A 64-year-old man is brought to the physician by his father. Over the past year, the patient has become progressively forgetful and withdrawn. He frequently has trouble remembering names of acquaintances, and has been requiring increasing amounts of assistance with getting dressed, cooking, and personal hygiene. He also has become increasingly paranoid and frequently talks out loudly. The patient has been unable to live independently for the past 2 years due to increasing forgetfulness and an inability to perform self-care. Vital signs are stable, and physical examination and laboratory evaluation are unremarkable. Which of the following is the most likely explanation for this patient's behavior?

Question

A 64-year-old man is brought to the physician by his father. Over the past year, the patient has become progressively forgetful and withdrawn. He frequently has trouble remembering names of acquaintances, and has been requiring increasing amounts of assistance with getting dressed, cooking, and personal hygiene. He also has become increasingly paranoid and frequently talks out loudly. The patient has been unable to live independently for the past 2 years due to increasing forgetfulness and an inability to perform self-care.  Vital signs are stable, and physical examination and laboratory evaluation are unremarkable.  Which of the following is the most likely explanation for this patient's behavior?

Quizplus · Accepted Answer

Eductional Objective: Psychotic symptoms (eg, delusions, hallucinations) are common in Alzheimer disease and increase with the severity of illness.

A 64-Year-Old Man Is Brought to the Physician by His