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A 52-Year-Old Man Is Evaluated for Ongoing Cognitive Difficulties

question 33

Multiple Choice

A 52-year-old man is evaluated for ongoing cognitive difficulties. For the past 2 months, he has been sleeping 12-16 hours daily, much more than he usually does. When he is awake, he is withdrawn and less socially engaged than normal. During this time, the patient has had trouble driving, sideswiping cars on the right side of the road more than once. He also has had several falls, which he attributes to feeling off-balance. Vital signs are normal. The patient scores 22/30 (normal: ≥26) on the Montreal Cognitive Assessment. A partial right homonymous hemianopsia is noted. Motor and reflex examinations are normal with intact vibratory sensation. He exhibits dysdiadochokinesia and dysmetria on testing of his upper and lower extremities along with a wide-based gait. CT scan of the head is normal. Real-time quaking-induced conversion testing of his cerebrospinal fluid is positive. This patient will most likely develop which of the following?

Recognize the impact of prohibition and the social perspective towards alcohol.

Understand the concept of the sick role and its obligations.

Analyze the influence of social factors (such as capital, social norms, and access to healthcare) on health and illness.

Grasp the interactionist approach to health, including how illness is experienced and interpreted.

Definitions:

Whole Grains

Grains that contain all essential parts and naturally-occurring nutrients of the entire grain seed in their original proportions.

Nutrients

Substances needed for growth, metabolism, and for other body functions; includes vitamins, minerals, carbohydrates, fats, and proteins.

Energy Source

Any substance or system that can be utilized to produce energy or power, including fossil fuels, solar energy, wind energy, and nuclear power.

Fats

Macronutrients that provide energy, help in hormone production, and assist in the absorption of certain vitamins.