National Physical Therapy Examination NPTE Quiz
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FOUNDATIONS: EVALUATION, DIFFERENTIAL DIAGNOSIS, & PROGNOSIS
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A 68-year-old female with a 5-year history of idiopathic Parkinson's disease (PD), Hoehn & Yahr stage 2.5, is referred to physical therapy for gait and balance training. The initial evaluation reveals moderate bradykinesia and rigidity. Her Berg Balance Scale (BBS) score is 42/56.
Over the next four weeks of therapy, the patient's husband reports she is declining faster than expected. Reassessment reveals a BBS score of 35/56. The patient reports a new onset of symptomatic orthostatic hypotension and urinary incontinence. She also exhibits mild cerebellar signs, including dysmetria on finger-to-nose testing, which were not present initially. These new findings are MOST suggestive of a progression toward which condition?
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