Behavioral Science - Ch 18 (Book)

Front 1

problems with memory and orientation x 3, level of consciousness and other thinking functions

Back 1

cognitive disorders

Front 2

cognitive disorder sx are caused by

Back 2

abnormal neural chemistry, structure or physiology

Front 3

3 major cognitive disorders

Back 3

delirium, dementia and amnestic disorder

Front 4

major difference between normal aging and presence of cognitive disorder

Back 4

normally aging pts are able to care for themselves and carry on a normal life

Front 5

common sx of elderly depressed pts; called ___

Back 5

decreased concentration and speed of mental process; pseudodementia

Front 6

syndrome of cognitive impairment that results from CNS dysfunction; characterized by clouding of consciousness

Back 6

delirium

Front 7

delirium presents in which type of setting?

Back 7

course of an acute medical illness

Front 8

Dx: no consciousness impaired, sad mood, slow onset, little ANS dysfunction, normal arousal and EEG, no delusions/hallucinations, AM diurnal variability

Back 8

depression

Front 9

Dx: impaired consciousness, quick onset, delusions/hallucinations, ANS dysfunction

Back 9

delirium

Front 10

Dx: no consciousness impaired, slow onset, normal arousal/ANS dysfunction, no delusions/hallucinations, little diurnal variability, loss of intelectual ability

Back 10

dementia

Front 11

disorder characterized by gradual loss of memory and intellectual function w/o impaired consciousness

Back 11

dementia

Front 12

types of dementia

Back 12

alzheimer's, vascular, Lewy body, HIV

Front 13

accumulation of beta-amyloid plaques and reduced levels of choline acetyltransferase in consistent with which cognitive disorder?

Back 13

Alzheimer's

Front 14

describe the progression of Alzheimer's in different parts of the brain

Back 14

from temporal to frontal (onset of emotional sx) and parietal lobes

Front 15

cholinesterase inhibitors (4)

Back 15

donepezil, rivastigmine, galantamine, tacrine

Front 16

NMDA antagonist; it's action

Back 16

memantine; prevents overstimulation of NMDA receptor by glutamate

Front 17

cognitive disorder caused by multiple, small cerebral infarctions resulting from athersclerosis, valvular heart disease or arrhythmias

Back 17

vascular dementia

Front 18

are there neurofibrillary tangles present with Lewy body dementia?

Back 18

no

Front 19

2 characteristics of Lewy body dementia impt to psychiatry:

Back 19

+ psychotic sx occur and pts have adverse rxns to antipsychotic meds

Front 20

fabrication of forgotten information in the case of amnesia

Back 20

confabulation

Front 21

primary cause of amnestic disorder is

Back 21

thiamine deficiency secondary to alcoholism

Front 22

destruction of mediotemporal lobe structures (mammillary bodies, hippocampus, fornix)

Back 22

Korsakoff's syndrome

Front 23

disorder characterized by sudden but temporary loss of memory or identity or feelings of detachment, normal level of consciousness

Back 23

dissociative disorder

Front 24

memory loss in dissociative disorders differs from that in cognitive disorders by:

Back 24

cause is usually emotional

Front 25

4 major classifications of dissociative disorders

Back 25

amnesia, fugue, identity disorder and depersonalization

Front 26

major DDx for dissociative disorders

Back 26

PTSD

Front 27

dissociative disorder that usually resolves in minutes to days

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amnesia

Front 28

dissociative disorder in which there is memory loss and leaving home to establish a different identity

Back 28

fugue

Front 29

fugue is often associated with the excessive use of what?

Back 29

alcohol

Front 30

dissociative disorder involving many alters in 1 indiv

Back 30

identity disorder

Front 31

dissociative disorder associated with repeated chronic feelings of detachment

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depersonalization

Front 32

tx of dissociative disorders

Back 32

hypnosis, drug assisted interview, psychotherapy