nbme - munnabhai79

[ArchivalUser]

A previously healthy 72-year-old man comes to the physician because of a 2-year history of hand tremors and progressive difficulty walking. He lives alone and has no close relatives. He is alert and oriented. Physical examination shows a decreased rate of eye blinking. Neurologic examination shows masked facies and a pill-rolling resting tremor of both hands. There is cogwheel rigidity of the upper extremities and generalized bradykinesia. His handwriting has become small and illegible. He has a slow, shuffling, festinating gait with a tendency to lean forward. Postural reflexes are impaired. This patient is at greatest risk for injury due to which of the following?

A ) Bradykinesia

B ) Cogwheel rigidity

C ) Decreased rate of eye blinking

D ) Postural reflex impairment

E ) Tremor

[ArchivalUser]

which NBME is this from?

1, 2, 3?

[ArchivalUser]

I would go with D

[ArchivalUser]

its NBME 2