A 60 y/o male presents with new onset confusion. Which of the
following suggests a functional, as opposed to an organic etiology?
Answers:
1.Abnormal vitals signs
2.Acute onset
3.Auditory hallucinations
4.Disorientation Correct Answer-3.Auditory hallucinations
Delirium is defined as:
Answers:
1.A stressed psychological state resulting from extreme emotional
stimulus
2.Abnormal behavior associated with decreased alertness and decreased
psychomotor activity
3.Abnormal behavior accompanied by hallucinations, occurring in an
oriented patient
,4.A global inability to relate to the environment and process sensory
input Correct Answer-4.A global inability to relate to the environment
and process sensory input
Which of the following statements regarding psychotic behavior is true?
Answers:
1.Brief psychotic episodes, often precipitated by events such as death of
a loved one, can be characterized by extremely bizarre behavior and
speech.
2.Delusions are defined as false beliefs that are amenable to arguments
or facts to the contrary.
3.Delusional disorder usually results in impairment in daily functioning.
4.Schizophreniform disorder is present when a patient meets the
diagnostic criteria for schizophrenia but the process has been present for
less than one year. Correct Answer-1.Brief psychotic episodes, often
precipitated by events such as death of a loved one, can be characterized
by extremely bizarre behavior and speech.
A 25 y/o male is brought to the emergency department by his family,
with a complaint of feeling depressed for the past week. In obtaining the
history, which of the following statements regarding this patient would
support a diagnosis of major depression?
Answers:
1.The patient has no history of medical illness.
, 2.The patient has a history of crohn's disease.
3. There is no family history of depression.
4.The screening mnemonic in SAD CAGES is negative. Correct
Answer-2.The patient has a history of crohn's disease.
A 75 year old female is brought the to emergency department by a
family member with a history of progressive forgetfulness and
confusion. She has a history of dementia. The most common cause of
dementia in the elderly patient is
Answers:
1.Alzheimer's disease
2.Parkinson's disease
3.Pick's disease
4.Vascular dementia Correct Answer-1.Alzheimer's disease
A 65 year old male is brought to the emergency department after he was
found wandering on the street. He is unkempt and confused. A diagnosis
of delirium, rather than dementia, is more likely if which of the
following is true?