Dementia & Delirium

Question 1

What is dementia?

• Impairment in ____ affecting more than one _____
• Interferes with ___ or ____ function
• Decline from a previous level
• Not explained by ____ or _____

Answer 1

• Impairment in intellectual function affecting more than one cognitive domains
• Interferes with social or occupational function
• Decline from a previous level
• Not explained by delirium or major psychiatric disease

Question 2

Cognitive domains

\_\_\_\_\_ (frontal, hemispheric white
matter)
\_\_\_\_\_ (medial temporal lobes/ hippocampus)
\_\_\_\_\_ (left hemisphere, usually)
\_\_\_\_\_ (occipital, parietal)

Answer 2

Executive function (frontal, hemispheric white
matter)
Memory (medial temporal lobes/ hippocampus)
Language (left hemisphere, usually)
Visuospatial (occipital, parietal)

Question 3

Aphasia

Able to ___ and ___ a conversation
Impaired ______
Intact ___ and ____ however the speech is ___ with ______, ______, ______ and often using nonspecific phrases
(“ the thing” )
Later language can be severely impaired with _____, _____.

Answer 3

Able to initiate and maintain a conversation
Impaired comprehension
Intact grammar and syntax however the speech is vague with paraphasia, circumlocutions, tangential and often using nonspecific phrases
(“ the thing” )
Later language can be severely impaired with mutism, echolalia.

Question 4

Apraxia
Inability to carry out ___ activities despite intact ___ function
Contributes to loss of ___

Answer 4

Inability to carry out motor activities despite intact motor function
Contributes to loss of ADLs