Medical Question of the Day- 28

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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

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33 thoughts on “Medical Question of the Day- 28”

  1. Welcome Diamond. The medical knowledge in this website is really easy to understand and it helps you in your career.

  3. Thank you Dr Sujana Sanka

  4. Thank you Dr Amin

  5. Thank you Dr Lilit

  6. Thank you Dr Taranand Raut

  7. Thank you Dr Fahad Alam

  8. Thank you Dr Memona

  9. Thank you Dr Vidhi Gandhi

  10. Donepezil

  11. 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.

  12. D)Donepezil

  13. D) donepezil – for Alzheimer disease

  14. 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

  15. D-donepezil

  16. Donepezil

  17. Donepezil

  18. Donepezil

  19. Thank you Dr Sadia

  20. Thank you Dr Bibek

  21. Thank you Dr Ash

  22. Thank you Dr Asad Imran

  23. Thank you Dr Mohamed Ali

  24. Thank you Dr Manish Bhavsar

  25. Thank you Dr Faisal Rasheed Gumani

  26. Flouxetine

  30. Donezepil

  32. D

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