Old Age Psychiatry

Question 1

Dementia characteristics?

Answer 1

A - Activities of daily living
B - Behavioural and psychiatric symptoms
C - Cognitive impairment
D - Decline

Question 2

Timeline of dementia?

Answer 2

6 months duration usually progressive

Question 3

Patient has:

• Early impairment of memory and executive functioning
• Gradual progression with unclear onset
• Amyloid plaques and tau tangles on imaging

What type of dementia is this?

Answer 3

Alzheimer’s

Question 4

Patient has:
Visual hallucinations Fluctuations
Parkinsonism

What type of dementia is this?

Answer 4

Lewy body dementia

Question 5

Patient has:

• Behavioural disorder (personality change)
• Potentially early onset
• Early emotional blunting

What type of dementia is this?

Answer 5

Frontaltemporal dementia

Question 6

What kind of imaging abnormalities would be seen in later stage FTD?

Answer 6

Neuroimaging – abnormalities in FT lobes

Question 7

Treatment of mild to moderate dementia?

Answer 7

Ach inhibitors

• Donezepil
• Rivastagmine
• Galantmine

They improve cognitive function

Question 8

Treatment of moderate to severe dementia?

Answer 8

Memantine

Question 9

Other treatments pf dementia?

Answer 9

Antidepressants
Axiolytics
Hypnotics - Zopiclone
Anticonvulsants

Question 10

6 Cs of capacity?

Answer 10

• Capacity
• Consent
• Compliance
• Coercion
• Certification
• Common sense