Approach to tremor Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 45-year-old woman presents to the primary care clinic for evaluation of shakiness of the right hand. For the past three weeks she has noticed clumsiness of the right hand when she buttons her clothing, applies makeup, and uses her touch screen device. She has no significant past medical history and takes no medications. Temperature is 36.7°C (98.1°F), pulse is 70/min, respirations are 12/min, and blood pressure is 120/80 mmHg. There are no abnormal movements of the hand when it is at rest. With her arms outstretched, the right hand displays a slow, large amplitude side-to-side oscillatory movement that becomes more pronounced with finger-nose-finger testing with past pointing. She has interrupted saccadic eye movements and a wide-based, unsteady gait. Which of the following additional findings would most likely be present upon further evaluation? 

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