Dementia

Question 1

Name two domains of dysfunction in dementia to warrant a diagnosis

Answer 1

memory
executive function
language
apraxia/visuospatial

Question 2

What important points should you ask in the history of patient with dementia

Answer 2

vascular disease
head trauma
cancer
major mental health issues

Question 3

Name two bedside tests to assess dementia/cognitive function

Answer 3

Folstein MMSE

Addenbrooke’s

Question 4

What are the aspects of executive function?

Answer 4

behaviour- orbitofrontal
working memory/attention- dorsolateral prefrontal cortex
motivation/goal driven

Question 5

How to test attention/concentration?

Answer 5

serial 7’s

trail making

Question 6

How is memory classified?

Answer 6

episodic (events)
semantic (facts, general knowledge)
working

Question 7

What is an early sign in Alzheimer’s disease?

Answer 7

episodic memory loss

Question 8

How to test for visuospatial function?

Answer 8

show me how you brush your teeth

Question 9

How is Addenbrooke’s assessment scored? What score would suggest dementia?

Answer 9

> 88/100 dementia unlikely

<83/100 supports dementia

Question 10

If patient has isolated dysfunction of attention/concentration what is the likely diagnosis?

Answer 10

delerium

Question 11

Differentials for dementia

Answer 11

psychiatric conditions- anxiety

delerium