Question

A 68-year-old man with Parkinson disease has increasing bradykinesia and stiffness affecting daily activities. He is not yet on dopaminergic therapy. What is the most appropriate next step?

Accepted Answer

Start levodopa/carbidopa at the lowest effective dose

Answer

Start high-dose prednisolone

Answer

Start haloperidol

Answer

Advise no pharmacological treatment until he becomes bed-bound

Answer

Refer for neurosurgical ablation as first-line

Practice question

A 68-year-old man with Parkinson disease has increasing bradykinesia and stiffness affecting daily activities. He is not yet on dopaminergic therapy. What is the most appropriate next step?