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Dementia outpatient evaluation — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Dementia outpatient evaluationUSMLE Step 3

A 74-year-old woman has progressive memory loss over 18 months. Family reports missed bills and getting lost. Neurologic examination is nonfocal. Depression screen is negative. Which of the following is the most appropriate at this time?

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Correct answer: C — Check reversible causes and obtain structural brain imaging

New cognitive decline impairing function requires evaluation for reversible contributors and structural pathology.

Reference: American Academy of Neurology dementia evaluation guidance