Frequent Word-finding Pauses in Medicine / Internal Medicine — 74yo Woman | Psychiatry | SMLE Q#16519
SMLE Question #16519
Medicine / Internal Medicine
Psychiatry
Objective: OBJ-253
Last updated: February 2026
A 74-year-old woman has 6 months of progressively worsening difficulty naming common objects. She often uses nonspecific words but can accurately describe the object’s use. She has no personality change, disinhibition, hallucinations, or focal weakness. Recent memory, financial management, and basic activities of daily living are preserved. Mental status examination shows fluent speech with frequent word-finding pauses; comprehension, orientation, attention, and episodic memory are intact. What is the most likely diagnosis?
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