Parkinson Disease in Medicine / Internal Medicine — 71yo Man | Neurology | SMLE Q#1485

SMLE Question #1485

Medicine / Internal Medicine Neurology
Last updated: February 2026
A 71-year-old man with Parkinson disease for 7 years is brought by his wife for worsening cognition over 8 months. He needs frequent prompts to organize daily routines and take medications. He misplaces items and is slower completing multistep tasks. He remains conversational with no major language complaints. He is fully oriented, and depression screening is negative. Which cognitive change is most characteristic of early dementia risk in a patient with Parkinson disease?

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