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 The family of a 70-year-old man bel  



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  #1

The family of a 70-year-old man believes he is
depressed. According to his family, the patient
“doesn’t care about anything anymore.” Instead,
the patient sits in front of the television
watching game shows all day. The family also
states that the patient makes lewd comments to
female visitors. On mental status examination,
the patient has unkempt hair, is uncooperative,
and speaks very slowly. The patient denies
trouble sleeping or concentrating. The patient
looks surprised when asked about guilt and suicidal
ideation, and emphatically states, “Certainly
not!” His affect appears constricted. The
patient is oriented to person and place. He has
a marked impairment in attending to external
stimuli during a mental status examination.
The patient has poor inhibitory functions. His
language and abstraction are intact. MRI of
the brain shows frontal atrophy and ventricular
enlargement. What is the most likely cause of
the patient’s current symptoms?

(A) Alzheimer’s dementia
(B) Depression
(C) Frontotemporal dementia
(D) Lewy body dementia
(E) Subcortical dementia




  #2

C).


(Pick's Disease) Frontotemporal dementia?


The first type features behavior that can be either impulsive (disinhibited) or bored and listless (apathetic) and includes:

* inappropriate social behavior;

* lack of social tact;

* lack of empathy;

* distractibility;

* loss of insight into the behaviors of oneself and others;

* an increased interest in sex;

* changes in food preferences;

* agitation or, conversely, blunted emotions;

* neglect of personal hygiene;

* repetitive or compulsive behavior; and

* decreased energy and motivation.



  #3

frontal atrophy......................C is right ans





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