Class 10

Question 1

Apathy in NCD vs apathy in depression

Answer 1

Apathy presents in both. Ncd may not be complaining but clinical signs but pt will not complain of it; depression will complain

Question 2

prevalence of early-onset Dementia

Answer 2

5-6% of people with alzheimers develop before 65 yo

Question 3

risk factors for early-onset Dementia

Answer 3

Family history of the disease is the only known risk factor at this time. 4x the risk. Three genes: APP, PSEN1, PSEN2
Downs syndrome

Question 4

prevalence of first onset psychosis in the elderly

Answer 4

40-60: 23,5% of patients with schizophrenia

after 60: 3% of patients with schizophrenia

Question 5

when to do imaging

Answer 5

unusual sx, focal neurological signs, abrupt onset, acute deterioration

Question 6

What is the prevalence of Delusional Disorder in the elderly? What is the typical age of onset?

Answer 6

Typically,delusional disordertends to occur in mid-to-late life (average age of onset being about 49 years old). The estimatedprevalence of delusional disorderamongolder adultsis 0.03%

Question 7

Temporal lobe epilepsy sx

Answer 7

unusual hallucinations (olfactory, déjà vu), delusions (hyperreligious), viscous personality (can’t stop talking)

Question 8

What is the prevalence of Delusional Disorder in the elderly? What is the typical age of onset?

Answer 8

Typically,delusional disordertends to occur in mid-to-late life (average age of onset being about 49 years old). The estimatedprevalence of delusional disorderamongolder adultsis 0.03%. 50% of people with delusional disorder will be treated effectively.

Question 9

Describe the characteristics of later onset Delusional Disorder? How do these differ in comparison to younger onset Delusional Disorder?

Answer 9

From what is known about delusional disorder among older adults, it will typically cause social dysfunction. More female, cluster A personality in the family, on an anticholinergic their whole life, sensory impairment.