memory Flashcards

1
Q

what is anterograde amnesia

A

difficulty in remembering new events

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2
Q

what is retrograde amnesia

A

difficulty remember old information before illness

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3
Q

what standard test is used to diagnose dementia

A

addenbrooks cognitive assessment

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4
Q

what questionnaire can be used for a collateral history

A

Short IQCODE

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5
Q

if you re a GP what tests should be done before referring someone to psychiatry

A

TFT’s

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6
Q

what is agnosia

A

difficulty recognising objects, faces, voices or places

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7
Q

what lobe of brain primarily affected in Alzheimers

A

medial temporal or temperoparietal

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8
Q

lobe affected in picks disease

A

frontotemporal

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9
Q

how long must Parkinsonism be present alongside dementia to be classed as Lewy body

A

less than a year any longer and it is Parkinson’s with assoc dementia

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10
Q

what imagine done in dementia and what age group get what scans

A

CT standard if >80y/o then clinical diagnosis

MRI if young, fast progress or atypical

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11
Q

what scan is done in levy body dementia

A

DAT scan

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12
Q

what drug class is used in the management od dementia

A

cholinesterase inhibitors

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13
Q

how do they cholinesterase inhibitors work

A

block acetycholinesteras enzyme therefore increasing synaptic ACh

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14
Q

when should cholinesterase inhibitors not be used

A

in peptic ulcers or severe asthma/ COPD

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15
Q

examples of cholinesterase inhibitors and when used

A

alzheimers- donepezil, rivastigmine, galantamine

DLB/DPD- rivastigmine , donepezil

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16
Q

what drug class is memantine

A

NMDA inhibitor

17
Q

when is memantine used

A

in Alzheimers if don’t tolerate cholinesterase inhibitors or young/ rapid progress

18
Q

what should be checked before prescribing cholinesterase inhibitors or memantine

A

cholinesterase- PULSE

Memantine- BP (can cause hypertension)