A 78-year-old male was recently diagnosed with Alzheimer’s disease. He scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. Which of the following is NOT a common side effect of donepezil?

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Question 1 of 5

A 78-year-old male was recently diagnosed with Alzheimer’s disease. He scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. Which of the following is NOT a common side effect of donepezil?

A. Thrombocytopenia B. Bradycardia C. Vivid dreams D. Gastrointestinal distress

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

What further diagnostic steps are required for the seven patients receiving atypical antipsychotics?

A. All patients should receive 1 week of actigraphy monitoring both on and off their current antipsychotic. B. All patients should be immediately referred for cognitive behavioral therapy for insomnia (CBTI). C. All patients should receive referral to both psychiatry and neurology, neuroimaging, and screening polysomnography to identify underlying sleep disorder. D. Unless there is an underlying suspicion of obstructive sleep apnea (OSA) or other sleep disorder, these patients already meet criteria for irregular sleep-wake phase disorder, and no further diagnostic steps are required.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

An 82-year-old woman with a history of hypertension and type 2 diabetes mellitus presents after collapsing at home. What diagnostic test should be done first?

A. Complete blood count and basic metabolic panel B. A STAT noncontrast head computed tomography (CT) C. A two-dimensional echocardiogram D. Urinalysis

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Which one of the following is most true about aging changes?

A. Stage 3 and 4 sleep decreases. B. Renal perfusion is not reduced, but renal function is reduced. C. Hearing acuity declines beginning in middle age. D. Prostatic enlargement occurs only in a minority of men.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of the following is the most appropriate description of “personhood” as it relates to people with dementia?

A. Personhood is a universal concept that is defined the same way in all cultures. B. The ability to relate to others as people, rather than preserving cognitive independence, is an important aspect of “personhood.” C. The ability to recognize family members by name is an important aspect of “personhood.” D. A deterioration in cognitive function demonstrates the decreasing value of older adults in society.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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