nbme 3 - aging - jorj

[ArchivalUser]

An 80-year-old man has had poor balance for 6 months. He has a history of hypertension treated with hydrochlorothiazide. His blood pressure is 136/86 mm Hg. Neurologic examination shows mild tremor of the hands when his arms are outstretched and decreased
vibratory sensation at the knees. Deep tendon reflexes of the quadriceps and gastrocnemius-soleus muscles are hyperactive. Babinski's sign is present bilaterally. He is unable to stand with his eyes closed. Which of the following is most consistent with normal age-related changes?

O A) Babinski's sign
O B) Hyperactive deep tendon reflexes of the gastrocnemius-soleus muscles
O C) Inability to stand with the eyes closed
O D) Reduced vibratory sensation at the knees
0 E) Tremor of the outstretched hands

[ArchivalUser]

i think it is b

[ArchivalUser]

ddddddddddddd ..the ques was discussed previously in forum

[ArchivalUser]

I did a search for that question and I found that it was discussed many times before without any agreement, but most people said (E) and not (D). I have no reference for either answers.

[ArchivalUser]

Reduced vibratory sensation at the toes could be normal in elderly, not at the knees.

[ArchivalUser]

I found this.....
The Mayo Clinic reports that what causes shakiness in elderly people is often thought to be a common aging process

[ArchivalUser]

So what is the answer according to this (E) ??

[ArchivalUser]

http://www.merck.com/mkgr/mmg/sec1/ch3/ch3c.jsp

read it jorj and tell me the answer

[ArchivalUser]

My answer is still (E)