Dementia

Question 1

def. dementia

Answer 1

prog decline in intellectual functio with preserved cons.

Question 2

5 major DDx cats for dementia

Answer 2

1. Primary neuro
2. infections
3. metabolic
4. Drugs/toxins
5. pseudo (depression)

Question 3

6 types of primary neuro

Answer 3

1. Alz
2. vascular
3. space occupying lesion
4. lewy body
5. Pick’s
6. other - Wilsons, parkinsons, huntingtons

Question 4

5 types in infection

Answer 4

1. HIV
2. syph
3. cryptococcal
4. Creutx Jakob
5. progressive leukoencephalopathy

Question 5

4 metabolic

Answer 5

1. thryoid disease
2. B12 def
3. thiamine def. - korsakoff
4. niacin def

Question 6

clinical stages of alz (3)

Answer 6

1. early - forgetfullness, can’t learn new stuff, poor work performance
2. mid - mem imparied more, aware of condition, but may deny, getting lost
3. severe - assisstance needed for ADL

Question 7

main med for alz

Answer 7

Acetocholinesterase inhibitors

Question 8

def. lewy body dem

Answer 8

similar to alz and parkinsons, but faster