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Parkinson's disease — DGM MCQ

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EasyMovement disordersParkinson's diseaseDGM

A 76-year-old man reports progressive slowness and smaller handwriting. His wife notices reduced arm swing and a quieter voice. Examination shows bradykinesia, cogwheel rigidity and a unilateral resting tremor. What is the most likely diagnosis?

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Correct answer: BParkinson's disease

Bradykinesia with rigidity and unilateral rest tremor is typical of Parkinson's disease. Essential tremor is usually action tremor without bradykinesia or rigidity. Non-specialists should recognise parkinsonism and arrange specialist assessment before starting treatment.

Reference: NICE NG71; NICE NG127