A patients inability to follow simple instructions could indicate with of the
following findings?
A. Dysphonia
B. Amnesia
C. Aphasia
D. Depression - ANSWER D. Depression
A patient scores a 3 on a mini-cog assessment instrument for dementia, What
does this score indicate?
A. Advanced dementia
B. Early dementia
C. Need for further evaluation
D. Negative screen for dementia - ANSWER D. Negative screen
for dementia
,The examiner asks the patient to complete this statement: "A bird is to air as a fish
is to _________." This is an example of what type of testing?
A Calculation
B Analogies
C Judgment
D Mood and feelings - ANSWER B. Analogies
Assume that the patients response to the examiner in question 3 is scales. What
does this response likely reflect?
A. Left cerebral hemisphere lesion
B. Depression
C. eating disorder
D. Aphasia - ANSWER A. Left cerebral hemisphere lesion
Which type of assessment should be used to evaluate the mental status of a
patient with head trauma?
A. PHQ
B. Perceptual distortion assessment
C. Glasgow Coma Scale
D. Functional Assessment - ANSWER C. Glasgow Coma Scale
,Which of the following indicates possible cognitive impairment?
A. ability to complete personal care without assistance
B. Suspiciousness or inappropriate affect
C. Articulate communication
D. Prudent behavior and calm demeanor - ANSWER B.
Suspiciousness or inappropriate affect
A 65-year old woman is brought to the clinic by family. They report thieve have
noticed a change in her mental abilities over the past 2 weeks. Normally they say
she is independent, intelligent and very socially oriented. Medical history is
unremarkable except for congestive heart failure, for which she takes digoxin. She
has had no major changes in her health. What questions would be most important
for the examiner to ask the woman's family?
A. Is there a family hx of Alzheimers?
B. How much alcohol does she drink in an average week?
C. When was her digoxin level last checked?
D. Did you know that the mental function begins to decline after the age of 60 ? -
ANSWER C. When was her digoxin level last checked?
, A patient who has difficulty writing or drawing is most likely to have what
condition?
A. Temporal lobe damage
B. Peripheral neuropathy
C. Organic brain syndrome
D. Psyciatric hallucinations - ANSWER B. Peripheral
Neuropathy
A mother brings her 18 month old to the clinic. The child rarely talks or smiles or
makes eye contact. She has also notice he does not like to be held. She says his
motor development seems to be normal. What are these symptoms consistent
with?
A. Dementia
B. Autistic disorder
C. ADHD
D. Delirium - ANSWER B. Autistic disorder
A patient with Alzheimers disease classically displays which of the following?
A. alternating periods of mania and stupor
B. Hallucinations and decorticate posturing
C. Disintegration of personality
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