CMN 577 Unit 2 Questions with Correct
Answers | Updated (100% Correct Answers)
In performing the PE on a patient with a neurological complaint,
what is important to take note of? Answer: General appearance and
affect, Establish mental status, Oberve motor function/gain, Consider
cranial nerves, reflexes, fundoscopic and sensory exam
10-20% of treatable causes of altered mental status include?
Answer: B12 deficiency, infection, polypharmacy, alcohol/drug abuse
What may be psychosocial factors in altered mental status? Answer:
Depression, Anxiety, Grief, ? Elder Abuse
STM loss is associated with? Answer: B12 deficiency and
Hypothyroidism
What diagnostic tests should be performed in AMS? Answer: UA,
CBC, BMP, B12, RPR, ESR, and TSH——- Further tests dependent
upon complaints/symptoms
What test is the gold standard for a dementia work-up and is often
useful for ruling out stroke, masses, etc...? Answer: Head CT Scan
Rhonda is a 68 y.o woman who has started having problems
remembering things in the last few days (like where she put her
keys). She comes to your clinic and you test a UA and see she has a
© 2025 All rights reserved
,2
raging UTI and fever. Is Rhonda demented or delirious? Answer:
Delirious
Some acute mental status changes noted in delirium include?
Answer: Confusion, hallucinations, restlessness, and incoherent
speech
Onset of dementia is gradual and progressive, and usually occurs
after age ?? Answer: 60
Gil is a 62 y.o Male coming into the clinic today (with his daughter)
with progressive loss of speech and memory problems, as well as
angry outbursts. Upon investigation, Gil is found to have a build-up
of Tau proteins in his neurons that have accumulated into silver-
staining, spherical aggregations. What is Gil's diagnosis? Answer:
Pick's Disease
What is the first noticeable difference between Pick Disease and
Alzheimer's? Answer: the personality change that hallmarks the
onset of Pick's disease versus the short term memory loss of
Alzheimer's
Hillary has a recent diagnosis of dementia and comes into the clinic
today with her daughter. Hillary has been talking to her deceased
sister around the house and is increasingly drowsy. What type of
dementia do you suspect? Answer: Lewy Body Dementia
© 2025 All rights reserved
, 3
Lewy body dementia and Parkinson's disease can result in? Answer:
Rigid muscles, slowed movements, and tremors
In Lewy body dementia, protein deposits develop in nerve cells in
regions of the brain involved in? Answer: Thinking, memory, and
movement
What diagnostic tests are appropriate for Alzheimer's diagnosis?
Answer: CBC, CMP, TSH, B12, RPR, CT Head
What is the name of the prescription medical food that is intended
for the clinical dietary management of the metabolic processes
associated with mild to moderate Alzheimer's disease? Answer:
Axona
What are the treatment options for Alzheimer's Disease? Answer:
Cholinesterase Inhibitors (memantine (Namenda)) and
antidepressants, diet and exercise
What tests are helpful in evaluating/diagnosing Dementia? Answer:
MMSE (not used anymore), MoCa, SLUMS, and Mini-Cog
The Mini-Cog should be used for initial testing. If (+), then move on
to? Answer: MoCa or SLUMS
What is NPH? Answer: Normal Pressure Hydrocephalus- It is an
enlargement of the ventricles WITHOUT increased ICP- presents in
>/= 60 y.o
© 2025 All rights reserved