1. A provider is assessing a 35-year-old patient woman who complains of having tremors in bilateral hands and has been having difficulty writing. She states, “it is like I can’t get my hands to do what I want”. She states her mother had Parkinson disease and is worried she may have as well. The provider is aware that her symptoms do include the six (6) cardinal features of Parkinson and further assessment is needed to determine diagnosis. The six (6) cardinal features include the following except:
a. Rigidity
b. Hypokinesia
c. Tremor
d. Lhermitte’s sign
Answer: d
Rationale: Lhermitte’s sign is a symptom of an electric sensation down the back “after passive or active neck flexion” (Dunphy, Winland-Brown, Porter, & Thomas, 2015, p. 97). A provider
a. Rigidity
b. Hypokinesia
c. Tremor
d. Lhermitte’s sign
Answer: d
Rationale: Lhermitte’s sign is a symptom of an electric sensation down the back “after passive or active neck flexion” (Dunphy, Winland-Brown, Porter, & Thomas, 2015, p. 97). A provider