Dementia Flashcards

1
Q

Dementia onset

A

Takes a longer time gradual development of multiple cognitive deficits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Dementia symptoms (6)

A

impaired executive functioning
impaired global intellect
impaired problem solving
impaired organizational skills
altered memory is the FIRST SIGN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Subcortical dementia (8)

A

motor symptoms: gait and balance issues, tremors, ataxia, dystonia
emotional changes, mood changes, depression and apathy,
Parkinson’s, Huntington’s, vascular dementia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cortical dementia affects what part of the brain?

A

cerebral cortex
the outer layer of the brain responsible for higher cognitive functions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hallmark of cortical dementia

A

memory loss and language difficulties

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Aphasia (cortical dementia)

A

language impairment is common in cortical dementia, leading to problems of communication

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Visuospatial issues

A

Cortical dementia
individuals may experience impairment affecting their ability to navigate and recognize objects

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Apraxia

A

cortical dementia- difficulties in performing purposeful movement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Personality change in cortical dementia

A

increased impulsivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Hallucinations and delusions

A

cortical dementia- agitation and distress

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

common types of cortical dementia (3)

A

alzheimer’s disease, frontotemporal, primary progressive aphasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Subcortical Dementia

A

affects the brains subcortical structures located beneath the cerebral cortex

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cognitive & motor symptoms of Subcortical Dementia

A

Combination of cognitive and motor symptoms, including memory problems and movement difficulties

tremors, stiffness, bradykinesia
Gait and balance issues- walking and balance are common due to the involvement of motor pathways

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Emotional changes from subcortical dementia

A

mood changes, depression, and apathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Slower processing speed usually comes with

A

subcortical dementia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Common causes of subcortical dementia (3)

A

Parkinson’s disease
Huntington’s
Vascular dementia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Differentiate subcortical dementia from cortical dementia:

A

slowness in movement, tremors, difficulty with fine motor skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is the most common type of dementia?

A

Dementia of Alzheimer’s type (DAT)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Dementia of Alzheimer’s type is classified as (2)

A

cortical dementia

gradual onset and progressive decline without focal neurological deficits

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Early signs of HIV dementia (3) p. 277

A

cognitive decline, motor abnormalities, and behavioral abnormalities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Clinical signs of late-stage HIV related dementia p. 277 (7)

A

global cognitive impairment, mutism, seizures, hallucinations, delusions, apathy, mania

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Lewy Body Disease
is what type of dementia p. 279

A

subcortical and cortical

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

symptoms of lewy body disease

A

recurrent visual hallucinations
fluctuating cognitive impairment
Parkinson’s features bradykinesia and tremor
Often exhibits deficits in executive function, including difficulties with learning, planning, organization problem solving, and decision making

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What type of dementia adversely reacts to antipsychotics especially atypical antipsychotics

A

Lewy Body Disease

25
Second most common type of dementia
vascular
26
vascular dementia is usually caused by
cardiovascular disease
27
What dementia is most common in preexisting BP and CV risk
vascular
28
Hallmarks of Vascular dementia p278
carotid bruits, fundoycopic abnormalities, enlarged cardiac chambers
29
name for frontotemporal dementia and frontal lobe dementia
Picks disease
30
What dementia disease shows personality behavioral and language changes (slurred) in early stage
Pick's disease
31
Picks disease is more common in?
men
32
Picks disease, cognitive changes occurs in
later stages
33
Huntington's disease is what type of dementia p.278
subcortical
34
Huntington's disease has a high incidence of
depression and psychosis
35
people with Huntington's disease have difficulty with
complex tasks- very slow
36
Etiology of DAT
diffuse cerebral atrophy and enlarged ventricles
37
What happens to ACH and NE with DAT
decreased
38
Genetic loading of DAT p278
family hx of dementia in first order relative
39
Tx for psychosis and agitation in dementia Pg 284 (3)
Try non-pharmacological interventions first Atypical antipsychotics should be used as first-line agents in patients with psychotic symptoms of dementia use lowest effective dose and attempt to wean periodically
40
What should be avoided when treating psychosis and agitation in dementia?
Benzodiazepines should be avoided if possible the patients are already vulnerable to their adverse effects such as sedation, falls, delirium
41
How to differentiate Delirium vs dementia?
In delirium you see ALOC, dementia you see behavioral disturbances, cognitive deficits, language difficulties
42
Best tx for AIDS dementia complex
HIV aids is responsible so the target is tx for HIV aids, Antiviral therapy (refer to PCP)
43
Cognition and memory symptoms of MDD in the older adult population is often called () and confused with ()
pseudodementia dementia-related symptoms
44
Difference between pseudodementia and MDD
Clients with dementia usually have a premorbid hx of slowly declining cognition whereas in MDD cognitive changes have a relatively acute onset and are significant when compared to premorbid functioning
45
How to differentiate dementia from pseudodementia
Pseudodementia "I don't know" and are frustrated by the sudden memory changes versus dementia patients will try to answer but lacks answer or confabulation
46
Personality, behavioral, language change in early stage is from
Picks disease (frontotemporal and frontal lobe dementia) **
47
patient presents with personality changes, social behavior changes, aggression, inappropriate social behavior, what lobe of the brain can be affected?
frontal lobe dementia
48
subcortical dementia often show up as
motor abnormalities
49
Huntingtons disease usually begins between ages
30-45 but can occur as early as 2 and as late as 70
50
Does HD affect any demographic more
no effects males and females equally and all ethnic and racial groups
51
how to accurately and effectively test for HD
direct genetic test
52
each child of a person with HD has a ___ percent chance of inheriting the HD causing gene mutation
50 percent
53
Medication tx for Parkinson disease dementia (3)
donzepezil or rivastigmine, galantamine helps improve cognitive an behavioral symptoms
54
what medication types should be avoided for those with parkinsons disease dementia
Antipsychotics are especially typical so no HALDOL or chlorpromazine if must give an antipsychotic make sure it is atypical
55
DAT can see what changes in neurotransmitters
decrease ACH and NE
56
Genetic loading, family hx, and first order relative can increase risk. of what type of dementia
DAT
57
tx for psychosis and agitation in dementia
try non pharmacological treatments first then try atypical antipsychotics
58