A 68-year-old female presented with a 2-year history of impaired memory,

A 68-year-old female presented with a 2-year history of impaired memory, irritability, and self-neglect. A

physical examination reveals psychomotor agitation and short term memory loss. She has been unable to drive or bathe herself for the last year and requires daily assistance for her basic needs. On examination, her Mini-Mental Status Examination score is 12. What is the most likely diagnosis?

A Dementia

B Depression

C Schizophrenia

D Delirium

E Mania

 
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Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig’s disease,

Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig’s disease, is a neurogenerative disorder that leads to

disability and death. Which of the following statements is true concerning this condition?

A Upper and lower motor neuron involvement is rare.

B Sensory symptoms precede motor symptoms by 6 to 12 months

C Approximately 75% of people with classic ALS will develop weakness and wasting of the bulbar muscles

D ALS is a chronic remitting and relapsing disease

E Most patients with ALS die of aspiration pneumonia

 
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Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig's disease,

Amyotrophic lateral sclerosis (ALS), also called Lou Gehrig’s disease, is a neurogenerative disorder that leads to

disability and death. Which of the following statements is true concerning this condition?

A Upper and lower motor neuron involvement is rare.
B Sensory symptoms precede motor symptoms by 6 to 12 months
C Approximately 75% of people with classic ALS will develop weakness and wasting of the bulbar muscles
D ALS is a chronic remitting and relapsing disease
E Most patients with ALS die of aspiration pneumonia

 
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A 72-year-old male is driving with his wife to McDonald’s.

A 72-year-old male is driving with his wife to McDonald’s. Suddenly, he begins to swerve the car to the right and

hits a lamppost. On presentation to the emergency room, his wife reports that he has a history of high cholesterol (treated with appropriate medication), high blood pressure, and cigarette smoking. On exam, he is found to have left hemiparesis, left hemisory loss, and left-sided neglect. His vital signs show a blood pressure of 180/96 mmHg and an irregular pulse of 110. The most likely diagnosis is:

A Left middle cerebral artery stroke

B Cerebellar stroke

C Transient ischemic attack (TIA)

D Right middle cerebral artery stroke

E Right anterior cerebral artery stroke

 
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