USMLE Step 3 Quiz
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NEUROLOGY
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A 67-year-old woman with a 6-year history of Parkinson's disease is experiencing bothersome constipation and early satiety. She has a bowel movement only once every 4-5 days, with significant straining. These symptoms are causing her more distress than her mild tremor. Her medications are carbidopa/levodopa and selegiline. She has tried increasing fiber and water intake with minimal benefit.
Which of the following is the most appropriate next step in managing her gastrointestinal symptoms?
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