An 82-year-old man is brought to the clinic by his son who is concerned about his father’s mental status. He told you that his father has recently become more forgetful and angry. He doesn’t remember recent events and he gets frustrated when he fails to complete simple tasks. On examination, the patient is unkempt. His vital signs are within normal limits. Mini-mental status test scores 12/30. MRI of the brain shows some areas of degeneration in the temporal lobe.
What is the most appropriate treatment of this condition?
A – Citalopram
B – Fluoxetine
C – Metoclopramide
D – Donepezil
E – Diazepam
Answer
This patient has dementia, most likely Alzheimer’s disease. The drug of choice is donepezil. Other choices have no rule in the treatment or improvement of this patient’s mental status.
The correct answer is D
We got 13 Correct answers. Drawing is done and the winner is Ash
Congratulations and better luck for all of you on next question
Check the Previous Question
Welcome Diamond. The medical knowledge in this website is really easy to understand and it helps you in your career.
i am student bsc nurse
Thank you Dr Sujana Sanka
Thank you Dr Amin
Thank you Dr Lilit
Thank you Dr Taranand Raut
Thank you Dr Fahad Alam
Thank you Dr Memona
Thank you Dr Vidhi Gandhi
Donepezil
Donepezil (Lipid soluble cholinesterase inhibitor) crosses BBB & used for symptomatic relief because cholinergic neurons one of the first types of neurons lost in Alzheimer’s disease.
D)Donepezil
D) donepezil – for Alzheimer disease
A and B belongs to SSRI
E is muscle relaxant
C is prokinetic
D is the DOC in this case
So D is the answer
D-donepezil
Donepezil
Donepezil
Donepezil
Thank you Dr Sadia
Thank you Dr Bibek
Thank you Dr Ash
Thank you Dr Asad Imran
Thank you Dr Mohamed Ali
Thank you Dr Manish Bhavsar
Thank you Dr Faisal Rasheed Gumani
Flouxetine
D
Donepezil
Donepezil
Donezepil
D
D
Donepezil