Memory Problems Assessment Flashcards

1
Q

How long does sensory memory last?

A

<1 sec

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2
Q

How long does short term memory last?

A

<1 minute

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3
Q

Long term memory is ____ - ____

A

life long

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4
Q

What name is given to long term memory which is i) conscious ii) unconscious?

A

i) Explicit memory.

ii) Implicit memory.

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5
Q

What is the difference between declarative and procedural memory?

A

Declarative memory is knowledge of fact and events ie. ‘knowing that . . .’
while
Procedural memory is knowledge of skills and tasks ie. ‘knowing how to . . .’

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6
Q

What is the difference between episodic and semantic memory?

A

Episodic memory is memory of events and experiences, while semantic memory is memory of facts and concepts

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7
Q

Describe the 4 steps of memory processing.

A
  1. Attenting
  2. Encoding
  3. Storage
  4. Retrieval
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8
Q

What is anterograde amnesia?

A

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

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9
Q

What is retrograde amnesia?

A

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

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10
Q

Retrograde amnesia can be SHORT or LONG term. Give examples of conditions/situations which might result in each of these.

A

Short term – potentially after a head injury

Long term and extensive – korsakoffs and later stages of Alzheimer’s

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11
Q

Outline some typical reports of a patient with 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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12
Q

What should you not forget to ask about in a patient who presents with memory problems?

A

Mood

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13
Q

Define dementia.

A

Dementia is a syndrome due to disease of 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

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14
Q

Consciousness is clouded in dementia.

A

FALSE

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15
Q

In terms of memory, how is Alzheimers defined?

A

Anterograde amnesia, then later by retrograde amnesia.

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16
Q

What should you ask about in presenting complaint?

A
  • What are the difficulties – when and where do they happen?
  • Day to day functioning?
  • What has changed?
17
Q

What should you ask about in past medical history?

A
  • Medical problems.
  • Strokes.
  • Diabetes.
  • Heart.
  • Parkinson’s.
  • Vascular Disease.
18
Q

What should you discuss when asking about substance misuse?

A
  • Prescribed drugs – what and do they adhere to it? Do they require prompts?
  • Illicit drugs.
  • Alcohol.
19
Q

What 5 things should be assessed during cognitive screening?

A
  • Memory.
  • Attention and concentration.
  • Executive functioning.
  • Visuo-spatial functioning.
  • Language.
20
Q

What screen should also be considered?

A

A screen to rule out co-morbid psychological problems (ie. depression).

21
Q

What are the 4 domains of the 4AT?

A

1 – Alertness (normal/mild sleepiness/clearly abnormal).
2 – AMT-4 (age, DOB, place, current year).
3 – Attention (months backwards).
4 – Acute or fluctuating course.

22
Q

What is the 4AT used to screen for?

A

Mild-severe cognitive impairment

23
Q

What is the 4AT?

A

A rapid assessment test for delirium

24
Q

The MMSE should be used in the diagnosis of dementia in individuals with suspected cognitive impairment

A

TRUE

25
Q

What are the scoring cut offs for the MMSE?

A

> 27/30 - fine!

<24/30 - supports dementia!

26
Q

What is the MoCA?

A

A rapid screening instrument for mild cognitive dysfunction

27
Q

Outline the 5 domains of the ACE-III.

A
Orientation and attention. 
Memory. 
Fluency. 
Language. 
Visuospatial functioning
28
Q

Outline the cut-offs for the ACE-III.

A

Cut-off 88/100 (sensitivity 1.0 and specificity 0.96)

Cut-off 82/100 (sensitivity 0.93 and specificity 1.0)

29
Q

When is the GPCOG used?

A

Community setting

30
Q

What does the GPCOG test?

A

Orientation to time, short-term recall, clock-drawing

31
Q

What does the clock drawing test give you information about?

A
  • Executive functioning (planning).
  • Visuospatial ability.
  • Abstraction (ability to use symbols).
32
Q

What does the clock test correlate with?

A

Overall cognitive functioning