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52805 Medicine

A 75-year-old banker presents with complaints of increasing difficulty doing up his shi buttons every morning and brushing his teeth. On examination dental hygiene is good and you notice that his hand shakes slightly when he is relaxing in front of the TV but stops when he reaches for the TV remote, and he is able to switch channels. What is the best initial management step?

ADeep brain stimulation
BSend him for Cognitive Behaviour Therapy (CBT)
CPrescribe L-Dopa
DPrescribe Pramipexole
Medicine
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