Exam 3 Part 4 Flashcards
Prolonged discussion of a topic
Spoken discourse
What are some reading abilities that are assessed?
Matching pictures, letters, geometric forms, match printed words to pictures, reading aloud pictures, numbers, etc., verbally answer printed questions, silently reading a paragraph or story and verbally answering questions about it
What are some writing abilities that are assessed?
Copying pictures, letters, geometric forms, writing letters, words, sentences, writing biological information, writing names for common objects and their functions, formulating and producing narratives
What are some multicultural considerations for assessing dementia?
Standardized tests not translated into another language, interpreters and translators who are family members may skew results
True or false: Facial expressions diminish as dementia progresses
True
What is the neuropathology of vascular dementia?
Presence of small or unnoticed ischemic strokes
Dementia caused by many usually small infarcts to various areas of the brain
Multi-infarct dementia
The result of small recurrent ischemic strokes to cortex
Cortical multi-infarct dementia
The result of multiple subcortical thrombotic ischemic strokes in the brain stem, basal ganglia, and other subcortical structures
Lacunar state
Results in neuropathological changes in the brain due to presence of Lewy bodies in cell body of neurons
Lewy body disease
Characterized by motor abnormalities such as rigidity, tremor, slowness of volitional movement, and cognitive deficits
Parkinson’s disease
What is the neuropathology of Parkinson’s?
Loss of dopamine producing cells in substantia nigra as a result of Lewy bodies
What are the characteristics of Parkinson’s?
Motor abnormalities at rest, bradykinesia, mask-like facial expressions, difficulty initiating movements for speech, festinations, paresthesia, micrographia, and akinetic movement
Medical treatment for Parkinsonian symptoms
Levodopa
Side effect of levodopa that includes choreiform involuntary movements affecting the face, head, neck, trunk, and extremities
Levodopa-induced dyskinesias