Gero - cognition and dementia

Bethany Carter
Quiz by Bethany Carter, updated more than 1 year ago More Less
Bethany Carter
Created by Bethany Carter over 1 year ago
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Description

Quiz on Gero - cognition and dementia, created by Bethany Carter on 03/24/2018.

Resource summary

Question 1

Question
15% of US population is >65 and 80% have at least one chronic condition.
Answer
  • True
  • False

Question 2

Question
Signs that a psych issue may have organic etiology:
Answer
  • Onset > 40 yrs
  • Symptoms occur during major illness
  • Altered mental state
  • Eye abnormalities
  • Speech disturbances
  • Psychosis
  • Gait disturbances
  • Abnormal vital signs

Question 3

Question
Always remember to assess for safety: [blank_start]mobility[blank_end], [blank_start]fall risk[blank_end], [blank_start]driving[blank_end].
Answer
  • diet
  • mobility
  • clean clothes
  • fall risk
  • bruising
  • urination
  • "meals on wheels" delivery
  • poor eyesight
  • driving

Question 4

Question
Drugs that can cause hallucinations or psychosis:
Answer
  • Levo-dopa
  • Procainamide
  • Estrogen
  • Steroids
  • ACE inhibitors

Question 5

Question
• Drugs that can cause agitation:
Answer
  • Neuroleptics and antibiotics
  • Benzodiazepines and ARBs
  • Bronchodilators and activating antidepressants

Question 6

Question
Drugs with extensive first pass effect may not be absorbed as well as those with phase II pathways in the elderly.
Answer
  • True
  • False

Question 7

Question
The following are which type of drugs? • Amiodarone • Diazempam • Chlodiazepoxide • Clonazepam • Lidocaine • Haloperidol
Answer
  • Hydrophilic drugs that build up in the leaner elderly.
  • Lipophilic drugs that get increased in with increased adipose tissue.
  • Protein-bound drugs that are increased in the elderly.

Question 8

Question
What is an issue with Lithium in elderly?
Answer
  • They don't like it.
  • Hydrophilic drugs have decreased distribution with decreased total body water.
  • They are too demented for it to have any effect.
  • It can cause delirium.

Question 9

Question
In prescribing SSRI's to the elderly, consider that:
Answer
  • They may disguise organic conditions.
  • They are only indicated for <65 years old.
  • Decreased fat:muscle ratio can result in serotonin syndrome.
  • Decreased plasma protein results in increased unbound, active drug.

Question 10

Question
Increased renal clearance changes elimination of drugs in elderly.
Answer
  • True
  • False

Question 11

Question
Risks of benzos with elderly:
Answer
  • Delirium risk
  • Self-neglect risk
  • Dementia risk
  • Fall risk
  • Greater risk of addiction

Question 12

Question
Common side effects of psychotropic drugs in elderly: o General: [blank_start]Decreased CNS arousal[blank_end] o Peripheral cholinergic blockade: [blank_start]Urination and constipation[blank_end] o Central cholinergic blockade: [blank_start]Confusion and memory problems[blank_end] o Alpha-adrenergic blockade and central pressor blockade: [blank_start]Orthostasis[blank_end] o Dopamine blockade: [blank_start]Gait and movement[blank_end]
Answer
  • Decreased CNS arousal
  • Dementia
  • Drooling and slurring words
  • Urination and constipation
  • Prolonged QTc
  • Confusion and memory problems
  • Orthostasis
  • Increased HTN
  • Gait and movement
  • Auditory or visual hallucinations

Question 13

Question
Benzodiazepines should be tapered very slowly in elderly clients, 10% per month for chronic users (> 1 month usage).
Answer
  • True
  • False

Question 14

Question
Types of reversible dementias:
Answer
  • Thyroid disorders
  • B12 deficiency
  • Neurosyphilis
  • Normal pressure hydrocephalus
  • Depression

Question 15

Question
Alcoholic and vascular dementias are irreversible.
Answer
  • True
  • False

Question 16

Question
Risk factors for dementia:
Answer
  • PPI or benzo use
  • Metabolic syndrome
  • Pesticide or degreasing agent exposure
  • PTSD

Question 17

Question
Treatments for Alzheimer’s disease: Cholinesterase inhibitors: [blank_start]Donepezil, Rivastigmine, Galantamine[blank_end] NMDA receptor agonist: [blank_start]Menantine[blank_end]
Answer
  • Cogentin, Artane, Benadryl
  • Donepezil, Rivastigmine, Galantamine
  • Menantine
  • Ecstacine
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