1 Day Of Acute in Medicine / Internal Medicine — 72yo Man | Psychiatry | SMLE Q#11579
SMLE Question #11579
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-253
Last updated: February 2026
A 72-year-old man is brought to the emergency department for 1 day of acute confusion. He has difficulty sustaining attention, frequently changes topics mid-sentence, and his thinking is disorganized. His family reports he was functioning normally until yesterday, when he became increasingly distracted and disoriented. On examination, he is alert but easily distractible and requires frequent redirection; symptoms fluctuate during the interview. What is the most likely diagnosis?
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