Gero - cognition and dementia

Question 1 of 17

1

15% of US population is >65 and 80% have at least one chronic condition.

Select one of the following:

True
False

Explanation

Question 2 of 17

1

Signs that a psych issue may have organic etiology:

Select one or more of the following:

Onset > 40 yrs
Symptoms occur during major illness
Altered mental state
Eye abnormalities
Speech disturbances
Psychosis
Gait disturbances
Abnormal vital signs

Explanation

Question 3 of 17

1

Select from the dropdown lists to complete the text.

Always remember to assess for safety: ( diet, mobility, clean clothes ), ( fall risk, bruising, urination ), ( "meals on wheels" delivery, poor eyesight, driving ).

Explanation

Question 4 of 17

1

Drugs that can cause hallucinations or psychosis:

Select one or more of the following:

Levo-dopa
Procainamide
Estrogen
Steroids
ACE inhibitors

Explanation

Question 5 of 17

1

• Drugs that can cause agitation:

Select one of the following:

Neuroleptics and antibiotics
Benzodiazepines and ARBs
Bronchodilators and activating antidepressants

Explanation

Question 6 of 17

1

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

Select one of the following:

True
False

Explanation

Question 7 of 17

1

The following are which type of drugs?
• Amiodarone
• Diazempam
• Chlodiazepoxide
• Clonazepam
• Lidocaine
• Haloperidol

Select one of the following:

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.

Explanation

Question 8 of 17

1

What is an issue with Lithium in elderly?

Select one of the following:

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.

Explanation

Question 9 of 17

1

In prescribing SSRI's to the elderly, consider that:

Select one of the following:

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.

Explanation

Question 10 of 17

1

Increased renal clearance changes elimination of drugs in elderly.

Select one of the following:

True
False

Explanation

Question 11 of 17

1

Risks of benzos with elderly:

Select one or more of the following:

Delirium risk
Self-neglect risk
Dementia risk
Fall risk
Greater risk of addiction

Explanation

Question 12 of 17

1

Common side effects of psychotropic drugs in elderly:
o General: ❌
o Peripheral cholinergic blockade: ❌
o Central cholinergic blockade: ❌
o Alpha-adrenergic blockade and central pressor blockade: ❌
o Dopamine blockade: ❌

Select option below to complete the highlighted text

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

Explanation

Question 13 of 17

1

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

Select one of the following:

True
False

Explanation

Question 14 of 17

1

Types of reversible dementias:

Select one or more of the following:

Thyroid disorders
B12 deficiency
Neurosyphilis
Normal pressure hydrocephalus
Depression

Explanation

Question 15 of 17

1

Alcoholic and vascular dementias are irreversible.

Select one of the following:

True
False

Explanation

Question 16 of 17

1

Risk factors for dementia:

Select one or more of the following:

PPI or benzo use
Metabolic syndrome
Pesticide or degreasing agent exposure
PTSD

Explanation

Question 17 of 17

1

Treatments for Alzheimer’s disease:
Cholinesterase inhibitors: ❌
NMDA receptor agonist: ❌

Select option below to complete the highlighted text

Cogentin, Artane, Benadryl

Donepezil, Rivastigmine, Galantamine

Menantine

Ecstacine

	Created by Bethany Carter over 6 years ago

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

Gero - cognition and dementia

Question 1 of 17

15% of US population is >65 and 80% have at least one chronic condition.

Select one of the following:

Explanation

Question 2 of 17

Signs that a psych issue may have organic etiology:

Select one or more of the following:

Explanation

Question 3 of 17

Select from the dropdown lists to complete the text.

Always remember to assess for safety: diet mobility clean clothes( diet, mobility, clean clothes ), fall risk bruising urination( fall risk, bruising, urination ), "meals on wheels" delivery poor eyesight driving( "meals on wheels" delivery, poor eyesight, driving ).

Explanation

Question 4 of 17

Drugs that can cause hallucinations or psychosis:

Select one or more of the following:

Explanation

Question 5 of 17

• Drugs that can cause agitation:

Select one of the following:

Explanation

Question 6 of 17

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

Select one of the following:

Explanation

Question 7 of 17

The following are which type of drugs? • Amiodarone • Diazempam • Chlodiazepoxide • Clonazepam • Lidocaine • Haloperidol

Select one of the following:

Explanation

Question 8 of 17

What is an issue with Lithium in elderly?

Select one of the following:

Explanation

Question 9 of 17

In prescribing SSRI's to the elderly, consider that:

Select one of the following:

Explanation

Question 10 of 17

Increased renal clearance changes elimination of drugs in elderly.

Select one of the following:

Explanation

Question 11 of 17

Risks of benzos with elderly:

Select one or more of the following:

Explanation

Question 12 of 17

Common side effects of psychotropic drugs in elderly: o General: ❌ o Peripheral cholinergic blockade: ❌ o Central cholinergic blockade: ❌ o Alpha-adrenergic blockade and central pressor blockade: ❌ o Dopamine blockade: ❌

Select option below to complete the highlighted text

Explanation

Question 13 of 17

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

Select one of the following:

Explanation

Question 14 of 17

Types of reversible dementias:

Select one or more of the following:

Explanation

Question 15 of 17

Alcoholic and vascular dementias are irreversible.

Select one of the following:

Explanation

Question 16 of 17

Risk factors for dementia:

Select one or more of the following:

Explanation

Question 17 of 17

Treatments for Alzheimer’s disease: Cholinesterase inhibitors: ❌ NMDA receptor agonist: ❌

Select option below to complete the highlighted text

Explanation

Always remember to assess for safety: ( diet, mobility, clean clothes ), ( fall risk, bruising, urination ), ( "meals on wheels" delivery, poor eyesight, driving ).

The following are which type of drugs?
• Amiodarone
• Diazempam
• Chlodiazepoxide
• Clonazepam
• Lidocaine
• Haloperidol

Common side effects of psychotropic drugs in elderly:
o General: ❌
o Peripheral cholinergic blockade: ❌
o Central cholinergic blockade: ❌
o Alpha-adrenergic blockade and central pressor blockade: ❌
o Dopamine blockade: ❌

Treatments for Alzheimer’s disease:
Cholinesterase inhibitors: ❌
NMDA receptor agonist: ❌