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Initial dementia assessment — DGM MCQ

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EasyDementiaInitial dementia assessmentDGM

An 80-year-old woman attends with gradual forgetfulness noticed by her daughter. She remains independent but has missed several bills. No acute illness is present. Current medicines include bendroflumethiazide and simvastatin. What is the most appropriate assessment?

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Correct answer: A — History with informant account, cognitive test and reversible-cause blood tests

Initial suspected dementia assessment should include collateral history, cognitive testing, functional assessment and screening for reversible contributors. Immediate donepezil, diagnosis from a single event, imaging before basics and reassurance alone are premature. Function and change from baseline matter as much as the cognitive score.

Reference: NICE NG97