Challenger Medical Education Blog

A 76-year-old man with poor memory and concentration

Written by Med-Challenger | Jan 25, 2025 1:15:00 PM

A 76-year-old man has been brought in for evaluation by his family because of his poor memory and concentration. His family reports a gradual cognitive decline since the patient retired. He often forgets recent events, names, and appointments, and sometimes the family says he cannot find his car.

A Mini-Mental Status Examination (MMSE) is performed, and the score is 20. He received points off for orientation to time, recall, and calculation.

After ruling out other potential causes, you make a diagnosis of Alzheimer disease.

In discussing possible medication therapy with the patient and his family, what should they be counseled to expect with regard to medication effectiveness?

  • cognitive improvement coupled with behavioral worsening
  • decrease in aggression and agitation
  • temporary slowing of cognitive and functional decline
  • 4-point improvement on the MMSE
  • 6-point improvement on the MMSE

 

This question appears in Med-Challenger Family Medicine Exam Review with CME

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