Confusion/Memory Loss Flashcards

1
Q

81yo M presents with progressive confusion for the past several years accompanied by forgetfulness and clumsiness. He has a history of hypertension, DM, and 2 strokes with residual left hemiparesis. His mental status has worsened after each stoke (stepwise decline in cognitive function)

A
VASCULAR ("MULTIINFARCT") DEMENTIA
alzheimers disease
normal pressure hydrocephalus
chronic subdural hematoma
intracranial neoplasm
depression
B12 deficiency
neurosyphilis
hypothyroidism
cbc
vdrl/rpr
serum B12
tsh
mri brain
ct head
LP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

84yo F brought by her son c/o forgetfulness (e.g. forgets phone numbers, loses her way back home) and difficulty performing some of her daily activities (e.g. bathing, dressing, managing money, using the phone). The problem has progressed gradually over the past few years

A
ALZHEIMERS DISEASE
vascular dementia
depression
hypothyroidism
chronic subdural hematoma
normal pressure hydrocephalus
intracranial neoplasm
B12 deficiency
neurosyphilis
cbc
vdrl/rpr
serum B12
tsh
mri brain (preferred)
ct head
LP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

72yo M presents memory loss, gait disturbance, and urinary incontinence for the past 6 months

A
NORMAL PRESSURE HYDROCEPHALUS
alzheimers idsease
vascular dementia
chronic subdrual hematoma
intracranial neoplasm
depression
B12 deficiency
neurosyphilis
hypothyroidism
CT head
MRI brain
LP opening pressure and CSF analysis
serum B12
vdrl/rpr
tsh
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

55yo M presents with rapidly progressive change in mental status, inability to concentrate, and memory impairment for the past 2 months. His symptoms are associated with myoclonus, ataxia and a startle response.

A
CREUTZFELDT-JAKOB DISEASE
vascular dementia
lewy body dementia
wenicke's encephalopathy
normal pressure hydrocephalus
chronic subdural hematoma
intracranial neoplasm
depression
delirium
B12 deficiency
neurosyphilis
cbc
electrolytes, calcium
serum B12
vdrl/rpr
mri brain (preferred)
ct head
eeg
LP
brain biopsy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

70yo insulin-dependent M presents with episodes of confusion, dizziness, palpitations, diaphoresis and weakness

A
HYPOGLYCEMIA
transient ischemic attack
arrhythmia
delirium
angina
glucose
cbc
electrolytes
CPK-MB, troponin
echocardiography
ECG
mri brain
doppler US carotid
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

55yo F presents with gradual altered mental status and headache. Two weeks ago she slipped, hit her head on the ground, and lost consciousness for 2 minutes.

A

SUBDURAL HEMATOMA
SIADH (causing hyponatremia)
creutzfeldt-jakob disease
intracranial neoplasm

ct head
cbc
electrolytes
mri brain
LP
How well did you know this?
1
Not at all
2
3
4
5
Perfectly