06-14-2017, 09:48 PM
A 56-year-old man is brought to the psychiatrist with a three-year history of progressive speech difficulties associated with altered social behavior. The family states that he became aggressive, talked inappropriately to strangers, and showed insensitivity, contrary to his past consideration to others. He has had problems with speech production, using some phrases repeatedly, and showing a decreased vocabulary. He started to eat a great deaI, and has developed obsessional cravings for sweets. As a result, the patient has gained 40 pounds over the past year. His neighbors caught him stealing things from their back yard. The patient repeats the examiner's words and imitates the examiner's gestures. Testing reveals difficulties in naming common objects or pictures.
Question 1 of 4
Which of the following is the most likely diagnosis?
/ A. AIzheimer disease
/ B. Huntington disease
/ C. KIuver-Bucy syndrome
/ D. Pick disease
/ E. Progressive supranuclear palsy
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Question 2 of 4
Imaging studies are ordered for this patient. Which of the following will most likely be found?
/ A. Bitemporal lobar atrophy
/ B. Circumscribed cerebral atrophy (frontal and temporaI)
/ C. Diffuse cortical atrophy
/ D. Enlarged lateral ventricles
/ E. T2 hyperdensities
Question 3 of 4
Which of the following would a brain biopsy most likely show?
/ A. "Ballooned" cells and argyrophilic bodies
/ B. Lewy bodies
/ C. Sclerosis in plaques
/ D. Senile plaques
/ E. Spongiform degeneration
Question 4 of 4
Abnormal amounts of which of the following proteins would most likely be found in this patient?
/ A. Amyloid beta protein
/ B. Apolipoprotein E
/ C. Myelin basic protein
/ D. Ubiquitin
/ E. Tau
Question 1 of 4
Which of the following is the most likely diagnosis?
/ A. AIzheimer disease
/ B. Huntington disease
/ C. KIuver-Bucy syndrome
/ D. Pick disease
/ E. Progressive supranuclear palsy
*** We appreciate your suggestions at support@structurise.com ***
Question 2 of 4
Imaging studies are ordered for this patient. Which of the following will most likely be found?
/ A. Bitemporal lobar atrophy
/ B. Circumscribed cerebral atrophy (frontal and temporaI)
/ C. Diffuse cortical atrophy
/ D. Enlarged lateral ventricles
/ E. T2 hyperdensities
Question 3 of 4
Which of the following would a brain biopsy most likely show?
/ A. "Ballooned" cells and argyrophilic bodies
/ B. Lewy bodies
/ C. Sclerosis in plaques
/ D. Senile plaques
/ E. Spongiform degeneration
Question 4 of 4
Abnormal amounts of which of the following proteins would most likely be found in this patient?
/ A. Amyloid beta protein
/ B. Apolipoprotein E
/ C. Myelin basic protein
/ D. Ubiquitin
/ E. Tau