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SPMM Old Age Psychiatry Part 2, SPMM Old Age Psychiatry Part 1: Qs & As
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SPMM Old Age Psychiatry Part 2, SPMM Old Age Psychiatry Part 1: Qs & As
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SPMM Old Age Psychiatry Part 2, SPMM Old AgePsychiatry Part 1: Qs & As
Higher 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
Rivastigmine
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)
2x risk of stroke in dementia
Compared to other subtypes, paranoid subtype of F20 is more often
associated with which feature? Right Ans - Older age at onset
Factors associated with a good prognosis in AD? (4) Right Ans - Onset after
65y, female, absence of behavioural symptoms and lack of depressive
episodes
Good prognostic factors in old age depression (5) Right Ans - Onset less
than 70, shorter duration of illness, absence of physical illness, good previous
adjustment, good previous recovery
Response to antidepressants is expected to be generally poor in? Right Ans
- Patients with Vascular Depression
Types of delusions in late paraphrenia Right Ans - Persecutory delusions
Most prevalent anxiety disorder among older adults Right Ans - Phobic
disorder similar to children
65y male admitted to neurology unit with unsteady gait and repeated falls
most likely to be associated with Right Ans - Polypharmacy
According to NINCD-ADRDA which of the following is not a criterion required
to diagnose probable AD? Right Ans - Presence of cerebral atrophy in
neuroimaging studies
Compared with early onset depression, people with late-onset depression
tend to present more often with symptoms of? Right Ans - Psychomotor
change
75y Male with Parkinson's develops psychosis unrelated to levodopa use. Best
antipsychotic? Right Ans - Quetiapine
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