Which of the following is a sign of dementia?

• A. Hallucinations
• B. Hunger pains
• C. Bright memory
• D. Normal speech

Answer: (A)

Hallucinations reflect altered perception that can accompany certain dementias, especially Lewy body dementia, where seeing things that aren’t there is a common early feature. This happens as the brain’s processing of sensory information becomes disrupted by the disease. Hunger pains are unrelated to cognitive decline and reflect bodily needs. A “bright memory” doesn’t align with dementia, which typically involves memory problems rather than exceptionally strong recall. Normal speech can occur early in some conditions but isn’t a reliable sign of dementia, since language difficulties often develop as the condition progresses.