Dementia, affective, and cognitive disorders

Question 1

Impairments seen with alzheimers

Answer 1

• memory, language, visual-spatial skills
• cognition, personality
• slow steady decline

Question 2

What is preserved in alzheimers

Answer 2

implicit skills (ie. piano playing)

Question 3

Alzheimers Dx

Answer 3

Autopsy looking for neurotic plaques

Question 4

What is vascular cognitive dementia?

Has what sort of pattern of functional losses

Answer 4

Multiple small lesions seondary to poor blood flow (high BP) that leads to the degeneration of medial temporal lobes

Staircase pattern

Question 5

Vascular cognitive dementia is related to what

Answer 5

hypertension, small hemorrhages, atherosclerotic plaque,

Question 6

What do most people with Vascular cognitive dementia die of

Answer 6

Pneumonia

Question 7

Outcome measure for vascular cognitive dementia

Answer 7

mini Mental state exam

Question 8

Vascular cognitive dementia PT Concerns:

Answer 8

• Falls prevention
• Retaining motor activities
• Decrease restlessness = Increase sleep support for caregivers

Question 9

What is a coma?

Answer 9

The lowest level of consciousness - will not obey commands, open eyes or interpret words

short lived phase will either die or improve to vegetated state

Question 10

What are seizures

Answer 10

Disturbances in CNS

Question 11

Seizure S&S

Answer 11

• altered consciousness
• motor activity (convulsions)
• sensory phenomena
• altered autonomic & cognitive function

Question 12

What are two types of seizures

Answer 12

1. Primary generalized seizures

2. Partial seizures

Question 13

What are primary generalized seizures

Answer 13

Seizures which occur bilaterally and symmetrical without local onset

Question 14

What are two types of primary generalized seizures

Answer 14

Tonic clonic (grand mal)
Absence seizures (petit mal)

Question 15

What is a tonic clonic/grand mal seizure look like?

How long does it last?

Answer 15

Dramatic, whole body

2-5mins

Question 16

What is a absence/petit mal seizure look like?

How long does it last?

Answer 16

• brief, almost imperceptible LOC
• come back to full - no change in posture
• can be up to 100/day

Question 17

What are partial seizures?

Answer 17

Seizures that normally just take place in one part of the body

Question 18

What are two types of partial seizures

Answer 18

Simple and complex

Question 19

What are 3 types of simple partial seizue

Answer 19

1. Focal motor
2. Focal motor with march
3. Temporal lobe seizure

Question 20

What is a focal motor seizure

Answer 20

Simple partial seizure with clonic activity on specific area of body

Question 21

What is a focal motor with march seizure

Answer 21

Simple partial seizure with orderly spread or march of clonic movements; can progress to whole side

Question 22

How does a temporal lobe partial seizure present

Answer 22

episodic change in behavior, complex hallucinations

Question 23

What is a complex partial seizure

Answer 23

simple partial seizures followed by impairment of consciousness