Dementia Disorders Tutorial

Question 1

What is MoCA?

Answer 1

Montreal Cognitive Assessment

Question 2

What does the MoCA involve?

Series of questions testing?

Answer 2

Series of questions testing:
Visuospatial / executive function
Naming
Memory
Attention
Language
Abstraction
Delayed Recall 
Orientation

Question 3

What is ACE?

Answer 3

Addenbrooke’s Cognitive Examination

Question 4

What does the ACE involve?

Series of questions testing?

Answer 4

Series of questions testing:
Attention
Memory
Fluency 
Language 
Visuospatial Abilities

Question 5

What is good about the ACE?

Answer 5

Can help split up which part of the brain is affected:

e.g. Memory, esp. inability to encode new memories (e.g. remembering the address) is a hippocampal function = Alzheimer’s

Question 6

Why must this assessment, ACE, be tested over time?

Answer 6

Dementia = progressive

Need to look at progression of cognition overtime to hone in diagnosis

Question 7

Why is ACE not a perfect test?

Answer 7

Some questions may be on knowledge or intelligence
e.g. Who is the current prime minister?
Person may be socially isolated, not care about politics, etc.

Question 8

What may be a later presentation in Alzheimer’s (after amnestic issue)?

Answer 8

Visuo-spatial often follows after amnestic issues

Question 9

What issues may a patient with fronto-temporal dementia?

Answer 9

Change as a person - personality = in frontotemporal lobe

Loss of executive function

Question 10

What is the large, ongoing issue in dementia care currently?

Answer 10

Remote consultations - someone with dementia struggling with cognition = harder for them to take the test
Patients become even more isolated