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| * nbme |
| | #176934 |
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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
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