Welcome to episode 520 of the Divine Intervention Podcasts. In today's

podcast we're going to be continuing the series on discussion of the

free 120, the Step 2 CK free 120. This is the most recent one. It's basically the one that you can see on the website now. Just check this day, you know, March 17, 2024. The one on the US family website is the one I'm discussing. We've

discussed the first 12 questions so we're going to jump right to question 13. Okay, let's

continue. So a 68 year old man comes to the clinic because of a six month history of frequent falls.

He sustained the fracture of the left rest four weeks ago during a fall.

He has not had loss of consciousness before or during the fall. He has not had loss of consciousness before or during the falls.

He says that turning and pivoting often cause him to fall and he has a tendency to fall backward when walking. He has Parkinson's disease treated with

carbidopa, livodopa and intacapun. Vital signs are within normal limits.

Examination shows masked feces and arresting tremor of the right-oper extremity.

Rumburg sign is absent.

When the patient stands still and is pulled backward, he is unable to maintain his posture.

Which of the following is the most appropriate intervention to decrease this patient's

risk for future falls? Option E says biofeedback.

Option B says physical therapy.

Option C says prima plexal therapy.

Option D says ropineral therapy and option E says Rortigotene therapy.

So this is a very clear question about a person that has Parkinson's disease and the person

seems to have this tendency to fall and then they ask him what can we do to

decrease this person's risk for falling to decrease this person's risk of falling.

And I know the first thought that may come to people's minds is,

Devine, why don't we just give them different, maybe a different kind of Parkinson's

...