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Exam questionKROK 2Medicine ยท 2012

A patient is 60-year-old, retired, worked as deputy director of a research institute. Behavioural changes appeared 2 years ago after the death of her husband: she stopped looking after herself and leaving the house; then she stopped to clean the apartment and cook. Mental status: temporal disorientation. The patient does not understand many of the questions, is confused; does not know how to cook soup or fasten a button. Her speech is characterized by stumbling and logoclonia. She does not recognize doctors, fellow patients. She cries a lot but can not explain the reason for tears. What is the mechanism of this pathology?

Answer options

  1. Serotonin deficiency
  2. Atrophy of the cerebral cortex
  3. Atherosclerotic changes in cerebral vessels
  4. Disorder of melatonin metabolism
  5. Impaired conversion of dopamine to noradrenaline
Correct answer

Atrophy of the cerebral cortex

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