Geriatrics

Question 1

Single most important RF for falls in old people?

Answer 1

Previous falls

Question 2

Which dementia medication delays RACF?

Answer 2

Donepezil

Question 3

MMSE is best used in diagnosis of which dementia syndrome?

Answer 3

Alzheimers
- Can use in vascular

Question 4

Which dementia syndrome is most similar to delirium?

Answer 4

Lewy body dementia

Question 5

MMSE cut off for donepezil? Main SE?

Answer 5

MMSE 10-28. LOW/LOA

Question 6

Difference between Parkinson’s dementia and Lewy body?

Answer 6

Lewy body has hallucinations
- In PD, hallucinations secondary to medications

Question 7

Genetics of Parkinson’s disease?

Answer 7

Most is idiopathic; inherited PD <5%
- 25% of patients with sporadic PD have at least 1 first degree relative; first degree relative with PD increases risk 2-3 times
- PARK2 mutation most common; autosomal recessive and has juvenile onset

Question 8

Most common complication in patients with advanced dementia?

Answer 8

Problems with eating
- LOW, dysphagia, chewing problems, refusal to E +/- D, dehydration, decreased PO intake

Question 9

What is the strongest RF for delirium in hospitalised patients?

Answer 9

Pre-existing demntia

Question 10

PET findings in Lewy body dementia

Answer 10

Hypometabolism on PET scan