Neurology: Parkinsonism: practice question

A General Medicine question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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General Medicine · Neurology: Parkinsonism

Sample item

Which finding best distinguishes Parkinson disease tremor from essential tremor?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. Rest tremor with bradykinesia and rigidity

Parkinson disease requires bradykinesia plus rest tremor or rigidity, often with postural instability later. Essential tremor is predominantly action or postural and commonly affects both upper limbs.

Option by option

  • A. Tremor relieved by alcohol only

    Alcohol responsiveness can occur in essential tremor but is not diagnostic alone.

  • B. Absence of any gait change

    Gait changes can occur in Parkinson disease.

  • C. Rest tremor with bradykinesia and rigidity (correct)

    Correct. Rest tremor with bradykinesia and rigidity is parkinsonian.

  • D. Symmetric action tremor only

    Action tremor without bradykinesia favors essential tremor.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More General Medicine questions

Questions about this General Medicine question

What is the answer to this General Medicine question?

The best answer is C, Rest tremor with bradykinesia and rigidity. Parkinson disease requires bradykinesia plus rest tremor or rigidity, often with postural instability later.

Why is "Tremor relieved by alcohol only" not the answer?

Alcohol responsiveness can occur in essential tremor but is not diagnostic alone.

Why is "Absence of any gait change" not the answer?

Gait changes can occur in Parkinson disease.

Why is "Symmetric action tremor only" not the answer?

Action tremor without bradykinesia favors essential tremor.

What concept does this question test?

It tests Neurology: Parkinsonism in General Medicine. Essential tremor is predominantly action or postural and commonly affects both upper limbs.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Neurology: Parkinsonism?

For each disease know the classic presentation, the best test, and the first-line treatment. Then use the flashcards and the other General Medicine questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.