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  #1  
Old 02-29-2012
tyagee's Avatar
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Default parkinson resting tremor rx

A recently retired 67-year-old man makes an
appointment to see his physician because his hands
are beginning to tremble in an uncontrollable manner.
During the examination, the physician notes
that he does have an obvious resting tremor of both
hands. However, he had no difficulty in picking up a
quarter, and during that process the tremor ceased.
When asked to hold his hand out, palm up, his fingers
underwent an involuntary movement as if he
was rolling a pill across his palm. He states that
although the tremor is annoying and sometimes
embarrassing, it makes little difference in his
lifestyle; it has not even interfered with playing golf.
At this time, which of the following is the best first
step in treatment?

(A) Amantadine
(B) An anticholinergic drug
(C) Levodopa
(D) Carbidopa
(E) A dopamine agonist
(F) Selegiline
(G) Watchful waiting
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  #2  
Old 02-29-2012
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Since the tremor is not interfering much with his activities , i think waitful watching will be ok at this time. ANS G
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  #3  
Old 02-29-2012
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C) resting tremor - parkinson ->Levadopa?
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  #4  
Old 02-29-2012
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I agree

i think either Amantadine or Anticholinergic(trihexiphenidyl..etc) r best choices...

levadopa has more adr...sice he has no other interference with his life...its best to give Anticholinergic.

wat do u guys think?
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  #5  
Old 02-29-2012
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ans given is G
watchful waiting
why?
...."He states that
although the tremor is annoying and sometimes
embarrassing, it makes little difference in his
lifestyle; it has not even interfered with playing golf."....

since it is not bothering him, dont give any drug.

i did amantadine...it was wrong....new concepts coming up...
do you guys agree with book explanation.
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  #6  
Old 03-01-2012
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Warning!

Amantadine cud be correct but it wud require additional Anticholinergic to control the tremor...so it can be a wrong ans.... but the book expanation seems false...how reliable is this book of urs?? which book? plz let me know in a personal msg will you, please ?
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Old 03-01-2012
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yes i agree with the ans. At it spares the man of the side effect antiparkinson medication .
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tyagee (03-02-2012)



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