Exam 3 - Elderly

Question 1

Dementia definition?

Answer 1

Compromise of memory plus:
aphasia
apraxia
agnosia

Question 2

Demetia represents what?

Answer 2

Decline from previous level of functioning

Question 3

1 cause of dementia?

Answer 3

Alzheimers

Question 4

Alzheimer’s triad?

Answer 4

Memory, visuospatial, language impairment

Question 5

Do Alzheimer’s have insight into own dz?

Answer 5

Nope

Question 6

Delusions and hallucinations in Alzheimer’s in early or late stages?

Answer 6

Late

Question 7

What’s Vascular Dementia?

Answer 7

Cognitive deficits due to micro and macro brain damage. Sudden onset.

Question 8

What is Lewey Body Dz?

Answer 8

Insidious onset of dementia like alzheimers

Question 9

When does Parkinsonism occur in Lewey Body Dementia?

Answer 9

After or concurrent to dementia

Question 10

Do PTs with Lewey Body Dementia know they are having hallucinations?

Answer 10

Yes!

Question 11

Do PTs with dementia seek out care for memory loss?

Answer 11

No, their families bring them in

Question 12

What’s in the Mini-COG test?

Answer 12

Remembering 3 words and drawing a clock

Question 13

If can’t recall one or two words in Mini-COG test then what next?

Answer 13

Draw clock. If correct then not demented. Incorrect=demented.

Question 14

What is a Mini Mental Status Exam?

Answer 14

Most widely used cognition test in US

Question 15

Mini Mental Status Test score of _____ indicated dementia/delerium

Answer 15

<24

Question 16

Neuroimaging of dementia?

Answer 16

Only if acute onset. Look for stroke.

Question 17

Tx for dementia?

Answer 17

Acetycholinelesterase inhibitors

Question 18

When to use Memantine in dementia patient?

Answer 18

Only if Aricept fails

Question 19

Biggest risk factor in Delerium?

Answer 19

Dementia

Question 20

What is the primary deficit in Dementia?

Answer 20

Attention (vs memory in dementia)

Question 21

Most common reversible cause of delerium?

Answer 21

Medications (polypharmacy)

Question 22

Delerium is an acute or insidious change in mental status?

Answer 22

Acute

Question 23

Delerium hallmark?

Answer 23

Distractability

Question 24

Most common delerium presentation?

Answer 24

Quiet and withdrawn state

Question 25

When do to head CT in delerium?

Answer 25

If no obvious cause can be found

Question 26

Tx for delerium?

Answer 26

Antipsychotic Haldol

Question 27

Tx for elderly depression

Answer 27

First-line treatment consists of psychotherapy and somatic therapy (anti-depressant meds or electroconvulsive therapy)

Question 28

Dose of depression meds in elderly?

Answer 28

Half dose of young PT

Question 29

First line in depression?

Answer 29

SSRI/SNRI

Question 30

Second line in depression?

Answer 30

Bup, Mirt

Question 31

Fast onset- delerium or dementia?

Answer 31

Delerium!