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Quiz

Neurocognitive Disorders Test B

Eunho Lee 25 perguntas

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Perguntas do quiz (25)

  1. 1Both major and mild neurocognitive disorders can increase the risk of delirium and complicate its course. Traditionally, delirium is distinguished from dementia on the basis of the key features of acute onset, impairment in attention,
    and which of the following?
    1. AFluctuating course.
    2. BSteady course.
    3. CPresence of mania.
    4. DPresence of depression.
    5. ECogwheeling movements.
  2. 2The diagnostic criteria for major or mild neurocognitive disorder with Lewy bodies (NCDLB) include fulfillment of criteria for major or mild neurocognitive disorder and presence of “a combination of core diagnostic features and
    suggested diagnostic features for either probable or possible neurocognitive disorder with Lewy bodies.” Another feature necessary for the diagnosis is that “the disturbance is not better explained by cerebrovascular disease, another
    neurodegenerative disease, the effects of a substance, or another mental, neurological, or systemic disorder.” Which of the following completes the list of features necessary for the diagnosis?
    1. AAn acute onset and rapid progression.
    2. BAn insidious onset and gradual progression.
    3. CAn insidious onset and rapid progression.
    4. DA waxing and waning presentation.
    5. EA characteristic finding on ultrasound of the neck.
  3. 3A 72-year-old man with no history of alcohol or other substance use disorders and no psychiatric history is brought to the emergency department (ED) because of transient episodes of unexplained loss of consciousness. His wife reports
    that he has experienced repeated falls and syncope over the past year, as well as auditory and visual hallucinations. A thorough workup for cardiac disease has found no evidence of structural heart disease or arrhythmias. In the ED, he is found to have severe autonomic dysfunction, including orthostatic hypotension and urinary incontinence. What is the best provisional diagnosis for this patient?
    1. ANew-onset schizophrenia.
    2. BNew-onset schizoaffective disorder.
    3. CPossible major or mild neurocognitive disorder with Lewy bodies.
    4. DPossible major or mild neurocognitive disorder due to Alzheimer’s disease.
    5. ENew-onset seizure disorder.
  4. 4In addition to documented infection with HIV and fulfillment of criteria for major or mild neurocognitive disorder (NCD), what other requirement must be met to qualify for a diagnosis of major or mild NCD due to HIV infection?
    1. APresence of HIV in the cerebrospinal fluid.
    2. BA pattern of cognitive impairment characterized by early predominance of aphasia and impaired memory for previously learned information.
    3. CPresence of progressive multifocal leukoencephalopathy.
    4. DInability to attribute the NCD to non-HIV conditions (including secondary brain diseases), another medical condition, or a mental disorder.
    5. EPresence of Kayser-Fleisher rings.
  5. 5Which of the following statements about the diagnosis of neurocognitive disorder due to Huntington's disease (NCDHD) is true?
    1. ANCDHD is a laboratory-based diagnosis/disorder.
    2. BNCDHD is a disorder that requires positive neuroimaging for diagnosis.
    3. CNCDHD is a clinical diagnosis based on abnormal physical findings and
      family history/genetic findings.
    4. DNCDHD is a diagnosis that is best defined as patients who have a pill rolling tremor.
    5. ENCDHD is a diagnosis mostly based on radiological examination.
  6. 6Genetic testing is the primary laboratory test for the determination of Huntington’s disease. Which of the following best characterizes the genetic nature of Huntington’s disease?
    1. AX-linked recessive inheritance with incomplete penetrance.
    2. BAutosomal recessive inheritance with complete penetrance.
    3. CAutosomal dominant inheritance with complete penetrance.
    4. DRandom mutation.
    5. EX-linked dominant inheritance.
  7. 7Prion disease has been reported to occur in individuals of all ages, from the teenage years to late life. Which of the following best characterizes the time frame of disease progression?
    1. AOver a few months.
    2. BOver several days.
    3. COver several weeks.
    4. DOver 5 years.
    5. EOver 10 years.
  8. 8Expressed as a percentile, what is the typical performance on neuropsychological testing of individuals with major neurocognitive disorder (NCD)?
    1. ASixtieth percentile or below.
    2. BFiftieth percentile or below.
    3. CTwenty-fifth percentile or below.
    4. DSixteenth percentile or below.
    5. EThird percentile or below.
  9. 9A 69-year-old semiretired radiologist with responsibility for chest x-ray interpretation at his academic medical center has been 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 x-ray interpretations over the past few months. Evaluation discloses a remote history of alcohol dependence with sobriety for the past 20 years, and a depressive episode
    following the death of his wife 9 years before the current problem, treated with cognitive-behavioral therapy with full resolution of symptoms after 6 months and no recurrence. He acknowledges some trouble concentrating but no other symptoms, and he minimizes the alleged x-ray interpretation problems. He cannot state the correct date or day of the week and cannot recall the previous day’s news events, but he can describe highlights of his long career in medicine in great detail. Collateral history from his children reveals that on several occasions in the past year neighbors in his apartment building had complained that he forgot to turn off his stove while cooking, resulting in a smoke-filled apartment. He scores 21/30 on the Mini-Mental State Examination. What diagnosis best fits this clinical picture?
    1. AMajor neurocognitive disorder (NCD).
    2. BMild NCD.
    3. CAdjustment disorder.
    4. DMajor depressive disorder.
    5. ENo diagnosis.
  10. 10In major or mild frontotemporal neurocognitive disorder, which of the following is a diagnostic feature of the language variant?
    1. ASevere semantic memory impairment.
    2. BSevere deficits in perceptual-motor function.
    3. CReceptive aphasia.
    4. DGrammar, word-finding, or word-generation difficulty.
    5. EHyperorality.

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Descrição
Professional Clinical Neuropsychology (Neurocognitive Disorders) Quiz sobre Neurocognitive Disorders Test B, criado por Eunho Lee em 17-01-2016.
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English
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