Advanced PD Device Therapy — RACP Adult Medicine MCQ

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ModerateNeurologyAdvanced PD Device TherapyRACP Adult Medicine

A 70-year-old man with advanced PD has severe motor fluctuations refractory to oral therapy. He is cognitively intact. What device-aided therapy?

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Correct answer: B — LCIG (Duodopa) via jejunal PEG

LCIG provides continuous levodopa delivery via PEG-J, reducing OFF time. Alternatives: SC apomorphine pump, deep brain stimulation.

Reference: eTG – 2025 – Neurology; MDS – 2023