Lecture 2

Question 1

what 3 things does te glasgow coma scale record

Answer 1

eye opening response
motor response
verbal response

Question 2

what is the test used to screen for delirium

Answer 2

CAM

Question 3

what are the 3 parts of memory

Answer 3

immediate
recent
remote

Question 4

someone not fully alert and drifting off to sleep when not stimulated - will be aroused (but looking drowsy) when called by name

Answer 4

Lethargic

Question 5

what is gnosia

Answer 5

recognition of objects and their functions

Question 6

what is the highest score you can get on the glasgow coma scale

Answer 6

15

Question 7

what is the difference between narrative and focused charting

Answer 7

narrative - charting by inclusion
focused - charting by exception

Question 8

what are the 3 steps of the mini-cog test

Answer 8

three-word registration
clock drawing
three word recall

Question 9

what is orientation

Answer 9

being away of who you are, where you are and when it is

Question 10

Differences in dementia/delirium prognosis

Answer 10

dementia: irreversible
delirium: reversible

Question 11

what 4 things are you assessing with a mental status examination

Answer 11

appearance
behaviour
cognition
thinking

Question 12

What is the CAM

Answer 12

confusion assessment method

Question 13

what is the MMSE

Answer 13

mini-mental state examination

Question 14

Stupor

Answer 14

spontaneously unconcious and will only respond to vigorous shake and pain - still withdraws from pain

Question 15

the diagnosis of delirium by CAM requires what

Answer 15

Either acute onset/fluctuating course or inattention
And either disorganized thinking, altered LOC

Question 16

Differences in dementia/delirium onset

Answer 16

dementia: gradual
delirium: abrupt

Question 17

what is the mini-cog test used for

Answer 17

to detect cognitive impairment quickly

Question 18

what is the highest score you can get on the MOCA

Answer 18

30

Question 19

what four areas is the general survey composed of

Answer 19

physical appearance
mobility
body structure
behaviour

Question 20

what is tripod sitting

Answer 20

leaning forward, hands on knees bracing themselves

Question 21

what things are you looking at for behaviours

Answer 21

dress
hygiene
facial expression
mood

Question 22

spontaneously unconcious and will only respond to vigorous shake and pain - still withdraws from pain

Answer 22

Stupor

Question 23

what is remote memory

Answer 23

being able to remember verifiable past events

Question 24

Differences in dementia/delirium attention

Answer 24

dementia: normal
Delirium: impaired

Question 25

what is the highest score you can get on the MMSE

Answer 25

30

Question 26

Obtunded

Answer 26

Transitional state between lethargy and stupor sleeps most of the time and difficult to arouse

Question 27

Coma

Answer 27

completely unconscious and wont respond to anything

Question 28

recognition of objects and their functions

Answer 28

gnosia

Question 29

what is the lowest score you can get on the glasgow coma scale

Answer 29

3

Question 30

name some things youd be looking at with body structure

Answer 30

stature symmetry posture nutrition

Question 31

Differences in dementia/delirium course

Answer 31

dementia: progressive Delirium: fluctuating

Question 32

what is recent memory

Answer 32

being able to recall when they ame in

Question 33

what 3 things should we screen for in a risk assessment

Answer 33

suicidal thoughts homocidal ideation elopment risk

Question 34

what are the 5 Rs

Answer 34

Right information patient person place time

Question 35

when is delirium course worse

Answer 35

in the pM

Question 36

acute confusional state

Answer 36

clouding of consciousness, impaired memory

Question 37

what is the CAM used for

Answer 37

to tell if someone is facing delirium

Question 38

Transitional state between lethargy and stupor

Answer 38

Obtunded

Question 39

What is the MOCA

Answer 39

montreal cognitive assessment

Question 40

what is immediate memory

Answer 40

recalling what someone just said

Question 41

what does the MMSE ask

Answer 41

questions about your orientation, remembering words, copying pictures etc

Question 42

name some things youd be looking at with physical appearance

Answer 42

LOC age - if you look the age you are Sex - delayed or early puberty Skin colour Facial expression

Question 43

Lethargic

Answer 43

someone not fully alert and drifting off to sleep when not stimulated - will be aroused (but looking drowsy) when called by name

Question 44

what things are you looking at in regards to mobility

Answer 44

gait ROM

Question 45

what is the difference between the MMSE and MoCA

Answer 45

moca is newer, little bit more in depth than MMSE