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passmed
Geris
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Cards (28)
What is the purpose of the Waterlow score?
To identify patients at risk of
pressure sores
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How can constipation affect elderly patients?
It can cause
delirium
in the elderly
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What can new surroundings trigger in cognitively impaired patients?
It can cause
delirium
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What are the characteristics of delirium?
Impairment of
conscious
level and
psychotic
symptoms
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How does Lewy body dementia typically present?
With
fluctuating
cognition
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What blood tests are part of the 'Confusion Screen'?
TSH
,
B12
,
Folate
&
Glucose
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Why is lying/standing blood pressure important in elderly patients?
It helps investigate
falls
in the elderly
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What should be avoided in Lewy body dementia treatment?
Avoid
neuroleptics
to prevent
parkinsonism
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What are the symptoms of frontotemporal dementia?
Social
disinhibition
and
family history
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What characterizes hypoactive delirium?
Withdrawal
and sleepiness
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When should antibiotics be used in pressure ulcer treatment?
Only if there are signs of
infection
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What condition should be considered with Parkinson's plus dementia?
Lewy body dementia
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Why should typical antipsychotics be avoided in delirious patients with Parkinson's disease?
They may worsen Parkinson's
symptoms
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What type of hallucinations are associated with Lewy body dementia?
Visual
hallucinations
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What is the onset pattern of frontotemporal lobar degeneration dementia?
Gradual onset at a
young
age
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What symptoms indicate frontotemporal dementia in a middle-aged adult?
Personality changes
and
social disinhibition
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What is the risk associated with antipsychotics in dementia patients?
Significant
increase in
mortality
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How can Lewy body dementia be differentiated from idiopathic Parkinson's disease dementia?
By the
onset timing
of dementia vs. motor symptoms
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What type of medication is Donepezil?
Acetylcholinesterase
inhibitor
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What type of medication is Memantine?
NMDA
receptor antagonist
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What causes Alzheimer's disease at the cellular level?
Cortical plaques
and
neurofibrillary tangles
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What is contraindicated in patients with Parkinson's disease?
Haloperidol
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What type of cerebral atrophy is caused by Alzheimer's disease?
Widespread cerebral atrophy mainly in
cortex
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How should frailty be assessed?
Through
gait speed
, health status, or
PRISMA-7
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What does the STOPP tool identify?
Medications where risk
outweighs
benefits
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What does the START tool suggest?
Medications that may provide
additional benefits
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What should be done if treating acute confusional state is ineffective?
Consider using
haloperidol
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What is the first-line treatment for mild-moderate Alzheimer's disease?
Acetylcholinesterase inhibitors
like
Donepezil
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