doing questions, i got the following scenario....i learned that UWorld makes question as hard as can be+as much as possible they will try to confuse you to choose a wrong answer(probably this is why they are so good)....there is nothing wrong/don't have any comments on this particular question but took me about 3 minutes to figure out which is the answer....even if you saw this question in your qbank, it worth take a look a second time; you can post your diagnosis and your logic.....


a 72 year old woman complains of difficulty 'finding the right word' when she speaks. her daughter notes that she is complaining about her neighbours of stealing the newspaper when in reality is not true. recently the patient has been having difficulty balancing her checkbooks. physical exam: BP 160/100, heart rate 90/min and the rest of the exam is normal. six years later patient has severe memory deficit and suffers from poor sleep, slowness of movements, shuffling gait and urinary incontinence. she is totally dependent on caregivers for the activities of daily living. which of the following is the most likely diagnosis:

a. alzheimer's disease
b. lewy's body dementia
c. multiinfarct dementia
d. vitamin b12 deficiency
e. normal pressure hydrocephalus
f. huntington disease
g. chronic subdural hematoma
h. pseudodementia
i. hypothyroidism
j thiamine deficiency
k. drug induce dementia

B

urinary incont + gait abnormality + dementia = normal pressure hydrocephalus ( i think ) ,