Approach to aphasia Quiz: Ace Your Exams
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A 61-year-old man is brought to the primary care physician for evaluation of behavioral changes. The patient’s partner describes the patient becoming more irritable, forgetful, and depressed over the past several years. The partner further notes that the patient has become apathetic and introverted, communicating less and less. The patient has become obsessed with organizing the garage and has developed erratic sleep patterns over the past six months. Past medical history is noncontributory, and no medication is taken daily. Temperature is 37.0°C (98.6°F), pulse is 70/min, respirations are 12/min, and blood pressure is 122/80 mmHg. On examination, the patient appears disheveled but is alert, with a flattened affect. No vocalizations are made, and no commands are followed. The patient is unable to write, read, or repeat phrases. The remainder of the neurological examination is unremarkable. Which of the following tests is most likely to help determine the underlying cause of these symptoms?
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