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 Best of Five 2.125

 

   

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BOF: 2.125

A 42-year-old male presents with   a history of involuntary movements of his upper limbs.  The tremor resolves during sleep but is aggravated by certain positions and is decreased if he takes alcohol

On examination you note a positional tremor tone power and reflexes are normal.

Which one or the following features would rule out Parkinsonism?

a)      Tremor decreasing during sleep

b)      Family history

c)      Asymmetry

d)      Tremor affecting head

e)      Normal tone

 

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