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 Best of Five 2.136

 

   

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BOF: 2.136

A 71-year-old male is admitted with a history of progressive confusion, difficulty in walking and incontinence of urine. On examination he is found to be demented, he has gait apraxia, but there is no abnormality of tone, power or reflexes, coordination is normal there is no sensory abnormality. A CT scan shows dilated ventricles but no obstruction to CSF flow. Lumbar puncture reveals normal pressure with normal microscopy and biochemistry. Routine haematology and biochemistry are normal.

In this patient which of the following would help in deciding further management?

a)      MRI

b)      Treponema pallidum haemagglutination titre

c)      Chest X-ray

d)      Glucose tolerance test

e)      Reassessment after lumbar puncture and drainage of CSF

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