Dementia Flashcards
What is the most commonly used in primary care to help diagnose dementia
1 - 10 point cognitive screening tool
2 - mini mental state exam
3 - General Practitioner assessment of Cognition (GPCOG)
4 - dementia test
3 - General Practitioner assessment of Cognition (GPCOG)
The General Practitioner assessment of Cognition (GPCOG) tool can be used in primary care to help diagnose dementia. It has 2 parts what are they?
1 - informant interview and doctor interpretation
2 - informant and receptionist interpretation
3 - patient interview and doctor interpretation
4 - patient and informant interview
4 - patient and informant interview
The General Practitioner assessment of Cognition (GPCOG) tool can be used in primary care to help diagnose dementia. It has 2 parts, the patient and informant interview. What is the patient interview?
- patient undergoes a number of tests and answers questions
The General Practitioner assessment of Cognition (GPCOG) tool can be used in primary care to help diagnose dementia. It has 2 parts, the patient and informant interview. The patient interview undergoes a number of tests and answers questions in order to assess the patients cognitive state. There are 9 separate parts to the test and each gives a score of 1 if the patient is cognitively aware, giving a maximum score of 9. What score signifies an impaired cognitive state?
1 - <9 out of 9
2 - <7 out of 9
3 - <4 out of 9
4 - <1 out of 9
- <4
- 9 is normal cognitive state
The General Practitioner assessment of Cognition (GPCOG) tool can be used in primary care to help diagnose dementia. It has 2 parts, the patient and informant interview. What is the informant interview?
- partner/carer is asked questions relating to the patient
- normally the ones who spot signs of dementia
The General Practitioner assessment of Cognition (GPCOG) tool can be used in primary care to help diagnose dementia. It has 2 parts, the patient and informant interview. The partner/carer or someone who knows the patient well acts as the informant and is asked questions relating to the patient. It is normally the informant who spot signs of dementia. What score signifies a cognitive impairment in the informant interview?
1 - <9 out of 6
2 - <6 out of 6
3 - <1 out of 6
4 - <3 out of 6
4 - <3 out of 6
The General Practitioner assessment of Cognition (GPCOG) tool can be used in primary care to help diagnose dementia. The mini-COG is a faster test, but not as extensive. What is the mini-COG?
1 - patient given 3 words to remember, draws clock face then tries to recall the 3 words
2 - patient given 3 words to remember and then tries to recall the 3 words and then draws a clock face
3 - patient is asked 3 questions relating to memory and then draws a clock face
1 - patient given 3 words to remember, draws clock face then tries to recall the 3 words
If a patient is suspected of having vasculitis dementia, what is important to optimise?
1 - cholesterol levels
2 - WBC number
3 - RBC number
4 - blood glucose
1 - cholesterol levels
If a patient has undergone a number of blood tests in an attempt to rule out causes of suspected dementia, what imaging modality is often used?
1 - MRI
2 - X-ray
3 - CT scan
4 - ultrasound
3 - CT scan
- could identify atrophy such as in the hippocampus
What is the most common form of dementia?
1 - Parkinsons disease
2 - Alzheimers
3 - Vasculitis dementia
4 - Lewy bodies dementia
2 - Alzheimers
In patients diagnosed with dementia, why is it important to create a will and nominate a power of attorney?
1 - patient may forget things
2 - patients family need taking care of
3 - carers need a point of contact
1 - patient may forget things
- important if anything happens to the patient
- the doctor MUST SIGN THIS TO CONFIRM PATIENT HAS CAPACITY
In patients diagnosed with dementia, it is important to create a will and nominate a power of attorney in case the 1 patient forget things and it is important if anything happens to the patient. What 3 people, as a minimum must sign the document to confirm a will and nominate a power of attorney?
1 - patient, person with power of attorney, lawyer
2 - patient, person with power of attorney, solicitor
3 - patient, family member, lawyer
4 - patient, person with power of attorney, doctor
4 - patient, person with power of attorney, doctor
- the doctor MUST SIGN THIS TO CONFIRM PATIENT HAS CAPACITY
- patient needs to be able to understand what they are actually doing
What is the mental capacity act number 7?
1 - people should always be able to make their own decisions
2 - people >16 are able to make their own decisions whatever the disability
3 - people with no capacity should not be able to make any decisions
4 - people <16 are able to make their own decisions whatever the disability
2 - people >16 are able to make their own decisions whatever the disability
- law that protects vulnerable people over the age of 16 around decision-making
Alzheimers is the most common form of dementia. Although medication cannot reverse dementia, what common medication can these patients be prescribed?
1 - opioids
2 - Ca2+ channel blockers
3 - thiazide like diuretics
4 - cholinesterase inhibitors
4 - cholinesterase inhibitors
- patients have been shown to be deficient in acetylcholine
Patients with dementia are often complex and require monitoring. This can help optimise management and reducing the risk of crisis or falls. How often should dementia patients be reviewed by the GP?
1 - annually
2 - every 6 months
3 - every 3 months
4 - 12 weekly
1 - annually
