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Suspected parkinsonism — DGM MCQ

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ModerateMovement disordersSuspected parkinsonismDGM

An 80-year-old woman has a new asymmetric tremor with stiffness and slow walking. She has fallen once and finds buttons difficult. She has not started any dopamine-blocking medicines. What is the most appropriate referral?

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

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Correct answer: BNeurology or Parkinson's specialist assessment

Suspected parkinsonian tremor, especially with stiffness, slowness, falls or gait disorder, should be referred for specialist assessment. Age alone does not explain asymmetric parkinsonism. Starting therapy before diagnostic confirmation is usually avoided in primary care.

Reference: NICE NG127; NICE NG71