Goal-directed Movement On Finger-to-nose in Medicine / Internal Medicine — 68yo Man | Neurology | SMLE Q#11480
SMLE Question #11480
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 68-year-old man has 6 months of progressive clumsiness of his right arm. He overshoots when reaching for objects and has difficulty pressing small buttons. Examination shows a coarse, irregular tremor of the right hand that is minimal at rest but prominent with goal-directed movement on finger-to-nose testing, with mild dysmetria. Strength and sensation are intact, and his gait slightly veers to the right. Where is the most likely site of the lesion?
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