Module 3 - Approach to a Patient with Memory Loss Flashcards

0
Q

A general mental efficiency or an innate cognitive ability.

A

Intelligence

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1
Q

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

A

Cognition

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2
Q

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

A

Intelligence

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3
Q

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

A

Cognition

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4
Q

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

A

A. A deficit in intelligence

It is a deficit in cognition, not in intelligence.

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5
Q

Dementia consists of the following EXCEPT:

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

A

C. Movement disorders

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6
Q

True or False

Dementia is a part of normal aging.

A

False. Not part of aging.

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7
Q

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

A

B. Memory: Posterior part of parietal lobe

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

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8
Q

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

A

Retrograde amnesia

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9
Q

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

A

Anterograde amnesia

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10
Q

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.

A

Declarative memory

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11
Q

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

A

Episodic

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12
Q

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

A

Semantic

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13
Q

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

A

Working Memory

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14
Q

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

A

B. Alzheimer’s disease

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15
Q

Its most common feature is its INSIDIOUS onset of dementia

A

Alzheimer’s disease

16
Q

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

A

Vascular dementia

17
Q

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

A

CREUTZFELD-JAKOB DISEASE

18
Q

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

A

D. Increased intraocular pressure

19
Q

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

A

AIDS Dementia

20
Q

Vitamin that is deficient in Pellagra

A

Vitamin B3 or Niacin

21
Q

The most commonly administered psychometric screening assessment of cognitive functioning.

A

The FOLSTEIN Mini-Mental Status Examination

22
Q

MMSE cut-off for dementia

23
Q

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

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?
Type II
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?
Type III
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
A. Alzheimer disease
27
Condition in which there is prominence of ventricles due to the shrinkage of the brain tissue
HYDROCEPHALUS EX CUO
28
Small or single infarct that can cause multiple cognitive deficits at once
Strategic Strokes
29
Main cause is Treponema pallidum (spirochete)
Neurosyphilis
30
Toxicity of these drugs can cause dementia EXCEPT: A. Psychotropic agents B. Anticholinergics C. Anti-arrhythmics D. Anti-convulsants
C. Anti-arrhythmic drugs
31
A patient has a MMSE score of 24. What is the degree of impairment? A. Questionably significant B. Mild C. Moderate D. Severe
B. Mild (20-25) Questionably significant (25-30) Moderate (10-20) Severe (0-10)