Geri 2 Flashcards
(29 cards)
Which of these disorders is the more common metabolic etiology of peripheral sensory polyneuropathy?
diabetes
Which of the following is a remediable cause of peripheral polyneuropathy if discovered in time?
Vitamin B12 deficiency
Neurologic symptoms can affect many parts of the body. What is the most common neurologic complaint heard in primary care?
headache
Which symptom description would warrant an evaluation for a ‘sinister’ headache?
headache pain reported as a 10/10
Maintenance of balance requires input from many systems of the body. Choose the answer that contains the systems involved with proper balance:
vestibular, proprioceptive receptors, auditory, visual
A positive Hallpike (or Dix-Hallpike) maneuver is diagnostic of:
benign positional vertigo
Peripheral neuropathy can have many etiologies. In an alcoholic patient, the most likely cause of a neuropathy is:
nutrient deficiency, like the B vitamins
Which one of the following is not a specific risk factor for stroke?
female gender
Vertigo is a specific disorder of vestibular equilibrium. Patients experiencing vertigo might describe the sensation as:
a sensation of spinning, the room moving while they are still
A patient complains of several symptoms. They describe episodic vertigo, fluctuating hearing loss in one ear, tinnitus, and a feeling of fullness in their ear. This best describes which syndrome?
endolymphatic hydrops
The term encephalopathy refers to a broad class of disorders in which there is alteration of:
Consciousness
Mr. Garcia was in the hospital two days post-op following a hip replacement. His nurse noted that he seemed confused and could not identify where he was. Before surgery, his mental status was intact. You are called to come and evaluate him. The most important illness you must investigate that he could be suffering from right now is:
delirium
The symptom presentation of the cortical encephalopathies (i.e. Alzheimer’s Dementia) tend to be:
Cognitive & behavioral
Activities of Daily Living (ADLs) involve which activities performed by the patient?
Taking a bath, feeding themselves, getting to the toilet
George is 84 years old and has been in the hospital for two days due to community acquired pneumonia. Today the nurse reports that he is disoriented and combative. You suspect delirium. Which of the following tests should you order to evaluate your hypothesis?
CBC and blood culture to identify sepsis
Which of the following is NOT a known risk factor for dementia?
chronic migraine headaches
Susan is a 30 year old patient who has come to see you stating her life is not going very well. She describes sadness, excessive sleep, weight gain, loss of interest in activities and work, and feeling very sluggish. You did lab testing and all her metabolic indices are normal. Her most likely diagnosis is:
major depressive disorder
The diagnostic criteria for delirium involves many signs. Which of the following constellation of signs and symptoms fulfill criteria for a delirium diagnosis?
disturbed consciousness, change in cognition, fluctuating course, evidence of a cause
Mr. Crowell is 81 years old and was recently diagnosed with dementia. He began having short term memory problems about 6 months ago. His word recall on the Mini-Mental Status Exam is 1/3. He has not had any behavioral problems. He is fairly aware of the beginnings of his dementia and now lives with his daughter. Based on your statistical knowledge of dementia subtypes, you believe he has the most common form of dementia, which is:
Alzheimer’s dementia
Delirium has significant outcomes. Mortality rates are high in the elderly. Primary prevention of delirium includes which one of the following techniques:
an orientation board in the patient’s care area
Mr. Williams is 78. His son brought him to clinic because of changing behavior. The family has noticed that the patient wants to walk around without his clothes, even in front of family. His memory seems fine but he does not see anything odd about his behavior. All the evaluations for acute delirium are negative. His most likely diagnosis is:
Frontotemporal dementia
Which of these is a potential problem that can be encountered when one starts antidepressant therapy?
developing mania
Which disorder is frequently seen in patients with stroke, Parkinson’s disease, seizure disorders, and multiple sclerosis?
depression
People with bipolar disorder frequently “self-medicate” with which of the following substances?
alcohol
