ACTUAL Exam Questions and CORRECT
Answers
Dementia - CORRECT ANSWER - An acquired, gradual, progressive deterioration of
global (not just memory) intellectual abilities and interferes with functioning
Delirium - CORRECT ANSWER - Acute decrease in cognition, attention, alertness, and
perception.
Depression - CORRECT ANSWER - An alteration in mood.
S/S: Decreased ability to concentrate, worsening memory, lack of energy or having fatigue
Confusion Assessment Method - CORRECT ANSWER - A 5 minute test to diagnose
delirium
Mini-mental state exam (MMSE) - CORRECT ANSWER - Assesses cognition
Montreal Cognitive Assessment (MoCA) - CORRECT ANSWER - Alternative to MMSE
to assess cognitive function.
Assesses dementia and mild cognitive impairment
IADLs - CORRECT ANSWER - Balancing check book
Using phone
Paying bills
Ordering food
ADLS - CORRECT ANSWER - Bathing, dressing, eating, toileting
, CURVES - CORRECT ANSWER - 1. Choose and Communicate
2. Understand: benefits/risks/alternatives/consequences
3. Reason for path of care
4. Values of pt/caregiver
5. Emergency - is there imminent danger?
6. Surrogate decision maker
How do you minimize delirium? - CORRECT ANSWER - Frequent reorientation
Avoid benzos/narcotics/tricyclic antidepressants
Early mobility & ROM
Minimize lines (foley etc)
Provide stimulation
Ensure assistive devices are available (glasses/hearing aids)
Treatment for Alzheimer's Dementia - CORRECT ANSWER - 1. Respite care
2. Cognitive rehab therapy
3. Memantine
4. Cholinesterase inhibitors (ex: donazepil)
5. Atypical antipsychotics
What is a glabellar tap? - CORRECT ANSWER - A primitive reflex that may develop in
demented patients.
*Blinking each time forehead is tapped.
What are the 5 M's of geriatrics? - CORRECT ANSWER - Mind, mobility, meds, multi-
complexity, and matters
What is the law of parsimony? - CORRECT ANSWER - "the simplest explanation is
usually the correct one"