A 75-Year-Old Man Is Brought to the Office for Evaluation

question 243

Multiple Choice

A 75-year-old man is brought to the office for evaluation due to memory loss and increasing confusion for 6 months.  The patient is unable to manage his finances and occasionally gets lost in his neighborhood, needing to ask for directions.  On examination, he can recall only 1 of 3 objects after 5 minutes.  The patient performs poorly on cognitive assessment testing.  Cranial nerves and gait are normal.  T2-weighted MRI reveals multiple white matter abnormalities (hyperintensities) within the left frontal, bilateral parietal, and occipital white matter.  Also noted are subcortical gray matter hyperintensities in the bilateral thalamus.  Which of the following is the most likely diagnosis?

• A)Alzheimer dementia
• B)Brain metastases
• C)Multiple sclerosis
• D)Vascular dementia
• E)Wernicke encephalopathy

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Definitions:

Non-Hispanic White Americans

Individuals residing in the United States who identify as white and are not of Hispanic or Latino origin.

American Indians

Indigenous peoples of the continental United States, with distinct cultures, histories, and governments.

Group Counseling

A therapeutic process where multiple individuals share and explore their issues in a group setting under the guidance of a counselor.

Small Business Owners

Individuals who own and operate a business that is typically smaller in scale compared to larger companies and corporations.