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Chapter 29. Alzheimer Disease

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Common symptoms of Alzheimer disease (AD) include which of the following:

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A. Memory loss

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B. Language difficulties

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C. Loss of initiative

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D. Change in mood or personality

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E. All of the above

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Which of the following is a risk factor for AD?

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A. NSAID use

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B. Male gender

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C. Diabetes

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D. Low socioeconomic class

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E. All of the above

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Death in patients with AD could be a result of:

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A. Sepsis

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B. Heart attack

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C. The disease itself

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D. Influenza

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E. Hyperglycemia

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Pathologic characteristics of AD include:

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A. Neurofibrillary tangles

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B. Neuritic plaques

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C. Loss of acetylcholine activity

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D. Both B and C

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E. A, B, and C

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Which of the following laboratory tests should be ordered for a patient to exclude other causes of dementia?

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A. HIV test

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B. Vitamin B12 level

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C. Complete blood count (CBC)

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D. Basic metabolic panel

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E. All of the above

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CK is a 75-year-old man who presents to his primary care clinic with his son. The son complains of his father’s memory loss over the last year, stating that he frequently forgets to turn off the car and lock the doors to his home. He is constantly misplacing items such as the car keys, his cell phone, and his wallet. He struggles sometimes to come up with the correct word for identifying simple objects, such as the desk or TV. Which of the following would be the most appropriate diagnosis for CK?

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A. All-cause dementia

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B. Probable AD dementia

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C. Possible AD dementia

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