Geriatrics Formative Flashcards
- A: Chlorpromazine
- B: Diazepam
- C: Haloperidol
- D: Lorazepam
- E: Quetiapine
= C: Haloperidol
= C: Restraints cause many complications and increase the risk of falls
- A: Calcitonin
- B: Fluoride
- C: Oestradiol
- D: Raloxifine
- E: Risedronate
= E: Risedronate
= B: A harsh crescendo-decrescendo murmur heard best at the upper right sternal edge
= B: Functional incontinence
= C: The Coroner would be notified because his death was consequent upon an injury
- A: ABG
- B: CT pulmonary angiogram
- C: CXR
- D: D-dimer
- E: VQ scan
= E: VQ scan
= D: Regular brisk walking
- A: Cogwheel rigidity?
- B: Loss of downward gaze?
- C: Mask-like facies?
- D: Micrographia
- E: Shuffling gait
= B: Loss of downward gaze
Which medication can be safely given to a patient with idiopathic Parkinson’s disease?
= B: Domperidone
- All of these medications have extra-pyramidal/parkinsonian side effects except domperidone.
- A: Alzheimer’s disease
- B: Creutzfeldt-Jakob disease
- C: Depression
- D: Frontal lobe dementia
- E: Huntington’s chorea
- F: Lewy body dementia
- G: Mild cognitive impairment
- H: Normal pressure hydrocephalus
- I: Vascular (multi-infarct) dementia
- J: Wernicke’s encephalopathy
= H: Normal pressure hydrocephalus
- A: Alzheimer’s disease
- B: Creutzfeldt-Jakob disease
- C: Depression
- D: Frontal lobe dementia
- E: Huntington’s chorea
- F: Lewy body dementia
- G: Mild cognitive impairment
- H: Normal pressure hydrocephalus
- I: Vascular (multi-infarct) dementia
- J: Wernicke’s encephalopathy
= C: Depresssion
- The fact that this female presents complaining of the memory loss is significant. Her negative thoughts (unable to contribute to her family) associated with weight loss and sleep disturbance all make depression, as a cause of her memory loss, likely.
- A: Alzheimer’s disease
- B: Creutzfeldt-Jakob disease
- C: Depression
- D: Frontal lobe dementia
- E: Huntington’s chorea
- F: Lewy body dementia
- G: Mild cognitive impairment
- H: Normal pressure hydrocephalus
- I: Vascular (multi-infarct) dementia
- J: Wernicke’s encephalopathy
= B: Creutzfeldt-Jakob disease
- A: Alzheimer’s disease
- B: Creutzfeldt-Jakob disease
- C: Depression
- D: Frontal lobe dementia
- E: Huntington’s chorea
- F: Lewy body dementia
- G: Mild cognitive impairment
- H: Normal pressure hydrocephalus
- I: Vascular (multi-infarct) dementia
- J: Wernicke’s encephalopathy
F: Lewy body dementia
- This male has memory impairment, signs of parkinsonism with visual hallucinations (sees neighbours in his room) and an overly sensitive response to a small dose of risperidone. This is highly suggestive of Lewy body dementia.
- A: Alzheimer’s disease
- B: Creutzfeldt-Jakob disease
- C: Depression
- D: Frontal lobe dementia
- E: Huntington’s chorea
- F: Lewy body dementia
- G: Mild cognitive impairment
- H: Normal pressure hydrocephalus
- I: Vascular (multi-infarct) dementia
- J: Wernicke’s encephalopathy
= D: Frontal lobe dementia
- The combination of inappropriate/disinhibited behaviour with frontal release signs is indicative of frontal lobe disease.
- What is considered a significant postural drop? (1 mark)
- Name 3 classes of medications that she could be taking for her known or stated medical conditions that are known to cause postural hypotension (3 marks).
- Outline the medical management of postural hypotension for this patient? (3 marks)
- Outline how the multidisciplinary team could be used to provide more holistic care for this patient (3 marks)
- Postural drop >20mmHg systolic on standing
- Given her history of hypertension and angina she could be on any of the following: Nitrates, diuretics, ACE inhibitors/A2 blockers, alpha blockers, beta-blockers, calcium channel blockers
- Medical mx: alter medications, elastic/compression stockings, fludrocortisone (1 mark each = 3 marks total)
