memory and dementia Flashcards

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1
Q

episodic memory is stored where

A

medial temporal lobe

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2
Q

semantic memory is stored where

A

inferior lateral temporal lobes

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3
Q

procedural memory is stored where

A

basal ganglia, cerebellum, supplementary motor

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4
Q

working memory- phonologic is stored where

A

prefrontal cortex, Broca and wernicke area

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5
Q

working memory- spatial is stored where

A

prefrontal cortex and visual association

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6
Q

adrenalin role in memory

A

increase in noradrenergic activity during life-threatening event contributed to strengthening of the memory for trauma

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7
Q

ptsd treatment- acute

A

propranolol- reactivate memory and then administer propranolol to decrease adrenalin

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8
Q

dementia memory loss diagnosis

A

loss in 2 domains: memory, language, calculations, orientations and judgement

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9
Q

dementia labs

A

CMP
CBC
thyroid function
vitamin B12
inflammatory and infectious investigations

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10
Q

MMSE max score

A

30 points

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11
Q

MMSE 20-24 points

A

mild dementia

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12
Q

MMSE 13-20 points

A

moderate dementia

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13
Q

MMSE <12 points

A

severe dementia

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14
Q

pathophysiology of Alzheimers

A

loss of cholinergic projections
- decrease ACh
- senile plaques
- Neurofibrillary tangles
- Beta amyloid plaques

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15
Q

what is affected in AD

A

cerebral cortex and hippocampus

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16
Q

Tau protein

A

component of microtubule assembly and stability
hyperphosphorylated tau detaches and self-aggregates, destabilizing microtubules

17
Q

MRI findings in AD

A

atrophy of hippocampus

18
Q

multi-infarct dementia

A

stepwise and patchy deterioration, focal neurologic signs and evidence of vascular disease

19
Q

Lewy body dementia

A

dementia
psychosis
parkinsonism

20
Q

fronto-temporal dementia

A

dementia
personality change
language problems
pick bodies
preserved memory

21
Q

AMYVID purpose

A

to view amyloid plaques
positive scan does not indicate any diagnosis

22
Q

potential drug targets for alzhiemers

A

secretase inhibitor
aggregation inhibitor
clearance of plaques