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Neurocognitive Disorders Test A

Eunho Lee 25 Fragen

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Fragen in diesem Quiz (25)

  1. 1The essential feature of the DSM-5 diagnosis of delirium is a disturbance in attention/awareness and in cognition that develops over a short period of time, represents a change from baseline, and tends to fluctuate in severity during the
    course of a day. Which of the following additional conditions must apply?
    1. AThere must be laboratory evidence of an evolving dementia.
    2. BThe disturbance must be associated with a disruption of the sleep-wake cycle.
    3. CThe disturbance must not occur in the context of a severely reduced level of arousal, such as coma.
    4. DThe disturbance must be a direct physiological consequence of a substance use disorder.
    5. EThe disturbance must not be superimposed on a preexisting neurocognitive disorder.
  2. 2A 79-year-old woman with a history of depression is being evaluated at a nursing home for a suspected urinary tract infection. She is easily distracted, perseverates on answers to questions, asks the same question repeatedly, is unable
    to focus, and cannot answer questions regarding orientation. The mental status changes evolved over a single day. Her family reports that they thought she “wasn’t herself” when they saw her the previous evening, but the nursing report
    this morning indicates that the patient was cordial and appropriate. What is the most likely diagnosis?
    1. AMajor depressive disorder, recurrent episode.
    2. BDepressive disorder due to another medical condition.
    3. CDelirium.
    4. DMajor depressive disorder, with anxious distress.
    5. EObsessive-compulsive disorder.
  3. 3Which of the following is not a diagnostic criterion, feature, or marker of major or mild neurocognitive disorder with Lewy bodies (NCDLB)?
    1. AConcurrent symptoms of rapid eye movement (REM) sleep behavior disorder.
    2. BHigh striatal dopamine transporter uptake in basal ganglia demonstrated by single-photon emission computed tomography (SPECT) or positron emission tomography (PET) imaging.
    3. CLow striatal dopamine transporter uptake in basal ganglia demonstrated by SPECT or PET imaging.
    4. DSevere neuroleptic sensitivity.
    5. EInsidious onset and gradual progression.
  4. 4The diagnostic criteria for neurocognitive disorder (NCD) due to HIV infection include fulfillment of criteria for major or mild NCD and documented infection with human immunodeficiency virus (as confirmed by established laboratory
    methods). Which of the following is a prominent feature of NCD due to HIV infection?
    1. AImpairment in executive functioning.
    2. BConspicuous aphasia.
    3. CSignificant delusions and hallucinations at onset of the disorder.
    4. DMarked difficulty with recall of learned information.
    5. ERapid progression to profound neurocognitive impairment.
  5. 5Which of the following features characterizes alcohol-induced major or mild neurocognitive disorder, amnestic-confabulatory type?
    1. AAmnesia for new information and confabulation.
    2. BSeizures.
    3. CAmnesia for previously learned information and downward gaze paralysis.
    4. DAphasia.
    5. EAnosognosia and apraxia.
  6. 6Depression, irritability, anxiety, obsessive-compulsive symptoms, and apathy are frequently associated with Huntington’s disease and often precede the onset of motor symptoms. Psychosis more rarely precedes the onset of motor symptoms. Which of the following is a core feature of major or mild neurocognitive disorder due to Huntington’s disease?
    1. AProgressive cognitive impairment with early changes in executive function.
    2. BProminent early memory impairment, mostly affecting short-term memory.
    3. CPsychosis in the early stages, with marked olfactory hallucinations.
    4. DVoluntary jerking movements.
    5. EDiminished hearing and smell.
  7. 7Major or mild neurocognitive disorder (NCD) due to prion disease encompasses NCDs associated with a group of subacute spongiform encephalopathies caused by transmissible agents known as prions. What is the most common prion disease?
    1. ACreutzfeldt-Jakob disease.
    2. BWernicke-Korsakoff syndrome.
    3. CBovine spongiform encephalopathy.
    4. DHuntington’s disease.
    5. ENeurosyphilis.
  8. 8Major and mild neurocognitive disorders (NCDs) exist on a spectrum of cognitive and functional impairment. Which of the following constitutes an important threshold differentiating the two diagnoses?
    1. AWhether or not the individual is concerned about the decline in cognitive function.
    2. BWhether or not there is impairment in cognitive performance as measured by standardized testing or clinical assessment.
    3. CWhether or not the cognitive impairment is sufficient to interfere with independent completion of activities of daily living.
    4. DWhether or not the cognitive deficits occur exclusively in the context of a delirium.
    5. EWhether or not the cognitive deficits are better explained by another mental disorder.
  9. 9A 68-year-old semiretired cardiologist with responsibility for electrocardiogram (ECG) interpretation at his community hospital is referred by the hospital’s Employee Assistance Program for clinical evaluation because of concerns
    expressed by other clinicians that he has been making many mistakes in his ECG interpretations over the past few months. The patient discloses symptoms of persistent sadness since the death of his wife 6 months prior to the evaluation, with frequent thoughts of death, trouble sleeping, and escalating usage of sedative-hypnotics and alcohol. He has some trouble concentrating, but he has been able to maintain his household, pay his bills, shop, and prepare meals by
    himself without difficulty. He scores 28/30 on the Mini-Mental State Examination (MMSE). Which of the following would be the primary consideration in the differential diagnosis?
    1. AMajor neurocognitive disorder (NCD).
    2. BMild NCD.
    3. CAdjustment disorder.
    4. DMajor depressive disorder.
    5. ENo diagnosis.
  10. 10In a patient with mild neurocognitive disorder (NCD), which of the following would distinguish probable from possible Alzheimer’s disease?
    1. AEvidence of a causative Alzheimer’s disease genetic mutation from either genetic testing or family history.
    2. BClear evidence of decline in memory and learning.
    3. CSteadily progressive, gradual decline in cognition, without extended plateaus.
    4. DNo evidence of mixed etiology.
    5. EOnset after age 80.

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Beschreibung
Professional Clinical Neuropsychology (Neurocognitive Disorders) Quiz am Neurocognitive Disorders Test A, erstellt von Eunho Lee am 17/01/2016.
Sprache
English
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