CASE
A 61-year-old project manager presents with memory complaints noticed by both him and his spouse. In addition to short-term memory loss that is making it challenging to keep track of his high-level duties at work, he also has mild word-finding difficulties. He remains independent for all his instrumental activities of daily living. His father had dementia in his 80s, but there is no other known family history of dementia. A Montreal Cognitive Test shows objective evidence of cognitive impairment with a score of 25/30, with the patient unable to recall any of the 5 items after a 5-minute delay. You diagnose him with amnestic mild cognitive impairment. A standard depression screen appears negative. He is keen to continue working for the next few years and is eager to try any medications that may improve his functioning at work.