Module 04: Gerontology Health Care of the Elderly (Assessment)
A 76-year-old man presents with a 2-year history of poor memory, instability and frequent falls. He also complains of distressing auditory and visual hallucinations for which he was prescribed small doses of neuroleptics. However this drug caused marked cognitive deterioration, drowsiness and myoclonus. His past medical history includes diabetes mellitus and hypertension. Examination reveals evidence of bradykinesia and cog-wheel rigidity.
What is the most likely underlying disease?
A. Creutzfeldt-Jakob disease
B. Vascular dementia
C. Dementia of Lewy body type
D. Alzheimer’s disease
E. Shy-Drager syndrome
A 76-year-old man presents with a 2-year history of poor memory, instability and frequent falls. He also complains of distressing auditory and visual hallucinations for which he was prescribed small doses of neuroleptics. However this drug caused marked cognitive deterioration, drowsiness and myoclonus. His past medical history includes diabetes mellitus and hypertension. Examination reveals evidence of bradykinesia and cog-wheel rigidity.
What is the most likely underlying disease?
A. Creutzfeldt-Jakob disease
B. Vascular dementia
C. Dementia of Lewy body type
D. Alzheimer’s disease
E. Shy-Drager syndrome