CH19: Delirium and Acute Confusional States

Question 1

patients incapacity to think with customary speed, clarity and coherence (p. 439)

Answer 1

confusion

Question 2

isolated loss of past memories as well as to an inability to form new ones (p. 440)

Answer 2

amnesia

Question 3

deterioration of all intellectual or cognitive functions with little or no disturbance of consciousness or perception (p. 440)

Answer 3

dementia

Question 4

congenital feeblemindedness (p. 440)

Answer 4

amentia

Question 5

process of acquiring through the senses a knowledge of the world, or of one’s self by cohering what is snesed into giving meaning to what it is experienced (p. 4410

Answer 5

apperception

Question 6

a syndrome in which newly preseneted material appears to be correctly registered but cannot me retained for more than a few minutes (p. 442)

Answer 6

Korsakoff amnesic sundrome

Question 7

relative retention of older memories in preferene to newer ones (p. 442)

Answer 7

Ribot’s rule

Question 8

false belief is maintained inspite of convinscing evidence to the contraray (p. 442)

Answer 8

delusion

Question 9

revailing internal emotional state of an individual (p. 443)

Answer 9

mood

Question 10

outward emotional reactions evoked by a thought or an environmental stimulus (p. 443)

Answer 10

affect

Question 11

prominent delay in producing movement, speech, ideation and emotional reaction, together observed as a kind of apathy (p. 443)

Answer 11

abulia

Question 12

patients isits or lies silent and motionless, with a staring coutenance, completely without volition and without reaction ti sensory impressions (p. 443)

Answer 12

catatonia

Question 13

constant restless movements and inability to sit still (p. 443)

Answer 13

Akathisia

Question 14

states of confusion in which elements of hallucinations, delusions, disordered thinking comprise the prominent features (p. 444)

Answer 14

psychosis

Question 15

usuall EEG findings in confusion (p. 445)

Answer 15

bilateral high voltage slow waves in the range of 2-4 s to 5-7 s

Question 16

what distiguishes delirum from other confusional states (p. 446)

Answer 16

signs of overactivity of the ANS

Question 17

indication of the subsidence of the attack of delrium tremens (p. 446)

Answer 17

occurence of lucid intervals of increasing length and sound sleep

Question 18

pathology in delirum tremens (p. 446)

Answer 18

no pathologic significance

Question 19

subthalamic and midbrain lesions giving visual hallucinations that are not unpleasant and are accompanied by good insight (p. 446)

Answer 19

Peduncular hallucinosis of Lhermitte

Question 20

EEG in delirium (p. 446)

Answer 20

symmetrical mild generalized slow activity 5-10/s

Question 21

salivation normal, sweating increasedm gut hyerpeactive, diarrhea common, DTR exaggerated (p. 447)

Answer 21

Excessive antidepressants

Question 22

what differentiates schiz, bipolar psychosis, mania from confusional states (p. 449)

Answer 22

clear sensorium, intact memory function

Question 23

drug of choice for delirium tremens (p. 450)

Answer 23

chlordiazepoxide