Impaired Recent Recall in Medicine / Internal Medicine — 74yo Man | Neurology | SMLE Q#12098
SMLE Question #12098
Medicine / Internal Medicine
Neurology
Objective: OBJ-307
Last updated: February 2026
A 74-year-old man has had 2 years of progressive memory loss with impaired recent recall and disorientation. He now needs help managing medications and finances and requires frequent prompting for dressing and bathing. He was diagnosed with Alzheimer disease and has been taking donepezil 10 mg nightly for 6 months without adverse effects. His daughter reports continued gradual decline in cognition and daily functioning over the past several months. Neurologic examination shows impaired short-term recall. What is the most appropriate adjustment to his medication regimen at this time?
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