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Elvis

ISQs in OLD AGE PSYCHIATRY

32 posts in this topic

1. Abbreviated Mental Test Score assesses orientation and memory.

2. Geriatric Depression Scale avoids questions pertaining to somatic complaints.

3. CAMDEX incorporates the Hachinski Ischaemia Score.

4. In deliriumm physical recovery usually lags behind cognitive recovery.

5. The prevalence rates of Alzheimers are higher in New York than London.

6. The degree of cerebral atrophy seen on CT does not tend to correlate with the degree of dementia.

7. Absence of Misidentification syndrome is a good prognostic sign in Alzheimers.

8. Presence of prominent behavioural abnormalities is a poor prognostic sign in Alzheimers.

9. Number of senile plaques correlates with degree of cognitive impairment in elderly.

10. Leukoariosis in Alheimers tends to signal poor prognosis.

11. Hachinski score above 9 suggests vascular dementia.

12. One third of dements hallucinate.

13. Depression in the elderly may present with inappropriate micturition.

14. There are no total contraindications to ECT.

15. Depressive patients who present with pseudodementia have no greater risk of developing dementia than controls.

16. Manic episodes in the context of organic brain disease are more common with left sided lesions.

17. Vestibular disease is significantly linked with anxiety disorder in old age.

18. Paraphrenia was originally described by Kraepelin.

19. First Rank symptoms are present in 25% of cases of late paraphrenia.

20. Elderly patients on clozaril are at greater risk of agranulocytosis.

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camdex does not include hatchinski score this is scale for determning if cause of dementia is vascular or not with score >14 meaning multi infarct dementia :o

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vestibular disease can be assoc with anxiety and agarophobia in elderly as they are concerned about having attack or fall while outside the house away from carers / support

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14. no systemic illness that preclude use ECT

caution with phaeochromocytoma, HT, uncontrolled arrhythmia, bleeding tendancy, recent MI, CVA, SOL, raised ICP

OXFORD) :lol:

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abbreviated mental test score assesses orientation and memory is true

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18. paraphrenia was originally described by kraeplin T 19. 1st rank symp are present in 25% of cases of late paraphrenia F check puri and hall pg 420

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Elvis whereare the answers to your ISQs in Old age psych.?

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All those questions were from Gaskell Seminars in Old Age Psychiatry. I will have to go to my notes to dig them out...

Elvis ;)

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Hachinski Ishaemic score of more than 6 is suggestive of vascular dementia and a score of less than 5 is suggestive of degenerative dementia

guildford course.

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the presence of prominent behavioural abnormalities like wandering is a poor prognstic sign in alzheimer's dementia

college seminar series

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2. Geriatric Depression Scale avoids questions pertaining to somatic complaints.

TRUE, (Seminars in Old Age Psych, p. 12)

Filippo

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7. Absence of Misidentification syndrome is a good prognostic sign in Alzheimers.

FALSE

Negative prognostic factors: Parietal lobe damage, male, early onset, prominent behavioural abnormalities, depression and absence of misidentification phenomenon. (Seminars in Old Age Psych, p. 60, BOX 4.5)

Filippo

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9. Number of senile plaques correlates with degree of cognitive impairment in elderly.

TRUE - in AD (Seminars in Old Age Psych, p. 66).

I'm not sure of whether there is a correlation between plaques and cognitive impairment in normal ageing.

Also, on the Shorter OTP I found that the degree of cognitive impairment in AD correlates with the number of neurofibrillary tangles (p. 623).

Filippo

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10. Leukoariosis in Alheimers tends to signal poor prognosis.

I'd tend to say FALSE, as Seminars in Old Age Psych say that 'white matter changes seem to have weak relationship with prognosis' (p. 68). They seem to be either the effect of co-morbid vascular-type damage or the effect neuronal loss with 'dying back' neuropathy.

Filippo

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12. One third of dements hallucinate.

FALSE, apparently it's less.

Over the course of the illness, delusions/ paranoid ideation: 15%, visual/ auditory hallucinations: 10-15%, depressive symptoms requiring treatment: up to 20%

(Seminars in Old Age Psych, p. 52)

Filippo

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13. Depression in the elderly may present with inappropriate micturition.

TRUE

Also food refusal, aggression and shoplifting

(Seminars in Old Age Psych, p. 105)

Filippo

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15. Depressive patients who present with pseudodementia have no greater risk of developing dementia than controls.

On the whole, I'd say FALSE.

Kral & Emery (1989) found that 89% of patients who presented with Pseudodementia went on to develop

dementia and Seminars in Old Age Psychiatry quote two other studies yielding similar findings (p.117). However, the same book also point out that long-term naturalistic studies have not confirmed these findings.

Filippo

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16. Manic episodes in the context of organic brain disease are more common with left sided lesions.

FALSE.

The association is with right-sided lesions

(Seminars in Old Age Psych, p. 128)

Filippo

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17. Vestibular disease is significantly linked with anxiety disorder in old age.

TRUE

(Seminars in Old Age Psych, p. 137, BOX 9.2)

Filippo

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19. First Rank symptoms are present in 25% of cases of late paraphrenia.

FALSE, it's more.

(46% according to Seminars in Old Age Psychiatry, p. 150)

Filippo

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20. Elderly patients on clozaril are at greater risk of agranulocytosis.

FALSE

Dosages should be half those of younger adults, but otherwise it's all the same.

(Seminars in Old Age Psych, p. 259)

Filippo

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9. Number of plaques correlate with degree of cognitive imparrment.... TRUE (Oxford Text Book)

How about do the severity of tangles too correlate with the degree of cognitive decline.......??

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Does anybody know the answer to...........

! DISULFIRAM CAUSES METALLIC TASTE IN MOUTH??

Does not cite in BNF as a side effect but i do recall as being true but could not find in any TEXT BOOKS.. I have a few (unquoted notes) that says its true

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antabuse (disulfiram) patient information leaflet GB 06/97 (!) - what are possible side effects ? comprehensive list which includes metallic taste as a common side effect (more than one case per 100 treatments)

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