Distinguishing and Managing Early-Stage Alzheimer’s Disease (AD): Leveraging Interdisciplinary Collaboration for Prompt Identification and Optimal Patient Management
TeleECHO Series
Pre-test

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Jack is a 75-yo man with a history of mild short-term memory complaints over the past 6-12 months. His mother and brother both had AD. He can still work (attorney), drive, play tennis, and travel. Medical history includes HTN, BPH, hyperlipidemia, gout, lower back pain, right knee replacement, primary insomnia, and obstructive sleep apnea (uses CPAP, doing well on 10 cm H2O). Medications: atenolol, finasteride, lovastatin, allopurinol, MVI, ASA, zolpidem 10 mg, PRN NSAID, and hydrocodone for back pain. Which of the following should be assessed as potential contributors to this patient’s short-term memory loss? 
Dysfunction in which of the following domains would best be described as impairment in planning, organizing, and completing tasks/projects? 
Choosing initial treatment for mild cognitive impairment or Alzheimer’s disease, and continuing or altering subsequent treatment should always include which of the following? 
Which of the following is true regarding multidisciplinary care for patients with Alzheimer’s disease? 
A 68-year-old woman presents with increasing forgetfulness over the past 1-2 years. She states that she has been taking more time to remember things like times and details of doctor appointments, and doses of medication; and not remembering conversations with family. Her husband corroborates, noticing an increase in forgetfulness of conversations, life events, appointments, and misplacing of personal items. Review of other domains (e.g., language, attention, executive function, etc.) is unremarkable. Medications include atorvastatin, colchicine, and OTC chondroitin sulfate and glucosamine. Her mother is thought to have had Alzheimer’s dementia; died at age 82. Considering these findings and her presenting symptoms, to what would you attribute her forgetfulness?
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