Cognition

Question 1

What are the assessment tools?

Answer 1

MOCA - like a mini ACE

ACE-III scoring system

Question 2

What are the reversible causes of dementia AKA delirium?

Answer 2

DEMENTIA

Drugs - anticholingerics 
Emotional - depression 
Metabolic/endocrine -> hypothrodisim 
Eyes and ears declining
Normal pressure hydrocephalus  
Tumour or other space-occupying lesion 
Infection 
Anaemia (vitamin B12 or folate deficiency)

Question 3

What is the cutoff for dementia in ACE-III for the average person?

What is the cut off for cognitive impairment in the MOCA?

Answer 3

=/<82/100

=/<25/30

Question 4

What is the triad of symptoms assoc. with normal pressure hydrocephalus?

Answer 4

Dementia
Urinary incontinence
Magnetic gait (feet appeared glued to the floor)

Question 5

Look at Alzheimer’s cards in neuro

Question 6

Alcohol

Question 7

There is a genetic link to which forms of dementia?

Answer 7

Alzheimer’s

Huntingtons

Question 8

What infections are linked to the development of dementia?

Answer 8

HIV

Syphilis

Question 9

What are the late onset dementias? >65yo

Answer 9

Maj. of Alzhemiers - unless genetic link e.g. Downs

Vascular dementia

Lewy body dementia

Question 10

What is the typical cause if dementia?

Answer 10

Neurodegenerative proteinopathies

Question 11

In delirium or dementia is consciousness and awareness normally ALWAYS impaired?

Answer 11

Delirium

Question 12

What are the early onset dementias?

Answer 12

Frontotemporal dementia
Huntingtons (30-50yo)
Downs Syndrome