Medicine for the Elderly

Question 1

Differentiate dilirium from dementia

Answer 1

Impairment of consciousness
Fluctuating symptoms
Abnormal perception

Question 2

Agitated treatment

Answer 2

1) Haloperidol

2) Lorazepam or Quitiapine or clozapine in PD

Question 3

Pressure ulcers scoring system

Answer 3

Waterloo

Question 4

Alzheimers treatment

Answer 4

If drugs used:

1) Phosphodiesterase inhibitors - Donepezil, galantamine, rivastigmine
2) NMDA antagonist - Memantine

Question 5

Identify lewy body dementia

Answer 5

Cognitive fluctuation
Parkinsonism
Visual hallucinations

Question 6

Treatment lewy body dementia

Answer 6

Same as alzheimers

Avoid neuroleptics - parkinsonism

Question 7

Identify vascular dementia

Answer 7

History of stepwise deterioration

Vascular risk factors

Question 8

Treatment vascular

Answer 8

Address risk factors and symptomatic

Only AchE inhibitors if mixed

Question 9

Identify frontotemporal lobe dementia (AKA picks disease)

Answer 9

Personality change
Impaired social conduct
Increased apetite

Question 10

Treatment frontotemporal lobe dementia

Answer 10

No drugs

Question 11

Assess frailty status

Answer 11

PRISMA questionaire