03-06-2011, 05:51 AM
A 88-year-old man comes to the physician for evaluation after falling five times in 3 months. An x-ray skeletal survey reveals no fractures, but the patient admits to worsening urinary incontinence over the previous 5 months. His wife states that his memory and concentration have deteriorated recently. The patient's vital signs are normal, and his physical examination is notable for a wide-based gait with short steps. A Mini-Mental State Examination results in a score of 26/30. His funduscopic examination is normal, and his neurologic examination is notable for slight bradykinesia without tremor. Laboratory tests, including serum vitamin B12, folate, and thyroid-stimulating hormone, are normal.What is the most likely etiology of this patient's recent decline?
A... ALZHEIMERS DISEASE
B.... HYPOTHYRODISM
C....MULTI-INFACT DEMETIA
D....NORMAL PRESSURE HYDROCEPHALUS
E...PARKINSON'S DISEASE
A... ALZHEIMERS DISEASE
B.... HYPOTHYRODISM
C....MULTI-INFACT DEMETIA
D....NORMAL PRESSURE HYDROCEPHALUS
E...PARKINSON'S DISEASE