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Kaplan Qbank USMLE



Author6 Posts
  #1

64 y.o. man begins to show behavioral changes and irritability , and is found wandering in the park near his home. On neurological examination, there s evidence of mild aphasia and cognitive dysfunction, but motor function is preserved . CT scan of the head demonstrates selective atrophy of the cortex of the frontal lobes. Which of the following is the most likely diagnosis?

a.-Alzheimer s disease

b.-Friedreich s ataxia

c.-Huntington disease

d.-Parkinson s disease

e.-Pick s disease


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  #2

E.Pick's disease

  #3

e.-Pick s disease


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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."

  #4

E. Picks disease


  #5

I pick a Pick's


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  #6

Correct Answer: E

Pick s disease is a condition that is clinically similar to Alzheimer s disease. It differs from Alzheimer s disease in that the pronounced brain atrophy characteristically involves FRONTAL and TEMPORAL lobes, with sparing of the posterior aspects of the cortex. Microscopically, the affected cortex contains characteristic balloned neurons (Pick cells) or cytoplasmic inclusions (Pick bodies).

Clinically, There is slowly progressive dementia with language disturbances and behavioral changes that may eventually lead to mutism. The progressive nature of the dementing process has been termed a "descent into a sea of mindlessness."




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