Exam (elaborations)
SPMM Old Age Psychiatry Part 2 – Questions/Answers
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SPMM Old Age Psychiatry Part 2 – Questions/Answers
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SPMM Old Age Psychiatry Part 2 – Questions/AnswersHigher than expected suicide rate in Right Ans - HD
Which dementia has better recognition memory than recall memory? Right
Ans - HIV related Dementia
42y Male with troublesome motor activity for 3y. Symptoms of irritability,
anxiety and low mood. Turns up late for appointment and shouts at
receptionist. Diagnosis? Right Ans - Huntington's Chorea
Greatest risk factor for multi-infarct dementia Right Ans - Hypertension
Hyperhomocysteinemia is a risk factor for Right Ans - Dementia
Type of F20 seen more often in females Right Ans - Late-onset F20
77y Male with Parkinson's starts sending wife sexually abusive messages and
offensive comments which is out of character. Which Rx caused this? Right
Ans - L-Dopa
Most common behavioural change observed in patients with Huntington's
Right Ans - Lack of initiative
Deficits of attention and visuospatial ability especially prominent in? Right
Ans - DLB
Most likely side effect of Rivastigmine Right Ans - Nausea
Most common psychiatric side effect of Levo-Dopa? Right Ans - Nightmares
(30%)
Neurotransmitters most often implicated in the pathophysiology of
Alzheimer's Disease Right Ans - NA and ACh
Personality disorder most prevalent after age 60 Right Ans - OCPD
Contraindicated in elderly with psychosis and cognitive impairment Right
Ans - Risperidone (also Olanzapine as increased risk of stroke in dementia)
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