A Patient Reports Trembling of Both Hands Causing Difficulty Performing

question 2

Multiple Choice

A patient reports trembling of both hands causing difficulty performing tasks with the hands. The provider notes symmetric, rhythmic movements which are present at rest and no other neurological findings. A history reveals that the trembling decreases when the patient has a glass of wine with dinner. What is the initial action?

• A) Evaluation in an emergency department (ED)
• B) Prescribing a beta blocker medication
• C) Reassurance that these will subside
• D) Referral to a neurologist

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Definitions:

Critical Thinking

The process of actively and skillfully conceptualizing, applying, analyzing, synthesizing, and evaluating information to reach an answer or conclusion.

Problem Solving

The process of working through details of a problem to reach a solution, which may involve critical thinking and creativity.

Bloom's Taxonomy

A framework for categorizing educational goals that prioritize learning objectives from simple to more complex tasks.

Framework

A basic structure underlying a system, concept, or text, used as a guide for further development.