Otherwise Relatively Preserved Speech in Medicine / Internal Medicine — 81yo Man | Neurology | SMLE Q#1491
SMLE Question #1491
Medicine / Internal Medicine
Neurology
Last updated: February 2026
An 81-year-old man has had progressive cognitive decline for 2 years. He increasingly forgets recent conversations, misplaces objects, and repeats questions. He remains independent in basic activities of daily living but needs reminders to take medications and has difficulty managing finances. Cognitive screening shows prominent impairment in recent memory with otherwise relatively preserved speech and attention. What is the most likely diagnosis?
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