Cognitive Decline and Depression Overview

Question 1

is depression a normal part of aging?

Answer 1

No

Question 2

what is IMPACT

Answer 2

Improving Mood-Promoting Access to Collaborative Treatment

Question 3

what is PEARLS

Answer 3

Program to Encourage Active Rewarding Lives for Seniors)

Question 4

Goal with PEARLS

Answer 4

improve QOL & reduce depressive symptoms

Question 5

ADRs with SSRIs

Answer 5

hyponatremia
serotonin syndrome
suicidal

Question 6

what is discontinutation syndrome with SSRIs

Answer 6

Naseau 
HA
dizzy
lethargy
flu-like symptoms

Question 7

ADRs with TCAs

Answer 7

dry mouth
constipation
decreased urination/ retention
sedation

Question 8

Are MAOIs used often?

Answer 8

No, due to fatal HTN crisis w/ tyramine foods

Question 9

are benzos a good idea in the elderly

Answer 9

No

Question 10

if a patient hasn’t tolerated 2 antidepressants peds and depression is severe what should be considered?

Answer 10

ECT

Question 11

where they use the wrong noun/ word

Answer 11

paraphasias

Question 12

common in someone with an issue of alcohol. Will fill in random words

Answer 12

confabulation

Question 13

making up new words

Answer 13

neologisms

Question 14

stoping in mid sentance

Answer 14

blocking

Question 15

takes a while to get to the point

Answer 15

circumstantaility

Question 16

patient repeating something over and over

Answer 16

perseveration

Question 17

non-sequitur. w/ acclerated rate of speech/ anxiety

Answer 17

derailment

Question 18

total non-sequitiur w/ decompensation leading to incoherence

Answer 18

flight of ideas

Question 19

Decline in thinking, reasoning and independent function d/t abnormal microscopic deposits that damage brain cells
Considered 3rd most common cause of dementia after VaD & AD (10 - 25 % cases)

Answer 19

Lewy body disease (DLB)

Question 20

Under what number is mild on a MMSE

Answer 20

24

Question 21

Under what is moderate on a MMSE

Answer 21

12