LMR GEORGETTE'S 2025/2026 COMPLETE ACTUAL EXAM WITH
WELL STRUCTURED RATIONALES GRADED A+
What type of dementia is HIV-related? cortical or subcortical
Subcortical
A patient who presents with a cognitive deficit, decreased coordination, and behavioral
symptoms should be assessed for what type of dementia?
HIV-related
In a patient with suspected HIV-related dementia, what is your initial action?
Obtain HIV test
What is first-line pharmacologic treatment for a patient with HIV-related dementia?
Antiretroviral treatment
An older adult who has had cognitive impairment for over a year and who tries to answer
(may not be able to) or confabulates is most likely to have a diagnosis of
Dementia
,An older adult who has had cognitive impairment for less than 5 months and who answers
your questions with "I don't know," most likely has a diagnosis of
Depression (pseudodementia)
An older patient who has symptoms of irritability, agitation, hallucinations, and delusions is
most likely to have
Depression (vs. dementia)
What are 2 ways to determine whether an older person with decreased memory has
depression or dementia?
screening tools (SLUMS, Mini-Cog, MMSE)
onset of symptoms
A patient who presents with difficulties with executive function (poor judgment), slurred
speech, personality and behavior changes, difficulties with language comprehension, lack
of empathy, and poor social skills is most likely to have what type of dementia?
Frontotemporal (Pick's)
A patient with visual hallucinations is most likely to have what type of demenetia?
Lewy Body
,A patient who presents with cognitive dysfunction (decision making), lack of empathy, and
difficulty with impulse control and emotions is most likely to have damage in what brain
structure?
Anterior cingulate
A patient with damage to the cerebellum will demonstrate what?
Lack of balance
What condition may cause pica (eating things that are not food - paint chips)?
Lead poisoning
What 5 neurotransmitters are associated with mood disorders?
Dopamine
Norepinephrine
Serotonin
GABA
Glutamate
What do you do when an infant is about to die?
Give him to his parents to grieve
, What 2 activities should be encouraged with grieving patients?
Family support
Support groups
(don't give prescriptive advice)
Smoking, Caffeine, Low calcium/vitamin D in diet, Decreased weight,
and Lack of weight bearing exercises are risk factors for
Osteoporosis
long term prolactinemia is associated with?
Osteoporosis
Is Interpersonal Therapy offered individually as well as in group therapy?
Yes
If a patient is reluctant to participate in group therapy, what do you do?
Continue group therapy
Start individual therapy
Which is more effective - cognitive therapy or CBT?
CBT
WELL STRUCTURED RATIONALES GRADED A+
What type of dementia is HIV-related? cortical or subcortical
Subcortical
A patient who presents with a cognitive deficit, decreased coordination, and behavioral
symptoms should be assessed for what type of dementia?
HIV-related
In a patient with suspected HIV-related dementia, what is your initial action?
Obtain HIV test
What is first-line pharmacologic treatment for a patient with HIV-related dementia?
Antiretroviral treatment
An older adult who has had cognitive impairment for over a year and who tries to answer
(may not be able to) or confabulates is most likely to have a diagnosis of
Dementia
,An older adult who has had cognitive impairment for less than 5 months and who answers
your questions with "I don't know," most likely has a diagnosis of
Depression (pseudodementia)
An older patient who has symptoms of irritability, agitation, hallucinations, and delusions is
most likely to have
Depression (vs. dementia)
What are 2 ways to determine whether an older person with decreased memory has
depression or dementia?
screening tools (SLUMS, Mini-Cog, MMSE)
onset of symptoms
A patient who presents with difficulties with executive function (poor judgment), slurred
speech, personality and behavior changes, difficulties with language comprehension, lack
of empathy, and poor social skills is most likely to have what type of dementia?
Frontotemporal (Pick's)
A patient with visual hallucinations is most likely to have what type of demenetia?
Lewy Body
,A patient who presents with cognitive dysfunction (decision making), lack of empathy, and
difficulty with impulse control and emotions is most likely to have damage in what brain
structure?
Anterior cingulate
A patient with damage to the cerebellum will demonstrate what?
Lack of balance
What condition may cause pica (eating things that are not food - paint chips)?
Lead poisoning
What 5 neurotransmitters are associated with mood disorders?
Dopamine
Norepinephrine
Serotonin
GABA
Glutamate
What do you do when an infant is about to die?
Give him to his parents to grieve
, What 2 activities should be encouraged with grieving patients?
Family support
Support groups
(don't give prescriptive advice)
Smoking, Caffeine, Low calcium/vitamin D in diet, Decreased weight,
and Lack of weight bearing exercises are risk factors for
Osteoporosis
long term prolactinemia is associated with?
Osteoporosis
Is Interpersonal Therapy offered individually as well as in group therapy?
Yes
If a patient is reluctant to participate in group therapy, what do you do?
Continue group therapy
Start individual therapy
Which is more effective - cognitive therapy or CBT?
CBT
