American Board of Internal Medicine (ABIM) Certification Practice Exam

Which non-pharmacologic treatment is indicated for limb tremor in multiple sclerosis?

1. Cognitive therapy

2. Occupational therapy

3. Physical therapy

4. Speech therapy

The correct answer is: Occupational therapy

Occupational therapy is the appropriate non-pharmacologic treatment indicated for limb tremor in multiple sclerosis. This type of therapy focuses on helping individuals improve their ability to perform daily activities and can be particularly beneficial for those experiencing physical limitations due to conditions like multiple sclerosis. Therapists provide strategies and adaptive techniques that enable patients to manage tremors more effectively during necessary tasks, which often include fine motor skills essential for activities such as writing, eating, or dressing. Occupational therapy may incorporate the use of specialized tools or suggest modifications to the environment, making tasks easier to execute despite the tremor. While other therapies, like physical therapy, may focus on improving overall mobility and strength, and speech therapy may address communication difficulties associated with multiple sclerosis, the specific aim of occupational therapy aligns directly with enhancing the quality of daily living activities impacted by limb tremors. That's why it stands out as the most relevant choice for individuals facing this particular symptom of multiple sclerosis.