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2024 NU665 1-ED, SOMATIC D/O, GERI-PSYCH EXAM WITH CORRECT ANSWERS
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2024 NU665 1-ED, SOMATIC D/O, GERI-PSYCH EXAM WITH CORRECT ANSWERS
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2024 NU665 1-ED, SOMATIC D/O,GERI-PSYCH EXAM WITH CORRECT
ANSWERS
conversion d/o symptom types - CORRECT-ANSWERS1. weakness/paralysis
2. abnormal movement-tremor, gait
3. swallowing
4. speech I.e. slur
5. attack/seizures
6. sensory loss I.e. vision, hearing
anticholinergic drugs - CORRECT-ANSWERSTCAs
antipsychotics
Benadryl
Beers Criteria - CORRECT-ANSWERSIdentifies High Risk Meds to Generate
Wide List of Meds That Should be Avoided
anticholinergics, TCAs, antipsychotics, BZDs, antispasmodics, neuroleptics,
BBs, vasodilator, narcotics, antithrombotics
neurocognitive domains - CORRECT-ANSWERS1. executive functioning
2. complex attention
3. learning/memory
4. language
5. perceptual-motor
6. social cognition
visuoconstructional deficits - CORRECT-ANSWERSassembly of items requiring
hand eye coordination I.e. draw clock
perceptual motor abilities - CORRECT-ANSWERSvisual perception
visuoconstructional (clock drawing)
perceptual motor (insert blocks into board)
praxis
gnosis
gnosis - CORRECT-ANSWERSintegrity of awareness and recognition I.e
faces/colors
, initial lab tests for NCD - CORRECT-ANSWERSCBC, ESR, CMP, B12, TSH, Utox,
CT/MRI, HIV, genetics, SPECT
problems with MMSE - CORRECT-ANSWERSaffected by edu level, age, and
language
normal cognition on MMSE - CORRECT-ANSWERS26-30
MMSE mild cognitive impairment - CORRECT-ANSWERS19-23
most important tx component for delirium - CORRECT-ANSWERSearly
recognition
MMSE components - CORRECT-ANSWERSOrientation
Registration (immediate recall)
Attention (world backwards or serial 7s)
recall (repeat 3 items)
Language (name things, no ifs and or buts, 3 steps)
Read and obey (copy shape, write sentence, close eyes)
Out of 30, dysfunction is less than 25
dips drips dementia - CORRECT-ANSWERSnormal pressure hydrocephalus
dx w spinal tap
shunt for tx
6 Rs of behavioral management - CORRECT-ANSWERSrestrict
reassess
reconsider
rechannel
reassure
review
scale for medicare hospice coverage in dementia - CORRECT-ANSWERSFAST
scale-functional assessment
>7 is hospice eligible + PNA, UTI, sepsis, fever, malnutrition
ETOH screening in older adults - CORRECT-ANSWERSshort michigan alcohol
screening test
Clinical Dementia Rating Scale - CORRECT-ANSWERSout of 5 points (0-3)
rates out of 6 domains of cognitive decline
mini-cog - CORRECT-ANSWERSclock drawing
3 item recall
score 0-10 (4 moderate, and 2 is severe impairment)
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