Quiz Form

Question Date: 11/09/2023

Question: A 61-year-old right-handed man presents with a 6-month history of tremor in the left hand. He reports that it has been more difficult for him to button his shirt and tie his shoes. On examination, he has a resting tremor of the left arm, bradykinesia of the left arm and hand, rigidity in the left arm, and limited left arm swing when walking<br><br> Which of the following clinical symptoms would most likely be present on review of systems in this patient?

Options:

• Chest pain
• Constipation
• Dyspnea on exertion
• Leg swelling

Correct Answer: Constipation

Explaination: This patient demonstrates classic signs and symptoms of Parkinson disease. He has unilateral resting tremor, rigidity, and bradykinesia. In addition to motor signs, patients with early Parkinson disease may report nonmotor features such as constipation, REM behavior disorder, fatigue, depression, and anosmia.

Reference: Williams DR, Litvan I. Parkinsonian syndromes. Continuum (Minneap Minn). 2013 Oct19(5 Movement Disorders)1189-212. doi 10.121201.CON.0000436152.24038.e0. PMID 24092286 PMCID PMC4234134.