Best of Five 3.69

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BOF: 3.69

A 72-year-old male attends clinic with his daughter with whom he lives. She says that she has noticed that he is becoming confused and his memory is failing. She says that he keeps seeing things that are not there. He also has periods of time where he becomes drowsy.

On examination you note that his movements are slow, there is a pill-rolling tremor of his hands, there is cogwheel type of rigidity of his upper limbs. His gait is slow and there is lack of arm swing when he walks

Which of the following is the patient likely to have?

a) Parkinson’s disease

b) Lewy body dementia

c) Multi System Atrophy

d) Progressive supranuclear palsy

e) Cortico basal ganglion degeneration

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