Training in Geriatric Medicine and the Curriculum Dr Oliver J Corrado
Training in Geriatric Medicine and the Curriculum Dr Oliver J Corrado
Training in Geriatric Medicine and the Curriculum Dr Oliver J Corrado
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SCE Example ‘Best of Five’ Questions<br />
An 84-year-old man had a 3 year progressive decl<strong>in</strong>e <strong>in</strong> memory. His<br />
wife was now hav<strong>in</strong>g to help him dress <strong>and</strong> said that for 2 years he had<br />
seen ‘animals <strong>and</strong> people which were not <strong>the</strong>re’ <strong>and</strong> that his gait had<br />
become ‘shuffly’. He had slight rigidity <strong>in</strong> his upper limbs <strong>and</strong> his MMSE<br />
was 19/30. Rout<strong>in</strong>e bloods, CXR, ECG <strong>and</strong> MSU were all normal.<br />
What is <strong>the</strong> most likely diagnosis?<br />
A Alzheimer’s disease<br />
B Lewy body dementia<br />
C Low pressure hydrocephalus<br />
D Neurosyphilis<br />
E Vascular dementia<br />
Answer: B
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