MFE Key notes

Question 1

What is the preferred benzodiazepine for treating delirium?

(*In patients with Parkinson’s or lewy body dementia)

Answer 1

lorazepam

Question 2

What is included in the blood confusion screen?

Answer 2

Vitamin B12, folate and bone profile

Question 3

What is the 1st and 2nd most common cause of dementia in the UK?

Answer 3

Most common- alzheimers
2nd most common- Vascular Dementia

Question 4

What are the buzzword changes on a CT scan associated with alzheimers?

(*Need to know)

Answer 4

Pathological Changes: (*buzzwords)

• Widespread cerebral atrophy- of cortex and hippocampus - CT Scan finding
• Cortical and amyloid plaques
• Neurofibrillary tangle and TAU protein

Question 5

What are the buzzword features on a CT scan which indicates vascular dementia?

Answer 5

CT Scan Changes- (*buzzwords)- infarcts and extensive white matter changes

Question 6

‘Step wise decline’ is associated with what type of dementia?

Answer 6

Vascular Dementia

Question 7

What is the management of Pressure Ulcers?

Answer 7

Management:

1st line- moist wound environment encourages ulcer healing. (e.g hydrocolloid dressings and hydrogels)

(*only give oral antibiotics if signs of infection are present)