QuestionSBA
QuestionChoice
In essential tremor, the tremor persists and the handwriting stays the same size, unlike in this patient where his handwriting gets smaller and his tremor disappears. This, along with the bradykinesia, suggests a diagnosis of Parkinson's disease over essential tremor.
10023701
b
Essential tremor
QuestionChoice
In functional tremor, there is uncontrollable shaking of a part of the body. This is due to the nervous system not working properly, not due to an underlying neurological disease.
10023704
e
Functional tremor
QuestionChoice
An intention tremor happens during deliberate, voluntary movements. It happens as the consequence of cerebellar dysfunction, particularly on the same side as the tremor. As this tremor is present at rest, an intentional tremor is unlikely.
10023703
d
Intention tremor
QuestionChoice
This patient has no medical conditions which makes the diagnosis of hyperthyroidism unlikely. The handwriting getting smaller and the tremor disappearing are also suggestive of Parkinson's disease.
10023702
c
Hyperthyroidism
QuestionChoice
The symptoms of resting tremor and bradykinesia (slow, little steps) suggest a diagnosis of Parkinson's disease. The handwriting getting smaller and the tremor disappearing suggests PD over essential tremor as in essential tremor, the tremor persists and the handwriting remains the same size.
10023700
a
Parkinson's disease (PD)
Concept
Chapter
2693
3747
Parkinson's Disease
Topic
141
Neurology
17138
A 72-year-old male presents to the GP with a tremor that is present at rest. The GP also notices that the patient takes slow, little steps when walking. The patient has no other medical conditions.

The GP asks the patient to write some words on a bit of paper and notices that his handwriting gets smaller and the tremor disappears while doing this.

What is the most likely diagnosis?
a