2: Memory problems - assessment Flashcards Preview

Psychiatry Week 4 2018/19 > 2: Memory problems - assessment > Flashcards

Flashcards in 2: Memory problems - assessment Deck (26)
Loading flashcards...
1

What is memory?

The ability to store and retrieve information

2

Memory allows us to ___ from past experience.

learn

3

What are the three broad types of memory?

How long does each last for?

Sensory memory (< 1 sec)

Short-term memory (< 1 min)

Long-term memory (> 30 mins, up to a lifetime)

4

What are the two subtypes of long-term memory?

Explicit (i.e your conscious memory)

Implicit (i.e your unconscious memory)

5

What is contained within your explicit long-term memory?

Facts

Events and experiences

6

What is contained within your implicit long-term memory?

Routines

Unconscious skills

7

Unconscious behaviours and routines are contained within your ___ memory.

Facts and experiences are contained within your ___ memory.

implicit

explicit

8

What do you need to do in order to learn new information?

Pay attention

Concentrate

9

If you're concentrating on learning something new, it is then ___ in your memory.

encoded

as words, sound, feelings etc.

10

What do you need to do to bring information back into your short-term / working memory?

Retrieve it

11

What is amnesia?

Memory loss

12

What are the two types of amnesia?

Describe the memory loss experienced in each,

Anterograde (loss of memories after a disease or illness starts)

Retrograde (loss of memories preceding the onset of a disease or illness)

13

What are some presenting complaints of patients with a memory problem?

Forgetting names

Frequently losing things

Getting lost

Forgetting to do important tasks

Losing track of conversations

14

Memory loss occurs with ___ and is normal.

age

15

What is the term used to describe memory loss somewhere between age-related forgetfulness and dementia?

Mild cognitive impairment

16

In the elderly, it is important to differentiate dementia from which mood disorders?

Anxiety

Depression

which are very common and cause a "pseudodementia" which is treatable

17

Dementia is a chronic, progressive decline in cortical function.

Which aspects of cortical function are affected?

Memory

Decision making

Judgement

Orientation

Comprehension

Language

18

What is the most common cause of dementia?

Alzheimer's disease

19

What is the second most common cause of dementia?

Cerebrovascular disease

20

How would you describe the onset of

a) delirium

b) depression

c) dementia?

a) Acute

b) Gradual

c) Insidious

21

To assess a patient's current cognitive state, you need to know what their ____ cognition was like.

premorbid

22

Which scoring system is used to assess patients for delirium?

4AT

23

What is a

a) normal

b) abnormal MMSE score?

a) > 27/30

b) < 24/30

24

Which scoring systems can be used for

a) brief

b) in-depth screening for dementia?

a) MMSE, MOCA

b) ACE-III, GPCOG

25

If a patient is screened and their cognitive score is normal, can they have dementia?

Yes

Some types present with other symptoms before cognitive impairment e.g frontotemporal dementia, which presents as personality / behavioural change initially

26

If a cognitive examination is inconclusive or you have doubts about the results, what can you refer a patient for?

Neuropsychological assessment