Scales

Question 1

MMSE- Mini mental status exam

Answer 1

0-30

25-30 normal

21-24 mild cognitive impair/possible early Alzheimer

10-20 moderat cognitive impair/Alzheimer

0-9 severe/late stage Alzheimer

Question 2

SLUMS- Saint Louis University Mental Status

Answer 2

0-30

27-30 normal
21-26 mild
0-20 dementia

Question 3

MoCA- Montreal Cognitive Assessment

Answer 3

0-30

26-30 normal

18-25 mild cognitive impair

10-17 mod cognitive impair

0-10 severe cognitive impair

Question 4

PHQ-9- Patient Health Questionnaire-9

Answer 4

0-27

*know 10-14 moderate depression

Question 5

HAM D- Hamilton Depression Rating Scale

Answer 5

0-76

*know 14-18 moderate

Question 6

MADRS- Montgomery–Åsberg Depression Rating Scale

Answer 6

*know 20-34 moderate depression

Question 7

Beck depression inventory

Answer 7

*know 20-28 moderate depression

Question 8

HAM A- Hamilton Anxiety Rating Scale

Answer 8

0-56

*18-24 moderate anxiety

Question 9

GAD- Generalized Anxiety Disorder scale

Answer 9

0-23

*10-14 moderate anxiety

Question 10

COWS- Clinical Opiate Withdrawal Scale

Answer 10

0-48

> 7 start treatment

13-24 moderate

25-35 moderate/severe

mod required to start buprenorphine

Question 11

CIWA-A Clinical Institute Withdrawal Assessment

Answer 11

> 8 start treatment PRNs only
8-15 moderate
15+ severe requires scheduled meds & PRNs (risk of delirium tremens)

Question 12

Ssx opioid withdrawal

Answer 12

yawning, irritability, pupillary dilation, piloerection, muscle aches, lacrimation, rhinorrhea, sweating, insomnia, n/v/d

Question 13

Ssx alcohol withdrawal

Answer 13

tremors, paroxysmal sweats, tactile/auditory/visual disturbances, headache, agitation, n/v

Question 14

Treatments not metabolized by liver for AUD & withdrawal

Answer 14

acamprosate
Ativan