memory/amnesia

Question 1

Role of the hippocampus and parahippocampal gyrus? (4x)

Answer 1

DECLARATIVE MEMORY (FACTS)

Question 2

On the way to airport for vacation, 58 yo F begins to behave in very strange way. Husband notices when he talks to her she answers appropriately w fluent speech but seems to have no ability to retain any new information. She repeatedly asks where they are going, even after he has told her many times. The episode lasts for about 6 hours. The following day she is back to normal but has no recollection of the prior day events. This episode is most consist with a diagnosis of: (3x)

Answer 2

TRANSIENT GLOBAL AMNESIA

Question 3

Characteristic of alcohol-induced blackouts (2x)

Answer 3

ANTEROGRADE AMNESIA FOR A TIME WHILE HEAVILY INTOXICATED BUT AWAKE

Question 4

What characterizes the memory loss in patients with dissociative amnesia? (2x)

Answer 4

EPISODIC

Question 5

Example of declarative memory (2x)

Answer 5

RETENTION AND RECALL OF FACTS

Question 6

Pt with hx of herpes simplex and seizure d/o undergoing EEG monitoring that recorded no epileptic activity during, after and before a confused state wherein pt suddenly awoke frightened. The next day pt with baseline demeanor has no memory about that episode. (2x)

Answer 6

AMNESTIC DISORDER

Question 7

61y/o pt presents to ED with family who report that the pt unable to remember recent events. Memory problems started 2 hours prior; cognitively intact before episode. Pt is alert, anxious, frustrated: “Why am I in the hospital?” Dx: (2x)

Answer 7

TRANSIENT GLOBAL AMNESIA

Question 8

A 72 year old develops sudden onset memory loss. She didn’t know how she and spouse arrived at supermarket. The spouse noted that she could drive without issues but appeared anxious. The patient was able to appropriately answer questions but forgot the conversation and then returned to baseline. What is the most likely diagnosis?

Answer 8

TRANSIENT GLOBAL AMNESIA

Question 9

A surgeon unable to describe anatomical parts involved in one of his common surgeries is experiencing what type of memory impairment?

Answer 9

SEMANTIC

Question 10

Injury of bilateral parahippocampal cortex and hippocampal formation results in what

Answer 10

AMNESIA

Question 11

55 year old brought to ED disheveled and behaving strange, stares blankly and is mute. Doesn’t know who they are and all studies are negative. Has vague memory of “walking away from something horrible”. Dx?

Answer 11

DISSOCIATIVE AMNESIA

Question 12

A 40-year-old pt is hospitalized for eval of fever, weight loss and ataxia. Psychiatric consultation is requested as the patient seems depressed, and a family member reports that the pt has been exhibiting progressive memory loss over the last several months. Which of the following lab tests may help explain the patient’s presentation?

Answer 12

HIV

Question 13

2 months after severe brain injury, pt opens the eyes for prolonged periods but remains inattentive, does not speak, and shows no signs of awareness of the environment or inner need. Pt is capable of some rudimentary behaviors such as following a simple command, gesturing, or producing single words or brief phrases, always in an inconsistent way from one exam to another. Which of the following is the most accurate description of the pt’s condition?

Answer 13

MINIMALLY CONSCIOUS STATE

Question 14

Memory loss pattern in dissociative amnesia

Answer 14

OCCURS FOR A DISCRETE PERIOD OF TIME

Question 15

Amnesia characterized by loss of memory of events, occurs after onset of etiologic condition or agent

Answer 15

ANTEROGRADE

Question 16

What psychoactive drug produces amnesia?

Answer 16

ALCOHOL

Question 17

55 y/o pt BIB family after episode of amnesia/bewilderment lasting several hrs. CVA ruled out. Pt keeps asking what is happening. What med to administer at this point?

Answer 17

OBSERVATION WITH NO PHARMACOLOGICAL INTERVENTION

Question 18

Which of the following diagnoses involves a sense of loss of identity, often following a traumatic experience and associated with inability to recall one’s past?

Answer 18

DISSOCIATIVE FUGUE

Question 19

65yo pt lives alone, increasingly forgetful over the past year, lifelong difficulty recalling names of acquaintances, now has difficulty with phone calls and remembering appts. lives independently, drives, prepares meals, MSE with delayed recall of 4 words, otherwise normal. Pt upset by difficulty and is not depressed. symptoms most consistent with?

Answer 19

AMNESTIC MILD COGNITIVE IMPAIRMENT

Question 20

45 y/o with nystagmus and ataxia, short term memory loss and believes wife is possessed by demons. Most appropriate treatment?

Answer 20

THIAMINE

Question 21

A conscious memory that covers for another memory that is too painful to hold in the consciousness is:

Answer 21

SCREEN MEMORY

Question 22

In pts with pronounced defects in recent memory, remote memory is:

Answer 22

OFTEN DEFICIENT ON CLOSE EXAMINATION EVEN WHEN IT SEEMS WELL PRESERVED

Question 23

My father was very involved in my life. I remember going to football games in the snow with him is an example of memory associated with what part of the brain?

Answer 23

MEDIAL TEMPORAL LOBE

Question 24

Working memory requires prefrontal cortex, dorsal thalamus and what other area of the brain to function?

Answer 24

HIPPOCAMPUS

Question 25

Asking a pt what the pt ate for breakfast yesterday tests:

Answer 25

RECENT MEMORY

Question 26

Question to evaluate immediate recall?

Answer 26

CAN YOU REPEAT THESE SIX NUMBERS?

Question 27

Asking pt to remember 3 things and repeat them in a few minutes is testing:

Answer 27

SHORT-TERM MEMORY

Question 28

34 y/o pt w/ hx of memory impairment dies of unknown cause for autopsy. Pathological exam: diffuse and multifocal rarefaction of cerebral white matter accompanied by scanty perivascular infiltrates of lymphocytes and clusters of a few foamy macrophages, microglial nodules, and multinucleated giant cells. Most likely Dx:

Answer 28

HIV-ASSOCIATED DEMENTIA

Question 29

Pt brought to ed by family because of concern for pts ability to recognize them since TBI one month ago. Pt had LOC after trauma. Tenderness and swelling over L temporal area. Neuro exam normal. Pt knows own name, but unable to identify family members or events related to family. What is diagnosis?

Answer 29

DISSOCIATIVE AMNESIA

Question 30

Which test correlates most strongly with pre-morbid functioning in pt w/ early dementia:

Answer 30

WECHSLER ADULT INTELLIGENCE SCALE IV VOCABULARY TEST (WAIS-IV)

Question 31

Neuropsychological test most useful in the early diagnosis of Alzheimer disease:

Answer 31

10-ITEM WORD LIST LEARNING TASK.

Question 32

Disorder with degeneration of mammillary bodies and dorsal nucleus of thalamus

Answer 32

WERNICKE-KORSAKOFF SYNDROME