Goal-directed Movements (reaching in Medicine / Internal Medicine — 67yo Man | Neurology | SMLE Q#11488
SMLE Question #11488
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 67-year-old man has a 6-month history of a right-hand tremor that worsens with goal-directed movements (reaching for objects, drinking, buttoning) and is minimal at rest. His handwriting has become shaky. Examination shows a coarse, irregular tremor that becomes prominent during finger-to-nose testing with mild past-pointing and right-sided dysmetria on heel-to-shin testing. Which of the following is the most likely location of the lesion?
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