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Exam questionKROK 2Medicine ยท 2015

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 thereason for tears. What is the mechanism of thispathology?

Answer options

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

Atrophy of the cerebral cortex

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