Which of the following is NOT a physical assessment finding in Parkinson's disease?

Option 1 : Absence of cognitive impairment

• Parkinson's disease is mainly a brain disorder that causes unintended or uncontrollable body movements, such as shaking, stiffness, and difficulty with balance and coordination. Disease is mainly caused by a loss of nerve cells in the part of the brain which is known as substantia nigra. Nerve cells in this part of the brain are responsible for producing a chemical called dopamine.
• One of the main symptoms of Parkinson disease  is also diminished facial expressivity or "masked facies," which refers to the expressionless appearance.
• Dysarthria in this also can be characterised by monotony of pitch and loudness, reduced stress, variable rate, imprecise consonants, and a breathy and harsh voice.
• In this person with this tremor may appear to be rolling a pill or small object between their thumb and index finger. This is also a very early signs of the disease.
• In  Parkinson's disease people usually have slower thinking and information processing which is termed as “bradyphrenia”. People also have problem with Attention and working memory, executive function, are the most frequently affected cognitive functions. Hence absence of cognitive impairment is not a physical assessment finding in Parkinson's disease. So the option 1 is the Correct Option for the above.

Hallmark Symptoms of Parkinson's Disease: 

• Shaking (tremor) of the hands, arms, legs and face
• Stiffness
• Slow movement (bradykinesia)
• Difficulty with balance and coordination.