Module 3 - Approach to a Patient with Memory Loss

Question 0

A general mental efficiency or an innate cognitive ability.

Answer 0

Intelligence

Question 1

It is the mental action or process of acquiring knowledge and understanding through thought, experience and the senses.

Answer 1

Cognition

Question 2

The aggregate or global capacity of an individual to act purposefully, to think rationally, and to deal effectively with his environment.

Answer 2

Intelligence

Question 3

The process of KNOWING and how we gather and perceive information around you and the environment.

Answer 3

Cognition

Question 4

The following statements are true about Dementia EXCEPT:

A. A deficit in intelligence
B. Not a diagnosis, but a symptom
C. It is an acquired, persistent impairment of intellectual function with compromise in multiple spheres of mental activity
D. With little or no disturbance of consciousness or perception

Answer 4

A. A deficit in intelligence

It is a deficit in cognition, not in intelligence.

Question 5

Dementia consists of the following EXCEPT:

A. Cognitive dysfunction
B. Disorders of mood and affect
C. Movement disorders
D. Disorders of behavior

Answer 5

C. Movement disorders

Question 6

True or False

Dementia is a part of normal aging.

Answer 6

False. Not part of aging.

Question 7

The following are correctly paired EXCEPT:

A. Language: Dominant cerebral hemisphere
B. Memory: Posterior part of parietal lobe
C. Visuo-spatial orientation: Non-dominant parietal lobe
D. Behavior, stability of personality: Frontal lobe

Answer 7

B. Memory: Posterior part of parietal lobe

Diencephalon and inferomedial parts of the temporal lobes are the structures associated with memory.

Question 8

An impaired ability to recall events and info that has been firmly established before the onset of the illness.

Answer 8

Retrograde amnesia

Question 9

An impaired ability to acquire certain types of new information, i.e., to learn or to form new memories.

Answer 9

Anterograde amnesia

Question 10

The database type of information. It is associated with amygdalo-hippocampal areas of the medial temporal region, Papez circuit. It is also called as episodic, semantic, primary or working memory.

Answer 10

Declarative memory

Question 11

Memory system for dating personal experiences, and their temporal relationships. Contextual.

Answer 11

Episodic

Question 12

One’s repository of perceptual and factual knowledge, which makes it possible to comprehend language and make inferences. Generic.

Answer 12

Semantic

Question 13

A module of memory that registers the results of a mental operation and holds it temporarily in order to manipulate it or use it to perform a subsequent operation

Answer 13

Working Memory

Question 14

Which of the following dementing disease has the highest relative frequency?

A. Intracranial tumors
B. Alzheimer’s disease
C. Alcoholic dementia
D. Multi-infarct dementia

Answer 14

B. Alzheimer’s disease

Question 15

Its most common feature is its INSIDIOUS onset of dementia

Answer 15

Alzheimer’s disease

Question 16

Onset of dementia within 3 months from the stroke or abrupt deterioration or stepwise progression with every stroke

Answer 16

Vascular dementia

Question 17

A distinctive cerebral disease in which a rapid and progressive dementia is associated with myoclonic jerks

Answer 17

CREUTZFELD-JAKOB DISEASE

Question 18

Triad of normal pressure hydrocephalus include the following EXCEPT:

A. Slowly progressive gait disorder
B. Impairment of mental function
C. Sphincteric incontinence
D. Increased intraocular pressure

Answer 18

D. Increased intraocular pressure

Question 19

Prominent microgranulomatous foci of multinucleate giant cells (MGC) in white matter are usually seen in this disease

Answer 19

AIDS Dementia

Question 20

Vitamin that is deficient in Pellagra

Answer 20

Vitamin B3 or Niacin

Question 21

The most commonly administered psychometric screening assessment of cognitive functioning.

Answer 21

The FOLSTEIN Mini-Mental Status Examination

Question 22

MMSE cut-off for dementia

Answer 22

24

Question 23

Based on the Bedside Classification of Dementia, what type of dementia is associated with clinical and laboratory signs of other medical diseases?

Answer 23

Type I

Question 24

Based on the Bedside Classification of Dementia, what type of dementia is associated with other neurologic signs but not with other obvious medical diseases?

Answer 24

Type II

Question 25

Dementia is usually the only evidence of neurologic or medical diseases. What type of dementia is this based on the Bedside Classification of Dementia?

Answer 25

Type III

Question 26

Type II Dementia is invariably associated with the following neurologic signs EXCEPT:

A. Alzheimer disease
B. Parkinson disease
C. Huntington chorea
D. Schilder disease

Answer 26

A. Alzheimer disease

Question 27

Condition in which there is prominence of ventricles due to the shrinkage of the brain tissue

Answer 27

HYDROCEPHALUS EX CUO

Question 28

Small or single infarct that can cause multiple cognitive deficits at once

Answer 28

Strategic Strokes

Question 29

Main cause is Treponema pallidum (spirochete)

Answer 29

Neurosyphilis

Question 30

Toxicity of these drugs can cause dementia EXCEPT:

A. Psychotropic agents
B. Anticholinergics
C. Anti-arrhythmics
D. Anti-convulsants

Answer 30

C. Anti-arrhythmic drugs

Question 31

A patient has a MMSE score of 24. What is the degree of impairment?

A. Questionably significant
B. Mild
C. Moderate
D. Severe

Answer 31

B. Mild (20-25)

Questionably significant (25-30)
Moderate (10-20)
Severe (0-10)