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 date, you know, March 17, 2024. The one on the USMLA 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 falls.

He says that turning and pivoting often caused him to fall,

and he has a tendency to fall backward when walking.

He has Parkinson disease treated with carbidopoe livo dopa and intacapun.

Vital signs are within normal limits.

Examination shows masked faces and arresting tremor of the right upper extremity.

Rundberg's 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 faults?

Option A says biofeedback.

Option B says physical therapy.

Option C says Pramipixel therapy. Option B says physical therapy. Option C says Pramepexol therapy. Option D says ripinearol therapy. And option E says rotigotine 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're asking 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 divine why don't we just give them different

maybe a different kind of Parkinson's disease therapy or change something with their therapy. But the thing is, that's a good thought. But the only problem here is there are three

treatments for Parkinson's disease that are answered choices here. So just none of them can be

right. Pramipixel, believe it or not, can be used for Parkinson's disease. Repenixel, believe it or not, can be used for Parkinson's

disease. Rupina, believe it or not can be used for Parkinson's disease. Routigo team, believe it or not can be used for Parkinson's disease. They are all dopamine receptor agonists. So because the dopamine receptor agonists, they can't all be correct, right? So we can pretty more cross all of those off. And then option A, biofeedback. Biofeedback is like consulting the ethics committee on the

USME leaves. You're not going to be right doing that. So the answer, option B is going to be option B. It's going to be physical therapy. Actually, there are many people that have Parkinson's disease. There's actually studies that have shown that physical therapy, regular exercise, has been shown to actually help these people, reduce their

...