IM Essentials: Ch. 76 - Altered Mental Status, Dementia, and Delirium / AMS

Question 1

Dementia is defined as progressive cognitive impairment that leads to dysfunction in 3 of these areas: __________________.

Answer 1

visuospatial, memory, emotion/personality, cognition, or language

Question 2

__________ is defined as deficits in cognition that do not meet the criteria for dementia and do not interfere with the ability to carry out activities of daily living.

Answer 2

Mild cognitive impairment

Question 3

Review the MOCA score ranges.

Answer 3

29 - 30: no cognitive impairment
23 - 28: mild cognitive impairment
< 22: dementia

Question 4

Review the mnemonic for AMS in the elderly.

Answer 4

MOVE STUPID
•Metabolic (hypo/hypernatremia, hypercalcemia, hypoglycemia) 
•Oxygen low
•Vascular (bleeds) 
•Endocrine (hypothyroidism)
•Seizure
• Uremia
•Psychogenic
•Infection
•Drugs