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Essential tremor — ABFM Board MCQ

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EasyNeurologyEssential tremorABFM Board

A 70-year-old man has a bilateral hand tremor that worsens when holding utensils and improves after a small amount of alcohol. There is no rigidity or bradykinesia. Which of the following is the most likely diagnosis?

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Correct answer: D — Essential tremor

An action tremor with improvement after alcohol and no parkinsonian signs suggests essential tremor.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html