COMD- 4500 Exam 2 Questions & Correct Answers
Dementia - Correct Answer Acquired disease; progressive and irreversible decline: attention,
learning/memory, language, executive function.
Dementia: demographics - Correct Answer 5.7 million in US
By 2050 > 13 million
Common cause: 60-70% have Alzheimer's
Also common: vascular disease
Increases with age
Dementia: etiologies - Correct Answer Alzheimer's disease
Lewy body disease
Vascular / Multi-infarct dementia
Frontotemporal dementia / Pick's
Alzheimer's Disease - Correct Answer Neurons are destroyed gradually. First affects memory. Eventually,
swallowing, speaking, and walking are affected.
Lewy Body Disease - Correct Answer Abnormal proteins in brain. Average diagnosis to death timeline =
5-8 years.
Vascular Dementia - Correct Answer Restriction of blood flow to parts of the brain. (e.g. stroke)
Frontotemporal Dementia - Correct Answer Cell death in frontal and temporal lobes. Difficulty in
executive function and language production/comprehension.
Mild Cognitive Impairment (MCI) - Correct Answer Less severe; individuals can function independently.
Dementia: Symptoms - Correct Answer Easily distracted; slower processing.
, Remembering specific events; short-term memory; names of individuals.
Reasoning/executive function; planning, problem-solving, judgement, no "filter."
Dementia: communication - Correct Answer Fewer words; lower MLU. Rambling; "dance around" topic.
(Circumlocution)
Perseveration; cannot change subject.
Repeat questions.
Word-finding difficulties (anomia).
Discourse; response doesn't match question.
Cannot follow multi-step instructions.
Dementia: behavior - Correct Answer Seemingly random outbursts of anger (mood swings), anxiety
(memory issues), or depression.
Paranoia.
Wandering/getting lost.
Sleep problems; cycle issues, nocturnal.
Dementia: SLP screening - Correct Answer Orientation to person, place, time.
Story recall (short-term)
Rule out: hearing loss; medication side-effects; depression; English inefficiency
Dementia: Assessment - Correct Answer Case history: living situation, education level.
Interview: areas of concern, what has changed.
Cognitive communication: safety concerns, daily convos, perceive and remember info, executive
functions.
Dementia: intervention options - Correct Answer (Will need to be adapted over time.)
Caregiver training: optimize communication, help breakdowns.
Person-centered care: does the patient and family WANT our services.
Goal: improve functional communication and quality of life.
Dementia - Correct Answer Acquired disease; progressive and irreversible decline: attention,
learning/memory, language, executive function.
Dementia: demographics - Correct Answer 5.7 million in US
By 2050 > 13 million
Common cause: 60-70% have Alzheimer's
Also common: vascular disease
Increases with age
Dementia: etiologies - Correct Answer Alzheimer's disease
Lewy body disease
Vascular / Multi-infarct dementia
Frontotemporal dementia / Pick's
Alzheimer's Disease - Correct Answer Neurons are destroyed gradually. First affects memory. Eventually,
swallowing, speaking, and walking are affected.
Lewy Body Disease - Correct Answer Abnormal proteins in brain. Average diagnosis to death timeline =
5-8 years.
Vascular Dementia - Correct Answer Restriction of blood flow to parts of the brain. (e.g. stroke)
Frontotemporal Dementia - Correct Answer Cell death in frontal and temporal lobes. Difficulty in
executive function and language production/comprehension.
Mild Cognitive Impairment (MCI) - Correct Answer Less severe; individuals can function independently.
Dementia: Symptoms - Correct Answer Easily distracted; slower processing.
, Remembering specific events; short-term memory; names of individuals.
Reasoning/executive function; planning, problem-solving, judgement, no "filter."
Dementia: communication - Correct Answer Fewer words; lower MLU. Rambling; "dance around" topic.
(Circumlocution)
Perseveration; cannot change subject.
Repeat questions.
Word-finding difficulties (anomia).
Discourse; response doesn't match question.
Cannot follow multi-step instructions.
Dementia: behavior - Correct Answer Seemingly random outbursts of anger (mood swings), anxiety
(memory issues), or depression.
Paranoia.
Wandering/getting lost.
Sleep problems; cycle issues, nocturnal.
Dementia: SLP screening - Correct Answer Orientation to person, place, time.
Story recall (short-term)
Rule out: hearing loss; medication side-effects; depression; English inefficiency
Dementia: Assessment - Correct Answer Case history: living situation, education level.
Interview: areas of concern, what has changed.
Cognitive communication: safety concerns, daily convos, perceive and remember info, executive
functions.
Dementia: intervention options - Correct Answer (Will need to be adapted over time.)
Caregiver training: optimize communication, help breakdowns.
Person-centered care: does the patient and family WANT our services.
Goal: improve functional communication and quality of life.
