Dementia

Question 1

Alzheimers common presenting symptoms

Answer 1

Memory loss particularly short term
Dysphasia
Dyspraxia
Agnosia

Question 2

Vascular dementia common presenting symptoms

Answer 2

Dysphasia
Dyscalculia
Frontal lobe and affective symptoms
May have:
focal neurological signs
vascular risk factors
step wise decline

Question 3

CT/MRI findings in alzheimers

Answer 3

Normal
OR
Medial temporal lobe atrophy or temporoparietal atrophy

Question 4

SPECT findings in vascular dementia

Answer 4

Patchy reduction in tracer uptake throughout brain

Question 5

Frontotemporal dementia behavioural variant presentation

Answer 5

Behavioural changes
Executive dysfunction
Disinhibition
Impulsivity
Lack of social skills
Apathy
Obsessions
Change in diet

Question 6

Frontotemporal dementia primary progressive aphasia variant presentation

Answer 6

Effortful non-fluent speech
Speech sound/articulatory errors
Lack of grammar
Lack of words

Question 7

Frontotemporal dementia semantic dementia variant presentation

Answer 7

Impaired understanding of meaning of words
Fluent but empty speech
Difficulty retrieving names

Question 8

Dementia with lewy bodies diagnostic criteria

Answer 8

Common early involvement of reduced attention, executive function and visuospatial skills
Two of:
Visual hallucinations
Fluctuating cognition
REM sleep behaviour disorder
Parkinsonism 
Positive DAT scan

Question 9

What type of dementia should you be careful in prescribing antipsychotics?

Answer 9

Lewy body