Medication Timing in Care HomesSCE Neurology

A person with advanced Parkinson’s disease who takes co-beneldopa every 3 hours is admitted with small-bowel obstruction and cannot absorb oral or enteral medication. He is becoming rigid and febrile. What is the safest immediate medication strategy?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: B — Use a transdermal rotigotine bridge during the bowel obstruction

Explanation lettering: C = shown as A · A = shown as B · E = shown as C · B = shown as D · D = shown as E

A is correct: antiparkinsonian therapy must not fail abruptly through poor absorption; when enteral delivery is impossible, urgent specialist conversion to an appropriate non-enteral regimen is required. B risks acute akinesia or a neuroleptic-malignant-like syndrome. C does not solve absorption and may be unsafe. D blocks dopamine and worsens parkinsonism. E is not a validated route or formulation.

Reference: NICE NG71: Parkinson’s disease in adults: https://www.nice.org.uk/guidance/ng71/chapter/Recommendations