A 74-year-old woman is brought to the office by her son. He is | Uworld | Step 2ck

A 74-year-old woman is brought to the office by her son. He is concerned because his mother had an unprovoked fall a year ago and has since relied on him to coordinate her activities and make decisions about everyday matters. The patient's symptoms seemed to improve until she sustained another significant fall about 6 months ago. She has also become mildly forgetful, experiences occasional mood swings, and now seems sad most of the time. The patient has a long history of hypertension, stress urinary incontinence, and depression. She has a family history of colorectal cancer and Alzheimer disease. Temperature is 36.7 C (98 F), blood pressure is 141187 mm Hg, pulse is 82fmin, and respirations are 14fmin. Neurologic examination shows weakness and sensory deficits on the right side. 11/lental status examination is significant for low volume of speech and flat affect The remainder of the examination is within normal limits.