CMN 577 Unit 2 Questions And Answers
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InuperformingutheuPEuonuaupatientuwithuauneurologicalucomplaint,uwhatuisuimportantutoutak
eunoteuof?u-
ucorrectuanswer.uuuuGeneraluappearanceuanduaffect,uEstablishumentalustatus,uOberveumot
orufunction/gain,uConsiderucranialunerves,ureflexes,ufundoscopicuandusensoryuexam
10-20%uofutreatableucausesuofualteredumentalustatusuinclude?u-
ucorrectuanswer.uuuuB12udeficiency,uinfection,upolypharmacy,ualcohol/druguabuse
Whatumayubeupsychosocialufactorsuinualteredumentalustatus?u-
ucorrectuanswer.uuuuDepression,uAnxiety,uGrief,u?uElderuAbuse
STMulossuisuassociateduwith?u-ucorrectuanswer.uuuuB12udeficiencyuanduHypothyroidism
WhatudiagnosticutestsushouldubeuperformeduinuAMS?u-
ucorrectuanswer.uuuuUA,uCBC,uBMP,uB12,uRPR,uESR,uanduTSH——-
uFurtherutestsudependentuuponucomplaints/symptoms
Whatutestuisutheugoldustandarduforuaudementiauwork-
upuanduisuoftenuusefuluforurulinguoutustroke,umasses,uetc...?u-
ucorrectuanswer.uuuuHeaduCTuScan
Rhondauisuau68uy.ouwomanuwhouhasustarteduhavinguproblemsurememberinguthingsuinutheu
lastufewudaysu(likeuwhereusheuputuherukeys).uSheucomesutouyouruclinicuanduyouutestuauUAu
,anduseeusheuhasuauraginguUTIuandufever.uIsuRhondaudementeduorudelirious?u-
ucorrectuanswer.uuuuDelirious
Someuacuteumentalustatusuchangesunoteduinudeliriumuinclude?u-
ucorrectuanswer.uuuuConfusion,uhallucinations,urestlessness,uanduincoherentuspeech
Onsetuofudementiauisugradualuanduprogressive,uanduusuallyuoccursuafteruageu??u-
ucorrectuanswer.uuuu60
Giluisuau62uy.ouMaleucominguintoutheuclinicutodayu(withuhisudaughter)uwithuprogressiveuloss
uofuspeechuandumemoryuproblems,uasuwelluasuangryuoutbursts.uUponuinvestigation,uGiluisu
foundutouhaveuaubuild-
upuofuTauuproteinsuinuhisuneuronsuthatuhaveuaccumulateduintousilver-
staining,usphericaluaggregations.uWhatuisuGil'sudiagnosis?u-
ucorrectuanswer.uuuuPick'suDisease
WhatuisutheufirstunoticeableudifferenceubetweenuPickuDiseaseuanduAlzheimer's?u-
ucorrectuanswer.uuuutheupersonalityuchangeuthatuhallmarksutheuonsetuofuPick'sudiseaseuver
susutheushortutermumemoryulossuofuAlzheimer's
Hillaryuhasuaurecentudiagnosisuofudementiauanducomesuintoutheuclinicutodayuwithuherudaug
hter.uHillaryuhasubeenutalkingutouherudeceasedusisteruaroundutheuhouseuanduisuincreasingl
yudrowsy.uWhatutypeuofudementiaudouyouususpect?u-
ucorrectuanswer.uuuuLewyuBodyuDementia
LewyubodyudementiauanduParkinson'sudiseaseucanuresultuin?u-
ucorrectuanswer.uuuuRigidumuscles,uslowedumovements,uandutremors
InuLewyubodyudementia,uproteinudepositsudevelopuinunerveucellsuinuregionsuofutheubrainuin
volveduin?u-ucorrectuanswer.uuuuThinking,umemory,uandumovement
WhatudiagnosticutestsuareuappropriateuforuAlzheimer'sudiagnosis?u-
ucorrectuanswer.uuuuCBC,uCMP,uTSH,uB12,uRPR,uCTuHead
Whatuisutheunameuofutheuprescriptionumedicalufooduthatuisuintendeduforutheuclinicaludietaryu
managementuofutheumetabolicuprocessesuassociateduwithumildutoumoderateuAlzheimer'su
disease?u-ucorrectuanswer.uuuuAxona
WhatuareutheutreatmentuoptionsuforuAlzheimer'suDisease?u-
ucorrectuanswer.uuuuCholinesteraseuInhibitorsu(memantineu(Namenda))uanduantidepressan
ts,udietuanduexercise
Whatutestsuareuhelpfuluinuevaluating/diagnosinguDementia?u-
ucorrectuanswer.uuuuMMSEu(notuuseduanymore),uMoCa,uSLUMS,uanduMini-Cog
, TheuMini-Cogushouldubeuuseduforuinitialutesting.uIfu(+),uthenumoveuonuto?u-
ucorrectuanswer.uuuuMoCauoruSLUMS
WhatuisuNPH?u-ucorrectuanswer.uuuuNormaluPressureuHydrocephalus-
uItuisuanuenlargementuofutheuventriclesuWITHOUTuincreaseduICP-upresentsuinu>/=u60uy.o
WhatuisutheutriaduofusymptomsuinuNPH?u-
ucorrectuanswer.uuuuGaituchanges,uAltereduthoughtuprocesses,uanduurinaryuincontinence
WhatuisutheutreatmentuofuNPH?u-ucorrectuanswer.uuuuTreatmentuofusymptoms-
anticholinesteraseuinhibitorsumayubeuhelpfuluw/umemoryuloss
Shuntuplacement-ucanubeuconsideredubutumustuweighuprosuanducons
Whatuareusomeuriskufactorsuforustroke?u-
ucorrectuanswer.uuuuHTN,uDM,uCAD,uMigraineuHeadaches,uHyperlipidemia,uTobaccouAbus
e,uETOH/druguabuse,upersonal/familyuhxuofustroke
Ischemicustrokeutreatmentumustubeuinitiateduwithinu???uHoursuofuonset.u-
ucorrectuanswer.uuuu4.5
Whatumedicationsuareuindicateduforupost-strokeutreatment?u-ucorrectuanswer.uuuuAnti-
coagulantutherapyu(mayuincludeuASA,uPlavix,uAggrenox,uCoumadin)
IfuatrialufibrillationuisutheuunderlyingucauseuofutheuCVA,uwhatuanticoagulantsumayubeuconsi
dered?u-ucorrectuanswer.uuuuPradaxa,uXarelto,uEliquis
WhatuisutheutypicaluageuofuonsetuforuParkinson'sudisease?u-ucorrectuanswer.uuuu45-65
WhatuareutheusymptomsuofuParkinson's?u-
ucorrectuanswer.uuuuTremor,urigidity,ubradykinesia,uanduposturaluinstability-
uconsideredu"hallmark"ufeatures
Firstusymptomuisuusuallyu"pill-
rolling"utremoruunilaterally,uthatuisuabsentuduringusleep,uwithumaximumuSXSuaturest
IfuaupatientuhasuSXSuofuParkinson's,ubutuareuyoungeruthanu50,uwhatutwoudiseasesumustub
euruleduout?u-ucorrectuanswer.uuuuHuntington'suChoreauanduWilson'sudisease
WhatuisuHuntington'suChorea?u-
ucorrectuanswer.uuuuInheritedudiseaseuwithuprogressiveudementia,ubizarreumovements,uan
duposture
WhatuisuWilson'sudisease?u-
ucorrectuanswer.uuuuAccumulationuofucopperuinuvariousuvitaluorgans
WhatuareusomeumedicationsuthatumayucreateuParkinson's-typeusymptoms?u-
ucorrectuanswer.uuuuMetoclopramide,uReserpine,uanduAnti-psychotics