Neurocognitive Disorders

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Test 1 Question 4. A patient with lesions in the orbitofrontal region of the brain will present as:

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Test 1 Question 69. Homozygosity for which one of the following is believed to predispose patients to Alzheimer-type dementia?

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Test 1 Question 112. Which one of the following is associated with the amyloid precursor protein?

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Test 1 Question 147. The sign that best differentiates between delirium and dementia is:

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Test 2 Question 92. Which one of the following is not more typical of a cortical dementia than of a subcortical dementia such as dementia of the Alzheimer type?

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Test 2 Question 130. An 82-year-old patient in a skilled nursing facility displays confusion, restlessness, agitation, and disorganized speech only during the evening hours. Which one of the following is not an appropriate treatment approach?

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Test 2 Question 144. Which one of the following characteristics pertaining to vascular dementia is false?

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Test 3 Question 9. You are called to evaluate a 60-year-old man with a history of depression. His family reports that he has not been himself
for the past 5 days. On examination he makes poor eye contact, is inattentive, mutters incoherently, keeps rearranging pieces of paper on his bed tray with no apparent logic, and drifts off to sleep while you are talking to him. What is his most likely diagnosis?

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Test 3 Question 49. Which one of the following psychiatric symptoms is not found with AIDS?

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Test 3 Question 55. Which one of the following dopaminergic tracts or areas is responsible for the parkinsonian side effects of antipsychotic medications?

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Test 3 Question 106. An elderly hospitalized patient with vascular risk factors has a stroke. The patient’s behavior following the stroke is noted to be unusually calm and markedly hypersexual. This presentation probably resulted from a stroke to the:

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Test 4 Question 126. On which chromosome is the gene for amyloid precursor protein found?

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Test 4 Question 147. Which one of the following is most consistent with delirium?

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Test 5 Question 142. The prevalence of Alzheimer’s disease in those patients over age 85 years is:

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Vignette 16 Question 1. Given his history, the most likely diagnosis is: (Pick two of six)

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Vignette 16 Question 2. What would be your next maneuver with respect to this patient in the outpatient setting? (Pick three of seven)

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Vignette 16 Question 3. His daughter is concerned that she cannot manage her father properly in the home. What suggestions can you make to help her with this situation? (Pick three of six)

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Vignette 16 Question 4. If the patient has a dementia of the Alzheimer type, what would be his expected prognosis if he were to remain untreated?

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Vignette 16 Question 5. The treatment of choice for a case of dementia believed to have features of both Alzheimer and vascular type would be: (Pick three of seven)

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Vignette 16 Question 6. Which of the following is not typically a complication of this man’s illness?

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Vignette 16 Question 7. Which of the following drugs should be avoided in this patient? (Pick two of seven)

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Vignette 17 Question 1. Which of the following symptoms are not generally characteristic of Wanda’s present syndrome? (Pick two of six)

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Vignette 17 Question 2. Which of the following risk factors predispose this patient to the current condition you now find her in? (Pick three of six)

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Vignette 17 Question 3. The central nervous system (CNS) area(s) believed to be most closely implicated in this patient’s present condition is (are) the:

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Vignette 17 Question 4. Which of the following neurotransmitters is probably the least likely to be implicated in the pathophysiology of delirium?

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Vignette 17 Question 5. Which of the following electroencephalography findings would you expect to find in this patient?

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Vignette 17 Question 6. Which of the following agents would not be appropriate treatment for Wanda’s current condition? (Pick two of six)

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Vignette 17 Question 7. Which of the following are true about the course and prognosis of delirium? (Pick three of six)

Test I: 4, 69, 112, 147 Test II: 92, 130, 144 Test III: 9, 49, 55, 106 Test IV: 126, 147 Test V: 142 Test VI: none Vignette 16 Vignette 17

Neurocognitive Disorders

Test 1 Question 4. A patient with lesions in the orbitofrontal region of the brain will present as:

Test 1 Question 69. Homozygosity for which one of the following is believed to predispose patients to Alzheimer-type dementia?

Test 1 Question 112. Which one of the following is associated with the amyloid precursor protein?

Test 1 Question 147. The sign that best differentiates between delirium and dementia is:

Test 2 Question 92. Which one of the following is not more typical of a cortical dementia than of a subcortical dementia such as dementia of the Alzheimer type?

Test 2 Question 130. An 82-year-old patient in a skilled nursing facility displays confusion, restlessness, agitation, and disorganized speech only during the evening hours. Which one of the following is not an appropriate treatment approach?

Test 2 Question 144. Which one of the following characteristics pertaining to vascular dementia is false?

Test 3 Question 49. Which one of the following psychiatric symptoms is not found with AIDS?

Test 3 Question 55. Which one of the following dopaminergic tracts or areas is responsible for the parkinsonian side effects of antipsychotic medications?

Test 3 Question 106. An elderly hospitalized patient with vascular risk factors has a stroke. The patient’s behavior following the stroke is noted to be unusually calm and markedly hypersexual. This presentation probably resulted from a stroke to the:

Test 4 Question 126. On which chromosome is the gene for amyloid precursor protein found?

Test 4 Question 147. Which one of the following is most consistent with delirium?

Test 5 Question 142. The prevalence of Alzheimer’s disease in those patients over age 85 years is:

Vignette 16 Question 1. Given his history, the most likely diagnosis is: (Pick two of six)

Vignette 16 Question 2. What would be your next maneuver with respect to this patient in the outpatient setting? (Pick three of seven)

Vignette 16 Question 3. His daughter is concerned that she cannot manage her father properly in the home. What suggestions can you make to help her with this situation? (Pick three of six)

Vignette 16 Question 4. If the patient has a dementia of the Alzheimer type, what would be his expected prognosis if he were to remain untreated?

Vignette 16 Question 5. The treatment of choice for a case of dementia believed to have features of both Alzheimer and vascular type would be: (Pick three of seven)

Vignette 16 Question 6. Which of the following is not typically a complication of this man’s illness?