The types and number of exemplars of categories that are retrieved fro
m semantic memory differentiate elderly normal controls and early stag
e Alzheimer's disease (AD) patients. Elderly normal controls generated
more uncommon exemplars from closed semantic categories (fruits and v
egetables) than did AD patients 2 1/2 years prior to the presumed onse
t of AD. AD patients, however, were just as productive as elderly norm
al controls in generating associations to open categories (letters). T
he findings suggest that one of the early cognitive symptoms of AD is
changes in availability of uncommon exemplars of semantic networks.