Is Step 1 harder than NBME?

Prior to his death, this man may have had a gait ataxia. This basically means he couldn’t walk a straight line. He’s a 15-year alcoholic who’s having a period of sobriety due to his medications. He may have also had an essential tremor (answer C) since he’s sobering up. Alcoholics often shake when they are sober if their alcoholism is bad enough that they are drunk every day.

The sad case is that really, any of these could have been possible because we haven’t gotten a lot of other information about this man. A crucial piece to know would have been how long he had been sober before entering the hospital - if at all. That would affect his gait and his body overall.