CMN 577 Unit 2 Practice Questions with Answers

In performing the PE on a patient with a neurological complaint, what is important to take note of? General appearance and affect, Establish mental status, Oberve motor function/gain, Consider cranial nerves, reflexes, fundoscopic and sensory exam 10-20% of treatable causes of altered mental status include? B12 deficiency, infection, polypharmacy, alcohol/drug abuse What may be psychosocial factors in altered mental status? Depression, Anxiety, Grief, ? Elder Abuse STM loss is associated with? B12 deficiency and Hypothyroidism What diagnostic tests should be performed in AMS? UA, CBC, BMP, B12, RPR, ESR, and TSH——- Further tests dependent upon complaints/symptoms What test is the gold standard for a dementia work-up and is often useful for ruling out stroke, masses, etc...? Head CT Scan Rhonda is a 68 y.o woman who has started having problems remembering things in the last few days (like where she put her keys). She comes to your clinic and you test a UA and see she has a raging UTI and fever. Is Rhonda demented or delirious? Delirious Some acute mental status changes noted in delirium include? Confusion, hallucinations, restlessness, and incoherent speech Onset of dementia is gradual and progressive, and usually occurs after age ?? 60 Gil is a 62 y.o Male coming into the clinic today (with his daughter) with progressive loss of speech and memory problems, as well as angry outbursts. Upon investigation, Gil is found to have a build-up of Tau proteins in his neurons that have accumulated into silver-staining, spherical aggregations. What is Gil's diagnosis? Pick's Disease What is the first noticeable difference between Pick Disease and Alzheimer's? the personality change that hallmarks the onset of Pick's disease versus the short term memory loss of Alzheimer's Hillary has a recent diagnosis of dementia and comes into the clinic today with her daughter. Hillary has been talking to her deceased sister around the house and is increasingly drowsy. What type of dementia do you suspect? Lewy Body Dementia