Passmed geris

Question 1

Which type of dementia usually presents with fluctuating cognition?

Answer 1

Lewy body dementia

Question 2

In cognitively impaired patients, what can cause delirium?

Answer 2

New environment/surroundings

Question 3

Causes of delirium mnemonic?

Answer 3

PINCHME:

Pain, infection, nutrition, constipation, hydration, medication, environment

Question 4

What is the Waterlow score?

Answer 4

Used to identify patients at risk of pressure sores

Question 5

Which antipsychotic is CI in Parkinson’s?

Answer 5

Haloperidol

Question 6

Which class of medication is CI in Lewy body dementia?

Answer 6

Antipsychotics

Question 7

Acute management of acute confusional state?

Answer 7

Treat underlying cause and modify environment
No improvement then haloperidol, if CI - lorazepam

Question 8

What is the diagnosis when a middle aged adult with insidious onset dementia and personality changes?

Answer 8

Pick’s disease (type of frontotemporal dementia)

Question 9

Which tool is used to identify medications that’s risk outweighs benefit?

Answer 9

STOPP tool

Question 10

Which scores can be used to assess frailty?

Answer 10

PRISMA-7 and clinical frailty score

Question 11

Features of frontotemporal dementia?

Answer 11

Social disinhibition usually with a family history

Question 12

How can Lewy body dementia and Parkinson’s be differentiated?

Answer 12

By time of onset of dementia and motor symptoms