Misc Healthcare Topics
Nervous System
Compiled By Masterpiecesolutions
Edition: 2025/26
, Medical & Nursing | Misc Healthcare Topics I of X pages
1. What are the 4 most common types of dementia and how do they differ in symptoms?
Alzheimers; memory, repeated questionsParkinsonsLewy body; more sleep disturbance and repeated
2. What (with what symptoms) calls for pharmacological treatment in dementia?
Cognitive symptoms (memory, concentration, problem solving), severe disease.
Non cognitive only when severely distressed or a danger
3. What is the drug of choice in mild to moderate dementia due to alzheimers with cognitive symptoms?
Anticholinesterase inhibitor
4. What is the drug of choice in Parkinsons dementia and what is the issue with this treatment?
Rivastigmine. May worsen tremor.
5. What is the drug of choice in alzheimers with severe non cognitive symptoms?
Antipsychotic or benzodiazapines
6. What is the drug of choice in severe alzheimers wihh cognitive symptoms?
Memantine
7. What is the issue with antipsychotic use in dementia patients
Increased risk of stroke and death in elderly dementia. Balance risk factors.
8. In what conditions would acetylcholinesterase inhibitors be cautioned or avoided?
Caution in asthma and COPD as may exacerbate, peptic ulcers, use with NSAIDs/steroids/rate limiting drugs.
9. When should the efficacy of treatment be assessed in dementia?
At 3 months.
10. What are the most common side effects of acetylcholinesterase inhibitors?
Nausea, vomiting and diarrhoea
11. What dose considerations should be given for anti epileptic in children?
Interval may need to be reduced as metabolised quicker
12. What are the category 1 anti epileptics for maintaining brand?
Phenytoin, carbemazepine, phenobarbital and primidone
13. Which antiepileptics have the highest risk of antiepileptic hypersensitivity syndrome?
Carbemazepine, lacosamide, lamotrigine, oxcarbazepine, phenobarbital, phenytoin, primidone, and rufinamide
14. What are the main symptoms of antiepileptic hypersensitivity syndrome?
Fever rash lymphadenopathy
15. Upon withdrawal of an antiepileptic, how long before someone can normally drive?
6 months after last dose
16. Besides valproate, what other antiepileptic drugs have risk of teratogenicity?
Misc Healthcare Topics 2025/26 Edition
Nervous System
Compiled By Masterpiecesolutions
Edition: 2025/26
, Medical & Nursing | Misc Healthcare Topics I of X pages
1. What are the 4 most common types of dementia and how do they differ in symptoms?
Alzheimers; memory, repeated questionsParkinsonsLewy body; more sleep disturbance and repeated
2. What (with what symptoms) calls for pharmacological treatment in dementia?
Cognitive symptoms (memory, concentration, problem solving), severe disease.
Non cognitive only when severely distressed or a danger
3. What is the drug of choice in mild to moderate dementia due to alzheimers with cognitive symptoms?
Anticholinesterase inhibitor
4. What is the drug of choice in Parkinsons dementia and what is the issue with this treatment?
Rivastigmine. May worsen tremor.
5. What is the drug of choice in alzheimers with severe non cognitive symptoms?
Antipsychotic or benzodiazapines
6. What is the drug of choice in severe alzheimers wihh cognitive symptoms?
Memantine
7. What is the issue with antipsychotic use in dementia patients
Increased risk of stroke and death in elderly dementia. Balance risk factors.
8. In what conditions would acetylcholinesterase inhibitors be cautioned or avoided?
Caution in asthma and COPD as may exacerbate, peptic ulcers, use with NSAIDs/steroids/rate limiting drugs.
9. When should the efficacy of treatment be assessed in dementia?
At 3 months.
10. What are the most common side effects of acetylcholinesterase inhibitors?
Nausea, vomiting and diarrhoea
11. What dose considerations should be given for anti epileptic in children?
Interval may need to be reduced as metabolised quicker
12. What are the category 1 anti epileptics for maintaining brand?
Phenytoin, carbemazepine, phenobarbital and primidone
13. Which antiepileptics have the highest risk of antiepileptic hypersensitivity syndrome?
Carbemazepine, lacosamide, lamotrigine, oxcarbazepine, phenobarbital, phenytoin, primidone, and rufinamide
14. What are the main symptoms of antiepileptic hypersensitivity syndrome?
Fever rash lymphadenopathy
15. Upon withdrawal of an antiepileptic, how long before someone can normally drive?
6 months after last dose
16. Besides valproate, what other antiepileptic drugs have risk of teratogenicity?
Misc Healthcare Topics 2025/26 Edition
