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Flashcards in Care of the Elderly Peer Teachings Deck (111)
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1

Key features for Alzheimers in history

12 month history
Progressive
Memroy
Gets lost
MMSE

2

What is brocas aphasia

Expressive
-difficulty producing language

3

What is wernickes aphasia

Receptive
Difficulty comprehending

4

What is apraxia

Deficit in voluntary motor skills

5

What is agnosia

Difficulty recognising things or faces

6

What is apathy

Lack of motivation

7

Rank common causes of dementia

1. Alzheimers
2. Vascular
3. Lewy body

8

What are the signs of Alzhiemers on imaging

-Global atrophy
-Intracellular neurofibrillary tangles
-extracellular beta amyloid plaques

9

What are neurofibrillary tangles made out of

Tau protein

10

What action do neurofibrillary tangles have

They disrupt the microtubules in nerves

11

What action do beta amyloid plaques have

They disrupt nerve communication at synapses causing nerve degeneration

12

What are the 5As of Alzheimers

Amnesia
Aphasia
Apraxia
Agnosia
Apathy

13

Treatment for Dementia

Anticholinesterase inhibitors

14

Examples of anticholinesterase inhibitors

Donepezil
Rivastigmine
Galantine

15

What will you see on imaging for vascular dementia

Multiple cerebral infarcts

16

Describe the history for Lewy body dementia

Day to day fluctuating cognition, visual hallucinations, sleep disturbed, falls, parkinsonism

17

Which drugs should you not prescribe in lewy body dementia

Antipsychotics as increased risk of SE

18

Describe the history for vascular dementia

No atherosclerotic risk factors, step wise deterioration in cognition, can get focal neurology, fits, nocturnal confusion

19

Describe the history for picks disease

Frontotemporal dementia- disinhibition, antisocial, personality changes, knide blade atrophy

20

What is knife blade atrophy

Extreme and global thinning of the gyri of the frontotemporal lobes

21

Describe the history in normal pressure hydrocephalus

Wet, wacky, wobbly. Incontinence, dementia, gait disturbance

22

What happens in normal pressure hydrocephalus

Increased CSF but ventricles dilate

23

What is mild cognitive impairment

Cognitive impairment but minimal impairment of ADLs

24

What is the main cognitive tool

MMSE
(mini mental state exam)

25

Name 5 more cognitive tools

ACE-111
MoCA
AMT
6CIT
GPCOG

26

What does ACE-III stand for

Addenbrookes cognitive examination- III

27

What does MoCA stand for

Montreal cognitive assessment

28

What does AMT stand for

Abbreviated mental test score

29

What does 6CIT stand for

6 iten cognitive impairment test

30

What does GPCOG stand for

General Practicioner Assessment of cogntion