A 74-year-old woman has new asymmetric bradykinesia and rigidity. She has fallen once but remains independent. There is no exposure to

Question

A 74-year-old woman has new asymmetric bradykinesia and rigidity. She has fallen once but remains independent. There is no exposure to dopamine-blocking medication. Current medicines include levothyroxine. What is the most appropriate referral?

Accepted Answer

Specialist Parkinson's disease service

Answer

No referral until wheelchair dependent

Answer

Start levodopa without specialist review

Answer

Memory clinic as first step

Answer

Routine rheumatology clinic

Parkinson's referral — DGM MCQ

A 74-year-old woman has new asymmetric bradykinesia and rigidity. She has fallen once but remains independent. There is no exposure to dopamine-blocking medication. Current medicines include levothyroxine. What is the most appropriate referral?