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Huntington Disease — RACP Adult Medicine MCQ

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HardNeurologyHuntington DiseaseRACP Adult Medicine

An 82-year-old with dementia develops new shouting and resistance to care over 48 hours. She has urinary retention, constipation and pain on movement; there is no immediate risk of serious harm. What is the best first response?

Educational content. Not a substitute for clinical judgement or local policy.

Reveal the answer and explanation

Correct answer: B — Treat reversible causes and use person-centred non-drug measures first

Explanation lettering: C = shown as A · D = shown as B · E = shown as C · A = shown as D · B = shown as E

D is correct. Acute behavioural change requires assessment and treatment of pain, retention, constipation, infection and delirium, with non-drug strategies first when immediate danger is absent. E and A expose the patient to harm without addressing causes. B is disproportionate. C misses likely medical precipitants.

Reference: Dementia Australia, Mood and behaviour changes: https://www.dementia.org.au/living-dementia/mood-and-behaviour-changes