Neurology Question 2

A 67-year-old woman is evaluated for a 1-year history of increasing forgetfulness. She reports greater difficulty keeping track of upcoming appointments, recalling details of recent telephone conversations, and remembering names of new acquaintances. She has completed 16 years of formal education, currently works as a teacher's assistant, and has noticed no change in her ability to perform classroom duties, including carrying out the instructions of the teachers with whom she works. The patient lives alone and is able to care for herself, drive, and manage her finances. She describes her mood as “upbeat,” continues to enjoy her life, and has had no other symptoms. She does not take any medication. On physical examination, vital signs are normal. All other physical examination findings, including those from a neurologic examination, are normal. She scores 24/30 on the Montreal Cognitive Assessment, losing points in the orientation and delayed recall sections.

Which of the following is the most likely diagnosis?

A Dementia

B Depression

C Mild cognitive impairment

D Normal aging

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