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Indefinite Articles (masculine, plural)
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- A 77-year-old retired school superintendent comes to your office, complaining of unsteady hands. He says that for past 6 months, when his hands are resting in his lap they shake uncontrollably. He says when he holds them out in front of his body shaking diminishes, and when he uses his hands shaking is also better. He also complains of some difficulty getting up out of his chair & walking around. He denies any recent illnesses or injuries. His PMH is significant for high BP & CAD, requiring a stent. He denies any tobacco, alcohol, or drug use. His mother died of a stroke in her70s & his father died of MI in his 60s. On examination you see a fine, pill-rolling tremor of his left hand. His right shows less movement. His cranial nerve examination is normal. He has some difficulty rising from his chair, his gait is slow, and it takes him time to turn around to walk back toward you. He has almost no "arm swing" with his gait.What type of tremor is he most likely to have?A) Resting tremorB) Postural tremorC) Intention tremor