USMLE Forum Archives - USMLE Step 3 - Neuro- deteriorating job performance
Neuro- deteriorating job performance
harry206 - 02-18-10 23:13
A 55-year-old man is brought to the office by his wife for evaluation of deteriorating job performance. Over the past 3 years he has become increasingly insensitive to his family's needs, and rarely takes on projects around the house. His mother and a maternal uncle had dementia.
On examination, he is alert and recalls 3 of 3 words after a delay. His score on Mini–Mental State Examination is 29/30, and his 1-minute verbal fluency score is 6 items. The rest of the neurologic examination is normal.
Which of the following diagnostic tests is most appropriate in this patient's evaluation?
harry206 - 02-18-10 23:13
A 55-year-old man is brought to the office by his wife for evaluation of deteriorating job performance. Over the past 3 years he has become increasingly insensitive to his family's needs, and rarely takes on projects around the house. His mother and a maternal uncle had dementia.
On examination, he is alert and recalls 3 of 3 words after a delay. His score on Mini–Mental State Examination is 29/30, and his 1-minute verbal fluency score is 6 items. The rest of the neurologic examination is normal.
Which of the following diagnostic tests is most appropriate in this patient's evaluation?
The correct answer and explanation will be available after you answer.
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#2
Re: Neuro- deteriorating job performance conym5 - 02-19-10 08:53 My answer is: b.
MRI Shows Brain Atrophy Pattern That Predicts Alzheimer's disease..Analysis of blood for presenilin-1 mutation is very specific test . if MRI also +ve , then we can go for that test..
#13
Re: Neuro- deteriorating job performance babbu5508 - 08-31-10 11:46 My answer is: e.
I n alzheimer's disease , MRI likely shows brain atrophy...which is confirmed later by presenilin-1 mutation..the disesa is running in fa,ily..
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