A 65-year-old man presents to your clinic after falling several times in the past few months. On examination, his most notable findings are an unstable, wide-based gait and marked retropulsion. He does have bradykinesia with masked facies and dysahria. You find no evidence of cogwheeling or resting tremor. His symptoms do not respond to levodopa/carbidopa. During the next few months, his eye movements are notable for the slowing of veical saccades and fast phases. What is the most likely diagnosis?
Correct Answer: Progressive supranuclear gaze palsy
Description: Option A - Ruled out as resting tremors are absent & disease is ruled out as it is a ATYPICAL PARKINSONISM disease. Option B- since in the question its mentioned regarding the veical gaze of the patient, it's the most appropriate option. Option C- Ruled out as autonomic insufficiency isn't mentioned in the question. Option D- Manifestation of STROKE related to Pons with VIth nerve palsy.
Category:
Medicine
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now