Exam 2: MCI & Dementia Flashcards

1
Q

what is MCI?

A

an early, but abnormal, state of cognitive impairment
now called mild neurocognitive disorder (MND)

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2
Q

diagnostic criteria for MCI/MND

A
  1. memory complaint verified by an informant
  2. objective memory impairment for age
  3. relatively preserved general cognition for age
  4. relatively no difficulty with activities of daily living
  5. not demented
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3
Q

Ax of MCI/MND

A
  1. typically conducted by a neurologist or neuropsychiatrist
  2. variety of tests used to test various domains of cognitive functioning
  3. standardized cutoff scores for MCI are not available on all Ax boundaries
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4
Q

SLP’s role in MCI/MND

A
  1. early detection, intervention, & education
  2. using reliable and valid screening measures
  3. providing evidence based interventions
  4. educating patients and caregivers about EB interventions & recommendations
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5
Q

MCI Screening Tools

A

MMSE
AQT
MoCA
SLUMS

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6
Q

Info about MCI Screening Tools

A

3-5 mins
can be used across languages
provides specialized measures of processing speed that require rapid naming of dual-dimension stimuli
evaluates cognitive functions that underlie recognition, executive attention, and working memory

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7
Q

MCI is an early, but abnormal state of

A

cognitive impairment

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8
Q

The AQT, in conjunction with the MMSE or MoCA or SLUMS, could be used to

A

screen for MCI

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9
Q

Dementia Management

A

encompasses assessment, treatment, and documentation of services related to: cog-comm deficits & feeding/swallowing deficits

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10
Q

all dementia services must be

A

reasonable
necessary
evidence based

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11
Q

initial Ax for persons with dementia

A
  1. establish baseline levels of Fx in comparison to prior levels of Fx
  2. Set functional, measurable and realistic short-term objectives and long-term goals
  3. clarify whether interventions will be restorative, maintenance-based, or both
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12
Q

12 risk factors that, when managed can decrease the onset of dementia by 40%

A
  1. less education
  2. hypertension
  3. hearing impairment
  4. smoking
  5. obesity
  6. depression
  7. physical inactivity
  8. diabetes
  9. infrequent social contact
  10. excessive alcohol consumption
  11. head injury
  12. air pollution
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13
Q

degenerative neurologic disorders

A

dementia syndrome

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14
Q

vascular disease (blood vessels)

A

dementia syndrome

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15
Q

metabolic disorders

A

dementia syndrome

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16
Q

tumors

A

dementia syndrome

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17
Q

trauma

A

dementia syndrome

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18
Q

infections

A

dementia syndrome

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19
Q

psychiatric disorders

A

dementia syndrome

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20
Q

Alzheimer’s disease

A

degenerative neurologic disorder

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21
Q

primary progressive aphasia (PPA)

A

degenerative neurologic disorder

22
Q

Pick’s disease (frontotemporal dementia)

A

degenerative neurologic disorder

23
Q

Huntington’s disease

A

degenerative neurologic disorder

24
Q

Progressive Supranuclear palsy (PSP)

A

degenerative neurologic disorder

25
Q

Parkinson’s disease

A

degenerative neurologic disorder

26
Q

Wilson’s disease

A

degenerative neurologic disorder

27
Q

Hallervorden-Spatz syndrome

A

degenerative neurologic disorder

28
Q

Amyotrophic lateral sclerosis (ALS)

A

degenerative neurologic disorder

29
Q

Guam Parkinson dementia complex

A

degenerative neurologic disorder

30
Q

spinocerebellar degenerations

A

degenerative neurologic disorder

31
Q

idiopathic calcification of basal ganglia

A

degenerative neurologic disorder

32
Q

Lewy Body Disease (LBD)

A

degenerative neurologic disorder

33
Q

multi infarct dementia (MID) AKA vascular dementia (multiple strokes)

A

vascular disease

34
Q

inflammatory disease of vessels (lupus)

A

vascular disease

35
Q

arteriovenous malformation (AVM)

A

vascular disease

36
Q

hypoxia and anoxia

A

metabolic disorders

37
Q

thyroid disease

A

metabolic disorders

38
Q

parathyroid disease

A

metabolic disorders

39
Q

hypoglycemia

A

metabolic disorders

40
Q

uremia

A

metabolic disorders

41
Q

liver disease

A

metabolic disorders

42
Q

carcinoma (remote effects)

A

metabolic disorders

43
Q

nutritional deficiencies

A

metabolic disorders

44
Q

drugs and other toxins

A

metabolic disorders

45
Q

dementia pugilistica (punch-drunk; repeated head trauma)

A

trauma

46
Q

subdural hematoma

A

trauma

47
Q

chronic traumatic encephalopathy (CTE)

A

trauma

48
Q

brain abscess

A

infections

49
Q

bacterial meningitis or encephalitis

A

infections

50
Q

Creutzfeldt-Jackob dementia

A

infections

51
Q

encephalitides

A

infections

52
Q

BPD

A

psychiatric disorders