10-05-2006, 10:05 PM
A 60-year-old male arrives to the clinic with memory and concentration problems. He does
not have medical problems or alcohol/drug history. When you inquire about the memory
problems, he complains he œjust not as sharp as I used to be and is obviously upset about
it. On testing, his attention is good, and he is oriented to person, place, and date. He does
okay with various intellectual tasks, but he sighs a lot, takes a long time to answer, often
gives up after minimal effort, appears frustrated, and frequently answers questions with,
œOhI don™t know Based on this presentation, the most likely diagnosis is:
A. pseudodementia
B. delirium
C. dementia, Alzheimer™s type
D. normal pressure hydrocephalus
E. Lewy body dementia
not have medical problems or alcohol/drug history. When you inquire about the memory
problems, he complains he œjust not as sharp as I used to be and is obviously upset about
it. On testing, his attention is good, and he is oriented to person, place, and date. He does
okay with various intellectual tasks, but he sighs a lot, takes a long time to answer, often
gives up after minimal effort, appears frustrated, and frequently answers questions with,
œOhI don™t know Based on this presentation, the most likely diagnosis is:
A. pseudodementia
B. delirium
C. dementia, Alzheimer™s type
D. normal pressure hydrocephalus
E. Lewy body dementia