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A 45-Year-Old Woman Comes to the Office Due to Tremor

question 149

Multiple Choice

A 45-year-old woman comes to the office due to tremor in her hands. She has had an on-and-off tremor for several years, especially when she becomes stressed; however, over the past 6 weeks, the tremor has persisted and become more severe. The patient has no other symptoms. Medical history is significant for generalized anxiety disorder, for which she has been taking sertraline for 2 months. The patient does not drink alcohol. There is no family history of tremor or neurologic conditions. Temperature is 36.8 C (98.2 F) , blood pressure is 130/84 mm Hg, pulse is 82/min, and respirations are 16/min. Physical examination shows a high-frequency tremor of both hands that is prominent with finger-to-nose testing. The tremor is not relieved with distraction. The remainder of the examination is normal. Complete blood count, serum chemistry profile, and serum TSH are normal. What is the most likely diagnosis?

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Definitions:

Reflect

The act of thinking deeply or carefully about something, often leading to insights or reconsideration of attitudes, behaviors, or beliefs.

Theoretical Knowledge

Knowledge that is based on theories and principles, often contrasted with practical knowledge or experience.

Stage Theory

A psychological theory that proposes development occurs in distinct and successive stages, each with its own challenges and characteristics.

Discontinuity

A concept that denotes abrupt changes or breaks in development, patterns, or processes, contrasting with continuous, gradual transformations.