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* q10
 #137978  
  sith - 11/12/06 14:53
 
  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

10. A 42-year-old computer science professor is brought to the physician by her husband, who reports insidious changes in his wife's personality and behavior. He reports that she believes that aliens have been speaking to her and tampering with their heating and air-conditioning systems. He says that she was upset when she turned 40 years old, and her symptoms have developed since that time. She was adopted, and her family history is unknown. Physical examination shows vermicular movements of the tongue and bilateral writhing motions of the upper extremities. Mental status examination shows indifference to her condition and mild to moderate difficulty with memory and calculations.

 
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* Re:q10
#555782
  malak - 11/12/06 15:05
 
  Huntington's disease  
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* Re:q10
#555786
  sith - 11/12/06 15:06
 
  huntingtons  
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* Re:q10
#555901
  nida - 11/12/06 16:32
 
  Is the hallucinations due to the disease itself or due to drug treatment side effects?
I made wrong choice for this Q during the test.
 
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* Re:q10
#555915
  sheena2005 - 11/12/06 16:51
 
  yeah i am confused because how do u explain the hallucintion in huntington's diseas.  
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* Re:q10
#555918
  sheena2005 - 11/12/06 16:52
 
  although the mobement disorder do seem to prsent as huntington's  
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* Re:q10
#555931
  dolly123 - 11/12/06 17:07
 
  nida, what di u pick instead of huntingtons?
only reason its hunti...is by processof eliminatin
the only schizo here is catatonic type
 
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* Re:q10
#555936
  nida - 11/12/06 17:21
 
  I was confused by the hallucination, the catatonic type schizo does not fit here.  
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* Re:q10
#555962
  nia - 11/12/06 18:12
 
  yeah why not Pick?  
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* Re:q10
#555967
  malak - 11/12/06 18:19
 
  vermicular movements of the tongue and bilateral writhing motions of the upper extremities. go more with huntingtons  
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* Re:q10
#555973
  sheena2005 - 11/12/06 18:21
 
  psychotic features are common in huntington's disease. so it is definately huntington's  
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