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d****y
发帖数: 2180 | 1 选B， J， I的都有，到底哪个是正确的？
For each patient with cognitive impairment, select the most likely
diagnosis.
A ) Acute stress disorder
B ) Dementia, Alzheimer's type
C ) Dissociative amnesia
D ) General paresis
E ) Head trauma
F ) Hepatolenticular degeneration (Wilson's disease)
G ) HIV encephalitis
H ) Huntington's disease
I ) Major depressive disorder
J ) Multi-infarct (vascular) dementia
K ) Niacin deficiency
L ) Normal-pressure hydrocephalus
M ) Parkinson's disease
N ) Pick's disease
O ) Schizophrenia, catatonic type
P ) Normal aging
9. An 82-year-old woman is brought to the physician by her granddaughter
because of a 6-week history of increasing forgetfulness. She is a
retired
schoolteacher and lives independently. Her granddaughter is concerned
because on several occasions she has left the stove on when she went to
bed.
During conversations with her granddaughter, she has difficulty
remembering
past events and seems unconcerned about her memory lapses. The patient
describes trouble sleeping through the night and has had a decreased
appetite resulting in a 4.5-kg (10-lb) weight loss over the past month.
She
has a history of similar symptoms 2 and 5 years ago that were
successfully
treated with medication. She appears unkempt and has poor personal
hygiene.
Her temperature is 37 C (98.6 F), blood pressure is 110/70 mm Hg, and
pulse
is 80/min and regular. Mental status examination shows psychomotor
retardation, a flat affect, impaired ability to recall past events, and
trouble repeating three numbers in sequence. She is unable to recall the
names of recent presidents. Her serum urea nitrogen (BUN) level is 25
mg/dL,
and serum creatinine level is 1.7 mg/dL. | b******s
发帖数: 193 | 2 She
has a history of similar symptoms 2 and 5 years ago that were
successfully
treated with medication
indicating step-wise deterioration
so, i think J is wright. | H****y
发帖数: 156 | 3 Key points of "6-week history of increasing forgetfulness" and " a history
of similar symptoms 2 and 5 years ago that were successfully treated with
medication" make the diagnosis most likely J. | s*********a
发帖数: 336 | 4 Also J because of the elevated renal function tests. | S******9
发帖数: 2837 | 5 J ) Multi-infarct (vascular) dementia | l*******8
发帖数: 290 | | D*********t
发帖数: 140 | 7 Agree. J should be the one to choose. | d****y
发帖数: 2180 | |
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