Sign in to follow this  
Followers 0
Guest santhana

ISQs in OLD AGE PSYCHIATRY II

35 posts in this topic

36. Day hospitals have been proven to be more effective in treating symptoms of dementia than day centres

37. Anxiety disorders in elderly almost always have onset in earlier life

38. Attempted self harm in elderly is more in men than women

39. Suicide in elderly is more in women

40. Early onset of apraxia indicates picks disease rather than Alzheimer's

41. Mania in elderly in 1/3 of all psychiatric problems in over 65

42. Mania in elderly is more likely to be accompanied by depressive symptoms than under 65

43. Paraphrenia mostly precedes dementia

44. Gait disorder suggests VD than AD

45. Prominent cortical atrophy in Wilson's disease

46. Nvcjd is characterised by positive tonsillar biopsy of prion protein

47. Met-val allele in nvcjd if present on region 129

48. Death occurs early if parietal lobe is affected in Alzhiemers

49. Paraphrenia is characterised my first rank symptoms than schizophrenia in early life

50. Leukoariosis is associated with cognitive decline

51. Non pharmacological interventions can delay institutional care in Alzheimer's dementia

52. 40% of dementias have lewy bodies

53. Stepwise cognitive decline is a recognised feature of lewy body dementia

54. Delusions of persecution commonly precedes dementia

55. Visual hallucinations occur commonly in elderly depressed patients

56. B12 deficiency commonly causes dementia

57. Longstanding multiple sclerosis can cause Dementia

58. First onset of depression in a man aged 65 without any previous history of depression is likely to be dementia

59. Clock drawing more commonly affected in Alzheimers than vascular dementia

60.In korsakoffs semantic memory is impaired

61. The specificity of MMSE for a score over 24 is 60%

62. The prevalence of dementia doubles upto age 85 years

63. one third of neurotic disorder of the elderly start before 65 years

64. Normal MRI possible in Alzhemers

65. elderly non accidental injury is common with professional carers

66. recognition is imapired first before recall in alzhemers

67. Severe alzhemers present in 12% of cases

68. Agnosia more common in vascular than alzheimers

69. Sensory deprivastion may lead to persecutory delusion in elderly

70. The maximum score in the ADAS-cog Alzheimer's disease Assessment Scale is 100 from 21 items

71. The FAST scale establishes a staging of severity in Alzheimer's disease on function rather than cognition

72. The EEG is rarely pathological in Alzheimer's disease

73. In Alzheimer's disease recent memory is characteristically lost before remote memories

74. Echolalia is a late language deficit in Alzheimer's disease

Share this post


Link to post
Share on other sites

37. Anxiety disorders in elderly almost always have onset in earlier life

TRUE

(Pg 1296, Synopsis of Psychiatry, 8th Ed, Kaplan & Sadock)

Share this post


Link to post
Share on other sites

38. Attempted self-harm in elderly is more in men than women

FALSE

About the same

(Pg 739, Companion to Psych Studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites

39. Suicide in elderly is more in women

FALSE

Commoner in men

(Pg 739, Companion to Psych Studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites

41. Mania in elderly in 1/3 of all psychiatric problems in over 65

FALSE

5% (Pg 419, Rev Notes in Psych, Puri & Hall)

Share this post


Link to post
Share on other sites

42. Mania in elderly is more likely to be accompanied by depressive symptoms than under 65

TRUE

(Pg 529, Oxford Textbk Of Psych, 3rd Ed, Gelder et al)

Share this post


Link to post
Share on other sites

43. Paraphrenia mostly precedes dementia

FALSE

(Pg 531, Oxford Textbk Of Psych, 3rd Ed, Gelder et al)

Share this post


Link to post
Share on other sites

44. Gait disorder suggests VD than AD

TRUE

(Pg 1295, Synopsis of Psychiatry, 8th Ed, Kaplan & Sadock)

Share this post


Link to post
Share on other sites

45. Prominent cortical atrophy in Wilson's disease  

TRUE

(Pg 304, Companion to Psych studies, 6th Ed, Johnstone et al )

Share this post


Link to post
Share on other sites

48. Death occurs early if parietal lobe is affected in Alzheimer’s

TRUE

Other indicators of poor prognosis = “significant language impairment; poor cognitive functioning & reduced density of left parietal region evident on CT scan”

(Pg 410, Revision Notes in Psych, Puri & Hall)

Share this post


Link to post
Share on other sites

49. Paraphrenia is characterised by first rank symptoms than schizophrenia in early life

FALSE

(Pg 420, Revision Notes in Psych, Puri & Hall)

Share this post


Link to post
Share on other sites

50. Leukoariosis is associated with cognitive decline

TRUE

(Pg 410, Revision Notes in Psych, Puri & Hall)

Share this post


Link to post
Share on other sites

52. 40% of dementias have lewy bodies

FALSE.

5-15%

(Pg 300, Companion to Psych studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites

53. Stepwise cognitive decline is a recognised feature of lewy body dementia

FALSE.

Vascular dementia (Pg 525, Oxford Textbk Of Psych, 3rd Ed, Gelder et al)

Share this post


Link to post
Share on other sites

69. Sensory deprivation may lead to persecutory delusion in elderly

TRUE

(Pg 421, Revision Notes in Psych, Puri & Hall)

Share this post


Link to post
Share on other sites

72. The EEG is rarely pathological in Alzheimer's disease

FALSE

Usually abnormal.

(Pg 296, Companion to Psych studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites

73. In Alzheimer's disease recent memory is characteristically lost before remote memories

TRUE

(Pg 295, Companion to Psych studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites

74. Echolalia is a late language deficit in Alzheimer's disease

FALSE Intermediate stage

(Pg 407, Revision Notes in Psych, Puri & Hall)

Share this post


Link to post
Share on other sites

54. Delusions of persecution commonly precedes dementia

FALSE

(Pg 735-6, Companion to Psych studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites

55. Visual hallucinations occur commonly in elderly depressed patients

FALSE

Paranoid symptoms

(Pg 737, Companion to Psych studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites

56. B12 deficiency commonly causes dementia

FALSE

Uncommon cause

(Pg 729, Companion to Psych studies, 6th Ed, Johnstone et al)

Share this post


Link to post
Share on other sites
Sign in to follow this  
Followers 0