Exam 36 · 第36回 · 認知症の理解 (Understanding Dementia)
Question 43 問43
次の記述のうち，若年性認知症（dementia with early onset）の特徴として，最も適切なものを1つ選びなさい。
- 高齢の認知症（dementia）に比べて，症状の進行速度は緩やかなことが多い。
- 男性よりも女性の発症者が多い。
- 50歳代よりも30歳代の有病率が高い。
- 特定健康診査で発見されることが多い。
- 高齢の認知症（dementia）に比べて，就労支援が必要になることが多い。
Translation
Among the following statements, choose the 1 option that is the most appropriate feature of young-onset dementia (dementia with early onset).
- Compared with dementia in older people, the symptoms often progress more slowly.
- There are more cases in women than in men.
- The prevalence is higher in people in their 30s than in people in their 50s.
- It is often discovered through the Specific Health Checkup.
- Compared with dementia in older people, employment support is often needed.
Show answer and explanation
Answer: 5
Why 5 is correct
Young-onset dementia develops before age 65, so many people are still working. Employment support — helping the person continue working, or helping them find a new job — is often needed.
Why 1 is wrong
Young-onset dementia often progresses faster than dementia in older people, not more slowly.
Why 2 is wrong
Young-onset dementia is reported to occur more often in men than in women.
Why 3 is wrong
Since dementia becomes more common with increasing age, the prevalence is higher in people in their 50s than in people in their 30s.
Why 4 is wrong
The Specific Health Checkup is a health check for finding lifestyle diseases such as metabolic syndrome — it is not a test for dementia. Young-onset dementia is often first noticed because of mistakes at work or changes noticed by family, which then leads the person to see a doctor.
Key point
Many people with young-onset dementia (若年性認知症) are still working, so they often need employment support (就労支援).
Key terms
- 若年性認知症
- Dementia that develops before age 65.
- 特定健康診査
- A health checkup for people aged 40 to 74, aimed at finding lifestyle diseases.
- 就労支援
- Support that helps a person continue working, or start working.
- 有病率
- The proportion of people in a group who have a given disease.
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Exams 36–38, all 13 subjects, with furigana and an English explanation of every choice. The subject 「認知症の理解」 is free.