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SPMM Old Age Study Guide – Complete With Solutions
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SPMM Old Age Study Guide – Complete With Solutions
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SPMM Old Age Study Guide – Complete With SolutionsProportion of patients with persistent delirium at point of discharge from
hospital Right Ans - 1 month - 45%
3 months- 33%
6 months 25%
percentage of people at 65 with dementia Right Ans - 5%
percentage of people over 80 with dementia Right Ans - 20%
percentage of older people who see their GP the week preceding suicide
Right Ans - 50%
2/3 the month preceding
increased risk of vascular events in elderly patients on atypical antipsychotics
Right Ans - 2 fold increase
MAPT gene Right Ans - microtubule-associated protein tau
encodes protein Tau
located on chromosome 17
gene for amyloid precursor protein Right Ans - long arm of chromosome
19
community prevalence of very late onset schizophrenia like psychosis
Right Ans - 0.1-0.5%
schizophrenia currently subdivided into early onset <40, late onset 40-60 and
very late onset schizophrenia like psychosis >60
target lithium level for treatment of bipolar in elderly patients Right Ans -
0.4-0.7 mmol/L
% prevalence of depression in community samples of over age 65 Right
Ans - 10-15%
residential and nursing homes - 15-30%
,% of dementia caused by vascular dementia Right Ans - 20%
% of delirium in hospital that may be preventable Right Ans - 40%
10 year probability of MCI conversion to dementia Right Ans - 40%
yearly conversion of MCI to dementia Right Ans - 5-10%
increased risk of developing tardive dyskinesia in mid-late life than in
younger adults Right Ans - 6 fold increased incidence
life expectancy / mean survival time from time of diagnosis with DLB Right
Ans - 6 years
5.5-7.7 years from disease onset
1.9-6.3 from diagnosis
prevalence of delirium in older people in hospital Right Ans - 20% general
medical admissions
50% general medical admissions in older people
80% in ICU and palliative care
% of persecutory delusions in very late onset schizophrenia Right Ans -
90%
% auditory hallucinations in very late onset schizophrenia Right Ans - 75%
features of early onset schizophrenia Right Ans - <40 years
no female predominance
likely negative symptoms
ok learning and retention
progressive cognitive decline present
no brain structural abnormalities
family history present
early childhood maladjustments present
higher antipsychotic dosing
risk of tardive dyskinesia present
, features of late onset schizophrenia (LOS) Right Ans - 40-60 years
female predominance
negative symptoms may be present
ok learning and retention
progressive cognitive deterioration present
no brain structural abnormalities
present family history
early childhood maladjustments present
lower antipsychotic dosing present
present risk of tardive dyskinesia
features of very late onset schizophrenia like psychosis (VLOS) Right Ans -
>60
greater likelihood of sensory impairment, social isolation, visual
hallucinations, lesser likelihood of formal thought disorder and affective
blunting, lesser likelihood of family history of schizophrenia and greater risk
of developing tardive dyskinesia
female predominance strong
less likelihood of negative symptoms
impaired learning and retention
very high progressive cognitive deterioration
absent early childhood maladjustments
lower antipsychotic dosing
groups with increased risk of common mental disorders (depressive and
anxiety disorders including GAD, panic disorder, phobias and OCD) Right
Ans - women
black women
adults under the age of 60 who live alone
women living in large households
adults not in employment
those in receipt of benefits
those who smoke cigarettes
working age people (rates much lower for those age 65+)
normal aging brain autopsy results Right Ans - presence of amyloid
plaques, neurofibrillary tangles, Lewy bodies, inclusion of TAR DNA-binding
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