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Exam (elaborations)

COMD- 4500 Exam 2 Questions & Correct Answers

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  • Course
  • COMD- 4500
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  • COMD- 4500

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...

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  • August 9, 2024
  • 6
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • lew
  • COMD- 4500
  • COMD- 4500
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Victoria108
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.

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