Movement disorders Quiz: Ace Your Exams
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A 55-year-old man comes to the clinic due to progressive dizziness for the past month. The patient states the dizziness typically occurs several seconds after standing up from a seated position. The patient states he also has had nocturia, urinary urgency, and erectile dysfunction for the past few months. Temperature is 37.0°C (98.6°F), and pulse is 80/min. Blood pressure is 125/85 mmHg when the patient is in a recumbent position and 90/70 mmHg when standing. Ocular movements are normal. There is increased rigidity of both arms and legs. On gait evaluation, the patient strides in small steps and fails to fully lift his feet from the floor. The Mini-Mental State Examination result is 26/30. Which of the following is the most likely diagnosis?
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