21st July 2023

A 54-year-old farmer presents with a tremor in her upper limbs and head for the past 3 months.

A 54-year-old farmer presents with a tremor in her upper limbs and head for the past 3 months. She reports that it is in both arms and is worse when she tries to take a drink or eat. She also notes that if she has an alcoholic drink, it tends to improve. She has no past medical history and is on no medications.

Which of the following would not support a diagnosis of Parkinson’s disease?

Select the SINGLE most appropriate option from the list below. Select ONE option only.