SOLVED1271

A 52-year-old man presents to the emergency department with his wife due to recurrent falls. He fell an hour ago and hit his head on the corner of a table. He does not lose consciousness after the fall and appears alert and awake. His wife states that the patient has often lost his balance when walking straight and has recently become more irritable. His medical history includes hypertension, hyperlipidemia, and depression controlled by an ACE inhibitor, a statin, and a tricyclic antidepressant. His father was diagnosed with Parkinson disease at the age of 68. His vitals are blood pressure 125/78 mm Hg, heart rate 60/min, and temperature 36.1 °C (97 °F). On physical examination, the patient has a slight tremor of his hands, which resolves when he moves them. He takes small, rapid steps to keep the center of gravity between his feet as he leans forward involuntarily and shifts the center of gravity forward. Which of the following is the most likely cause of his symptoms? A. Amoxapine B. Early-onset Parkinson disease C. Simvastatin D. Lisinopril
SCIENCE
HEALTH SCIENCE
NURSING

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