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Kaplan Qbank USMLE



Author2 Posts
  #1

15. A 75-year-old man with a 3-year history of progressive cognitive impairment due to dementia, Alzheimer's type, has had nocturnal disorientation for 2 weeks. He lives at home with his wife. He is otherwise healthy and takes no medications. Physical examination shows normal findings. He is disoriented to time and place, has poor short-term memory, is unable to do simple arithmetic, and has a poor understanding of general information. Which of the following is the most appropriate initial step in management?

A ) Increase in home nighttime lighting

B ) Prescription for chloral hydrate

C ) Prescription for diazepam

D ) Prescription for haloperidol


Please provide some reason for your answer


Edited by ARJ on 11/15/05 - 04:27 AM

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  #2

A ) Increase in home nighttime lighting







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