Geriatrics

Question 1

what is pseudo-dementia

Answer 1

aka depressive dementia
important differential of dementia
primarily associated with cognitive deficits in older patients with depression

Question 2

features of pseudodementia

Answer 2

pts often present with self-neglect and significant weight loss
psycho-motor slowing
memory impairment
difficulties in concentration

Question 3

when is viagra contra-indicated

Answer 3

when patients are taking organic nitrates due to risk of hypotension

Question 4

what is vascular dementia

Answer 4

umbrella term for a group of syndromes of cognitive impairment that are caused by cerebrovascular disease - recurrent ischaemic or haemorrhagic insults to the brain

stroke is a known risk factor

Question 5

three core features of lewy body dementia

Answer 5

fluctuating cognition
parkinsonism
visual hallucinations

Question 6

first line mx for mild-moderate alzheimers disease

Answer 6

donepezil