I'M CONFUSED!
ASSESSMENT
DIAGNOSIS
INTERVENTIONS
IT'S A SOUP!
100
A type of confusion that appears over hours to days, usually preceded by an infection and is marked by waxing and waning consciousness.
What is Delirium
100
When assessing a person suffering from confusion and memory loss, you must ask for this
What is collateral information
100
Initial assessment of new memory loss includes all of the following except: A. Brain MRI B. Thorough history and physical C: A trial of Prozac D. CBC, CMP, TSH E. HIV and RPR
What is C: A trial of Prozac
100
This set of medications, though helpful, carry a black-box warning: A: SSRIs B: Benzodiazepines C. Antiepileptics D. Antipsychotics E. Ambien
What is D: Antipsychotics
100
The Latin root of this medical term means "to swerve from a furrow"
What is Delirium De + Lire = off the furrow
200
A person suffering from this has progressive memory problems, difficulty making decisions and carrying out daily activities, and may present with "sun-downing" and paranoia.
What is Dementia
200
Caregiver burnout: A. Is a temporary condition and can be safely ignored B. Often presents with symptoms of depression and suicidality C. Can be treated with Aricept or Memantine D. Can be reduced by placing the patient in seclusion E. Is a logical consequence of bad parenting
What is B: Often presents with symptoms of depression and suicidality
200
This standardized clinical assessment tool is often used when assessing someone with memory problems and/or confusion: A. Mental Status Exam B. Mini Mental Status Exam C. Geriatric Depression Scale D. Clock Draw Test E. Vision test
What is A: Mini Mental Status Exam and D: Clock Draw Test
200
This group of medications are associated with causing or worsening confusion and memory loss except: A: Opioids B. Benzodiazepines C: Anticholinergics D. Antihypertensives E. Antipsychotics
What are D: Antipsychotics
200
Delirium is often associated with: A. Smoking B. Medical illness C. Past sexual abuse D. CADASIL E. Vitamin B12 deficiency
What is B: Medical illness
300
Ned had a hip replacement 2 weeks ago. His pain doctor is prescribing him 2 pain medications and Ativan to help him through the recovery. If you see him for depression, loss of interest, poor appetite and insomnia, you would want to first rule this out.
What is Delirium
300
Pseudodementia often refers to this: A. Negative transference B. Lack of cooperation C. Malingering D. Projective identification E. Depression
What is E: Depression
300
The following can help to distinguishing between depression and dementia except: A. Brain MRI scan B. Neuropsychological testing C. Past history of depression D. Vitamin D level E. A and D
What is E: A and D
300
When working with an elderly person with confusion and memory loss, you are best advised to use: A. loud voice B: Instructions via multiple means C: Instructions by multiple people D. Ensuring they have hearing and visual aids E. Written, long sentences in colorful fonts E. No clock and calender to help test their memory
What is D: Ensuring they have hearing and visual aids
300
Visual hallucinations are a common clinical finding in this: A. Tertiary syphilis B. Post-traumatic stress disorder in combat veterans C. Lewy body disease D. Klinefelter syndrome E. All of the above
What is C: Lewy body disease
400
The following symptoms do not suggest Dementia: A. Inability to learn and retain new information B Difficulty handling complex tasks C. Trouble with spatial ability and orientation D. Fluctuating attention E. All of the above
What is D: Fluctuating attention
400
Nerve cell death is associated with this neurotransmitter: A. SSRI B. NMDA C. MDMA D. TPA E. PUFA
What is B: NMDA
400
The Clock-drawing test: A. Is a definitive diagnostic test for Alzheimer disease B. Can be used in evaluating a cognitively impaired adult C. Is instrumental in evaluating children with autism D. It is misleading and should not be used in clinical practice E. Requires special training to administer
What is B: Can be used in evaluating a cognitively impaired adult
400
Treatment of mild Alzheimer’s disease should include: A. Electroconvulsive Seizures B. Ketogenic diet C. Prozac D. Aricept E. Amantadine
What is D: Aricept
400
The following are risk factors for vascular dementia and stroke except: A. Exercise B. Smoking C. Hypertension D. Atrial fibrillation E. None of the above
What is A: Exercise
500
This is the most common clinical finding in a patient with Alzheimer Disease is: A. Impaired gait B. Impaired memory C. Abnormal finger-to-nose test D. Elevated blood pressure E. Elevated blood amyloid peptide concentration
What is B: Impaired memory
500
When assessing for Altered Mental Status, you must check for: A. Vital signs and pulse oximetry C. Finger stick blood glucose D. Urinalysis E. Urine Toxicology F. All of the above
What is F: All of the above
500
Genetic polymorphisms associated with Alzheimer disease are often found in this gene: A. CLOCK B. DC10 C. SYK D. APO E E. All of the above
What is D: APO E
500
Doctors try to avoid this medication in a person with Bipolar Disorder and renal failure: A. Depakote B. Seroquel C. Lithium D. Prozac E. Risperdal
What is C: Lithium
500
An important difference between Delirium and Dementia is: A. Memory loss B. Reversibility C. Diurnal Reversal D. Hallucinations E. Risk of self-harm
What is B: Reversibility
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