Geriatrics Flashcards

1
Q

Most common incontinence in elderley

A

Urge

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2
Q

Episodic memory preserved in?

A

Vascular dementia

Episodic memory is memory of specific long term events (e.g 7th birthday)

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3
Q

Psychotic sx dementia - Rx?

A

Risperidone

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4
Q

Psychotic sx delirium

A

Haloperidol

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5
Q

SSRI causing weight loss

A

Citalopram, fluoxetine, paroxetine

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6
Q

Highest predictor of delirium

A

dementia

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7
Q

Treatment for FTD

A

No convincing evidence for any treatment for FTD currently

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8
Q

What does time stand up and go test quantify?

A

Falls risk

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9
Q

Pressure ulcer management principals (3)

A

Debridement - remove necrotic tissue to allow new granulation to grow

Cleansing - normal saline (protects new granulation tissue), or antiseptics

Dressing

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10
Q

MMSE deficits in Alzheimers

A

Orientation
Short term recall

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11
Q

MMSE deficits in DLB

A

Early loss of
- Visuospatial - pentagons, clock
- Serial 7s

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12
Q

FTD MMSE performacne

A

usually preserved MMSE initially

Later, lose frontal
- Verbal fluency

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13
Q

Memory of objects, concepts, facts

A

Semantic (ability to read)

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14
Q

Memory of riding bike, tying shoes

A

Procedural

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15
Q

3 types of episodic memory

A

Immediate recall (repeat sequence of numbers)

Recent events (recent events)

Remote recall (distant memories)

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16
Q

3 types of episodic memory

A

Immediate recall (repeat sequence of numbers)

Recent events (recent events)

Remote recall (distant memories)

17
Q

Cingulate island sign

A

Seen in Lewy Body

Posterior cingulate spared in FDG-PET (compared with alzheimers

18
Q

Areas in PET affected in Lewy Body

A

Occiptal lobes

19
Q

Use of PET in dementia

A

Can be useful to differentiate between AD, FTD and LBD in complex dementias/atypical presentations

20
Q

Stimulant laxatives

A

Senna
Bisacodyl

21
Q

Softener laxatives

A

Docusate (coloxyl)

22
Q

Osmotic laxatives

23
Q

Bulking agents

A

Psyllium
Methylcellulose

24
Q

Leading cause of blindness in developed world elderley

A

Age related macular degeneration

25
Technique to determine if epidemic is due to the same organism is responsible for all the infections
Pulsed-field gel electrophoresis
26
Highest risk of NSAID associated gastric ulcer
Advanced age
27
Donepezil benefits
Small - improvement cognition (MMSE) - ADL's - Neuropsychiatric symptoms Does NOT delay progression
28
Longest sleep phase
N2 - NREM 2
29
Most common plaque in Alzheimer's?
Beta amyloid Tau causes NF tangles