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Question 1

Most common form of dementia among persons aged 65 and older

Answer 1

AD

Question 2

similar to Alzheimer’s disease but may progress more rapidly

Answer 2

Lewy body dementia

Question 3

Clinical situations associated with AD include elevated

Answer 3

homocystein

Question 4

AD: Presence of __-___ plaques

Answer 4

beta-amyloid

Question 5

Neurotransmitter that’s decreased in AD patients

Answer 5

Ach

Question 6

Apraxia

Answer 6

difficulty in motor activities

Question 7

AD: MID

Answer 7

Multi-infarct dementia

Question 8

Lewy body dementia can have signs similar to

Answer 8

parkinsons

Question 9

Lewy body dementia: first symptom could be

Answer 9

visual hallucination

Question 10

AD tx: Medications that retain

Answer 10

acetylcholine in the brain

Question 11

AD medication does not

Answer 11

prevent the progression of the disease

Question 12

AD: Exelon Patch: 2 things you should know

Answer 12

you need a lower dose if patient has liver disease or if patient weighs less than 100 lbs

change site of the patch daily

Question 13

AD: treating free radicals

Answer 13

use vitamin E and selegine. This slows the rate of AD

Question 14

AD: Ginko biloba

Answer 14

could possibly slow AD, but research is mixed

Question 15

AD: Urge Incontinence

Answer 15

sudden urge to urinate

Question 16

AD: a strategy to deal with Urge Incontinence

Answer 16

no fluids after dinner

Question 17

MS: death usually occurs because of

Answer 17

infection

Question 18

Relapsing-Remitting MS

Answer 18

there are acute attacks and No progression during remission time

Question 19

Secondary-Progressive MS

Answer 19

it’s like “Relapsing-Remitting MS” except you also have progression

Question 20

MS: High-dose _____, have not been clearly shown to improve disease outcomes

Answer 20

corticosteroids

Question 21

The goals of (Disease Modifying Treatment) DMT

Answer 21

reduce inflammation and relapse rates
prolong remission
limit the onset of new lesions

Question 22

How long does it take for some of the MS meds to take effect

Answer 22

1 to 3 months

Question 23

2 common MS drugs

Answer 23

Glatiramer acetate

B- interferon

Question 24

MS and pregnancy

Answer 24

• they should receive counseling if they want to become pregnant
• breast feeding can cause relapse

Question 25

Parkinsons may involve only

Answer 25

one side of the body

Question 26

Parkinson Tremor: 3 things

Answer 26

often the first sign, prominent at rest, and | aggravated by emotional stress

Question 27

Common cause of akinesia (freezing)

Answer 27

Levodopa overdose

Question 28

Parkinson dx is made only when

Answer 28

at least two of the three characteristic signs of the classic triad are present

Question 29

parkinson triad

Answer 29

tremor, rigid, Bradykinesia

Question 30

Ultimate confirmation of PD is

Answer 30

a positive response to anitparkinsonian drugs

Question 31

2 things to know about using Neuopro

Answer 31

Can be used in early or late disease, | Can be add on with levodopa-carbidopa

Question 32

Most common surgical tx for parkinsons is

Answer 32

DBS (only used when drugs don't work)

Question 33

Vision loss

Answer 33

MS

Question 34

Bowel and bladder dysfunction

Answer 34

MS

Question 35

GBS pain

Answer 35

worse at night Pain may interfere with eating and sleeping

Question 36

GBS and CSF

Answer 36

CSF becomes elevated after a week or so

Question 37

Plasmapheresis

Answer 37

used for GBS to remove the plasma and take the antibodies along with it

Question 38

Corticosteroids and GBS

Answer 38

they don't really do anything

Question 39

For mild dysphagia, patient may be able to eat in

Answer 39

an upright position with head flexed

Question 40

For patients who experience paralytic ileus or intestinal obstruction,

Answer 40

parenteral feeding is required

Question 41

If having feeding difficulty, the client’s weight, calorie counts, serum ____ must be evaluated at regular intervals

Answer 41

albumin

Question 42

main goal of Antimyasthenic Medications

Answer 42

relieve muscle weakness

Question 43

Edrophonium (Enlon) test

Answer 43

you inject the meds and if it improves symptoms then they have MG

Question 44

MG: In cholinergic crisis, after injection of Enlon

Answer 44

muscle tone does not improve

Question 45

Antiparkinsonian Medications (specifically Dopaminergic) : instruct client to avoid

Answer 45

excessive vitamin B6

Question 46

Anticholinergic medications effects

Answer 46

Reduce tremors and drooling but have little effect on balance abnormalities, rigidity

Question 47

Anticholinergic medications: instruct pt to have routine

Answer 47

eye exams

Question 48

Anticholinergic medications: don't mix with what other med

Answer 48

aspirin

Question 49

Anticonvulsant Medications: instruct pt to have routine

Answer 49

dental check ups

Question 50

Nimodipine

Answer 50

used in hemorrhagic stroke

Question 51

The therapeutic serum drug level range for phenytoin (Dilantin) is

Answer 51

10 to 20

Question 52

phenytoin (Dilantin) is for

Answer 52

seizure control