Dementia

Question 1

dementia

Answer 1

syndrome that causes impairment of cortisol functions

Question 2

types

Answer 2

alzheimers
vascular
lewy body
front-temporal

Question 3

alzheimers

Answer 3

most common

chronic and progressive

Question 4

vascular

Answer 4

history of stroke

sudden decline and then step wise progression

Question 5

front-temporal

Answer 5

personality change and disinhibition

Question 6

investigations

Answer 6

history
observation
screening tests to rule out other causes

Question 7

when would you do a CT

Answer 7

signs of a space occupying lesion

Question 8

management of alzheimers

Answer 8

mild/moderate
donepezil

severe
memantine

Question 9

side effects of the medications

Answer 9

donepezil - diarrhoea

memantine - constipation

Question 10

what investigation should be done before prescribing an anticholisterinase inhibitors

Answer 10

ECG

contradicted in QT prolongation, 2nd/3rd degree heart block org <50bpm

Question 11

what are some differentials of dementia

Answer 11

addisons
B12 deficiency
normal hydrocephalus pressure
syphilis