ICS-Dementia

Question 1

Gradual forgetfulness vs. rapid onset forgetfulness

Answer 1

Gradual = Dementia. Rapid onset = Delirium.

Question 2

Criteria for diagnosis of dementia

Answer 2

Acquired decline in function, not related to delirium. Affects 2/5: Memory, language, executive function, visuospatial skills, personality/behavior. Severe enough to interfere w/daily, social, or occupational functioning.

Question 3

Easy quick way to assess memory function in demented patients

Answer 3

John Brown 42 Market Street Chicago

Question 4

Easy way to assess language function in demented patients

Answer 4

Name words around the office, follow simple commands

Question 5

Easy way to assess executive function in demented patients

Answer 5

Draw a clock w/hands at “10 after 11”. Name as many animals as you can in 1 minute. Do you have trouble paying bills or balancing your checkbook?

Question 6

Easy way to assess visuospatial skills in demented patients?

Answer 6

Draw a picture. Describe favorite room in the home. Navigate on a blank map. Do you get lost in a neighborhood?

Question 7

Easy way to assess personality and behavior in demented patients

Answer 7

Ask family if they are acting different? Crude sense of humor? Use your eyes and ears to assess the patient.

Question 8

Prodrome to Alzheimer’s in people around age 50

Answer 8

New onset depression

Question 9

Preventing Alzheimer’s

Answer 9

Staying mentally active and APOE 2 allele (APOE 4 is a risk factor)

Question 10

Pathology of Alzheimer’s

Answer 10

Amyloid plaques and neurofibrillary tangles

Question 11

Behavioral variant temporal dementia

Answer 11

Onset of dementia around age 50 characterized by high sex drive, disregard for social norms and poor diet

Question 12

Patient presents with history of smoking, HT and CN exam is abnormal. What type of dementia might she have?

Answer 12

Vascular dementia

Question 13

Dementional lewy bodies.

Answer 13

Dementia characterized by vivid hallucinations