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Psychiatry · Dementia
Sample itemWhat clinical feature favors Lewy body dementia?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Visual hallucinations with fluctuation
Lewy body dementia often includes fluctuating cognition, recurrent well-formed visual hallucinations, REM sleep behavior disorder, and spontaneous parkinsonism.
Option by option
A. Visual hallucinations with fluctuation (correct)
Correct: fluctuating cognition with visual hallucinations suggests Lewy body dementia.
B. Chronic ear discharge
Ear discharge is an otologic symptom.
C. Only fixed fever
Fixed fever points to infection rather than a dementia subtype.
D. Acute abdominal pain
Acute abdominal pain does not identify Lewy body dementia.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.