Memory Problems Flashcards

1
Q

What are the 3 broad categories of human memory?

A

Sensory memory
Short term (working) memory
Long term memory

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2
Q

Subtypes of long term memory

A

Explicit (conscious)

Implicit (unconscious)

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3
Q

Subtype of explicit memory

A

Declarative memory

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4
Q

Subtype of implicit memory

A

Procedural memory

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5
Q

Subtypes of declarative memory

A

Episodic

Semantic

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6
Q

What are the 4 stages to memory processing?

A

Attention
Encoding
Storage
Retrieval

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7
Q

What is anterograde amnesia?

A

Difficult in acquiring new material and remembering events since the onset of illness or injury

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8
Q

What is retrograde amnesia?

A

Difficult in remembering information prior to the onset of illness or injury

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9
Q

What are common reports of memory problems?

A
Forgetting a message
Losing track of a conversation 
Forgetting to do things
Inability to navigate in familiar places
Increased misplacing of things
Struggling to remember names
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10
Q

What is dementia?

A

A syndrome due to disease od the brain, usually of a chronic or progressive nature, in which there is disturbance of multiple higher cortical functions including memory, thinking, orientation, comprehension, calculation, learning capacity, language and judgement
Consciousness is NOT clouded
Common accompanied by deterioration in emotional control, social behaviour or motivation

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11
Q

Diagnostic criteria for dementia?

A

2 or more of:
Forgetfulness, memory loss, confusion, poor reasoning and logic, personality changes, poor judgement, ability to focus, visual perception

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12
Q

Primary dementia diseases?

A
Alzheimer's 
CJD
FTD
Huntington's
Lewy Body Dementia
PD
Vascular
Wernicke-Korsakoff
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13
Q

Secondary causes of dementia?

A
Depression 
Diabetes
Excessive alcohol use
Head injury
Medications 
Mild cognitive impairment
Thyroid
Tumour
B12 and folate deficiency
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14
Q

Onset, duration and course of dementia?

A

Insidious onset

Months to years duration

Stable, progressive step wise couse

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15
Q

Onset, duration and course of delirium

A

Acute onset

Hours/days/weeks/ months duration

Fluctuating course

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16
Q

Onset, duration and course of depression

A

Gradual onset

Weeks to moths duration

Diurnal course

17
Q

Why should you assess cognition?

A
Evaluate functioning
Identify underlying pathological process
Aid diagnosis
Inform treatment
Assess capacity
18
Q

Why is a corroborative history so important in a cognitive assessment?

A

Functional abilities at home
Is help required
Any significant cognitive, physical or emotional changes
Rate and pattern of cognitive decline
Patients with dementia tend to lose insight

19
Q

What should be assessed in patients with suspected dementia?

A
Orientation 
Attention and concentration 
Executive functioning 
Visuospatial functioning 
Language
Memory
Mood
20
Q

Screening tool for delirium?

A
4AT; 
Alertness
AMT-4
Attention 
Acute or fluctuating course
21
Q

Cut off for MMSE?

A

> 27 for good vs <24 for pathological

22
Q

What are bedside cognitive tests used?

A

GPCOG
6CIT (orientation, memory and corroborative history)
Clock drawing test

23
Q

What does the clock drawing test assess?

A

Executive function (planning)
Visuospatial ability
Abstraction

24
Q

What is the MoCA?

A

Rapid screening instrument for mild cognitive dysfunction

25
Q

What is the purpose of the Addenbrookes?

A

Bridge the gap between MMSE and neuropsychological assessment

26
Q

What does the addenbrooke’s assess?

A
Orientation and attention 
Memory
Fluency
Language
Visulospatial functioning
27
Q

What are the cutoffs for the addenbrookes?

A

88/100 normal
82/100 pathological
Aim for 84 and above

28
Q

What is the purpose of a neuropsychological assessment?

A

Important in determining whether an individual has experience abnormal intellectual or behavioural decline and whether that decline is related to underlying disease of the CNS