Q:

A 44 year old woman with memory loss, poor concentration and inability to recognize household projects. She has right-handed involuntary writhing movement. There is strong family history of similar complain. What is the single most likely diagnosis?

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A 44 year old woman with memory loss, poor concentration and inability to recognize

household projects. She has right-handed involuntary writhing movement. There is strong family

history of similar complain. What is the single most likely diagnosis?


  1. Pic’s dementia
  2. Wilson’s disease
  3. Huntington’s disease
  4. HIV associated dementia
  5. Fronto-temporal dementia

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The key is C. Huntington’s disease. [A person with Huntington's disease may appear to have a lack

of drive, initiative and concentration. Involuntary jerking or writhing movements (chorea). Typical

presentation is between 35-55 yrs].

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