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Parkinson's swallowing — DGM MCQ

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EasyMovement disordersParkinson's swallowingDGM

An 86-year-old man with Parkinson's disease coughs during meals and has lost weight. His wife reports wet voice after drinking. There is no acute stroke syndrome. Current medicines include co-careldopa. What is the most appropriate referral?

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Correct answer: E — Speech and language therapy swallow assessment

Coughing with meals and wet voice suggest dysphagia, requiring speech and language therapy assessment. Dermatology, increasing tablets, waiting for pneumonia and antimuscarinic therapy do not address aspiration risk. Swallowing problems are common in advanced Parkinson's disease and affect nutrition and safety.

Reference: NICE NG71