CSD 444 EXAM 3- DEMENTIA QUESTIONS
_______________ describes a group of symptoms affecting intellectual and social
abilities severely enough to interfere with daily functioning. - Answers - Dementia
_______________________ is the most common cause of progressive dementia. -
Answers - Alzheimer's disease
_________________ is affected first with FTD. - Answers - Language
Dementia is a common consequence of: - Answers - several degenerative CNS
diseases, especially CNS disease that affect older adults
Dementia is marked by diffuse impairment of _______________, ________________,
and ____________. - Answers - Diffuse impairment of memory, intellect, and cognition
Physical impairments such as ______________________ or
_______________________ often accompany dementia. - Answers - Movement
disorders or sensory disturbances.
Dementia etiology:
dementia results from impaired functioning of
___________________________________ - Answers - multiple brain systems
Cortical dementia: changes in the _________________________
Ex: - Answers - changes in the cerebral cortex
Ex: Alzheimer's disease, Pick's disease
Sub-cortical dementia: changes in the __________________, ____________________,
and ________________
Ex: - Answers - changes in the basal ganglia, thalamus, and brain stem
Ex: Parkinson's disease and vascular disease
Etiology: generally due to structural brain damage that is often __________________
and ___________________. - Answers - Progressive and irreversible.
When discussing etiology for dementia, brain areas affected are associated with
____________________, _____________________, and
______________________________ - Answers - short-term memory
new learning
higher cognitive functions
Diagnosis of dementia: - Answers - -Short term memory impairment (learn new info or
recall old info)
AND
At least one of the following:
, -aphasia
-apraxia
-agnosia
-abstract thinking/exec function impairments
*cognitive deficits result in functional impairment (social/occupational function)
*symptoms not explainable by any other disorder (delirium, medical or psych condition)
Aphasia - Answers - -characterized initially by fluent aphasia
-able to initiate and maintain a convo
-impaired comprehension
-in tact grammar and syntax however speech is vague with paraphasias,
circumlocutions, tangiential utterances, frequent use of nonspecific phrases (the thing)
-later language can be severely impaired with mutism, echolalia.
Apraxia: inability to - Answers - inability to carry out motor activities despite intact
motor function
*motor movements do not receive appropriate movement commands
Agnosia: inability to - Answers - inability to recognize or identify objects despite intact
sensory function
-typically occurs later in course of illness
-can be visual or tactile
When does agnosia typically occur in the course of an illness? - Answers - typically
occurs later in the course of the illness
Impaired executive functions: - Answers - difficulty with planning, initiating,
sequencing, monitoring or stopping complex behaviors.
-contributes to loss of instrumental activities of daily living (meal prep, driving, finances)
-occurs early to midcourse
When does impaired executive functions typically occur in the course of an illness? -
Answers - Typically occurs early to midcourse
Symptoms of dementia: - Answers - -memory loss
-difficulty communicating
-inability to learn or remember new info
-difficulty with planning and organizing
-difficulty with coordination and motor functions
-personality changes
-inability to reason
_______________ describes a group of symptoms affecting intellectual and social
abilities severely enough to interfere with daily functioning. - Answers - Dementia
_______________________ is the most common cause of progressive dementia. -
Answers - Alzheimer's disease
_________________ is affected first with FTD. - Answers - Language
Dementia is a common consequence of: - Answers - several degenerative CNS
diseases, especially CNS disease that affect older adults
Dementia is marked by diffuse impairment of _______________, ________________,
and ____________. - Answers - Diffuse impairment of memory, intellect, and cognition
Physical impairments such as ______________________ or
_______________________ often accompany dementia. - Answers - Movement
disorders or sensory disturbances.
Dementia etiology:
dementia results from impaired functioning of
___________________________________ - Answers - multiple brain systems
Cortical dementia: changes in the _________________________
Ex: - Answers - changes in the cerebral cortex
Ex: Alzheimer's disease, Pick's disease
Sub-cortical dementia: changes in the __________________, ____________________,
and ________________
Ex: - Answers - changes in the basal ganglia, thalamus, and brain stem
Ex: Parkinson's disease and vascular disease
Etiology: generally due to structural brain damage that is often __________________
and ___________________. - Answers - Progressive and irreversible.
When discussing etiology for dementia, brain areas affected are associated with
____________________, _____________________, and
______________________________ - Answers - short-term memory
new learning
higher cognitive functions
Diagnosis of dementia: - Answers - -Short term memory impairment (learn new info or
recall old info)
AND
At least one of the following:
, -aphasia
-apraxia
-agnosia
-abstract thinking/exec function impairments
*cognitive deficits result in functional impairment (social/occupational function)
*symptoms not explainable by any other disorder (delirium, medical or psych condition)
Aphasia - Answers - -characterized initially by fluent aphasia
-able to initiate and maintain a convo
-impaired comprehension
-in tact grammar and syntax however speech is vague with paraphasias,
circumlocutions, tangiential utterances, frequent use of nonspecific phrases (the thing)
-later language can be severely impaired with mutism, echolalia.
Apraxia: inability to - Answers - inability to carry out motor activities despite intact
motor function
*motor movements do not receive appropriate movement commands
Agnosia: inability to - Answers - inability to recognize or identify objects despite intact
sensory function
-typically occurs later in course of illness
-can be visual or tactile
When does agnosia typically occur in the course of an illness? - Answers - typically
occurs later in the course of the illness
Impaired executive functions: - Answers - difficulty with planning, initiating,
sequencing, monitoring or stopping complex behaviors.
-contributes to loss of instrumental activities of daily living (meal prep, driving, finances)
-occurs early to midcourse
When does impaired executive functions typically occur in the course of an illness? -
Answers - Typically occurs early to midcourse
Symptoms of dementia: - Answers - -memory loss
-difficulty communicating
-inability to learn or remember new info
-difficulty with planning and organizing
-difficulty with coordination and motor functions
-personality changes
-inability to reason
