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ISQs in OLD AGE PSYCHIATRY I

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OLD AGE PSYCHIATRY

1.Shrunken frontal lobes indicates Pick's than Alzheimer;s.

2. Patients with Parkinsons disease are impaired with set-shifting tasks

3. Lewy bodies are found in 40% of patients with dementia

4. Lewy bodies are found in Parkinsondisease

5. The age of onset of Huntington disease is associated with the number of trinucleotide repeats

6. In dementia associated with Huntingtons disease, the amnesia is similar for all decades of life

7. In dementia associated with Alzheimers disease, the amnesia is similar for all decades of life

8. In Alzheimer’s disease there is decreased latency in the evoked responses on EEG

9. Life evetns are no less likely to pressed depression in the elderly than in adults

10. Old-age depression is not associated with significant structural changes in brain imaging

11. Men self-harm more often than women in old age

12. Men over 65 are more likely to commit suicide than women

13. Mania makes up 1/3 of admissions to acute old-age wards

14. Mania is associated with depressive symptoms more often in the elderly

15. In a 65 year old man with new onset depression, the diagnosis is likely to be early-onset dementia

16. Alcohol detoxification cannot usually be done at home in a 65 year old man

17. A similarity between impaired cognition in old age and Alzheimers disease is impaired visuo-spatial scratch pad.

18. Alzheimers disease affecting the parietal lobe is associated with a worse prognosis

19. Disorders of praxis are associated with Picks disease

20. Self neglect in the elderly (Diogenes syndrome) is likely to be caused by delusions

21. Self neglect in the elderly (Diogenes syndrome) is generally thought to be burnt-out personality disorder

22. Delusional disorder of old age (paraphrenia) usually progresses to dementia

23. In delusional disorder of old age (paraphrenia), the delusions are usually First Rank

24. Determining Apoprotein E genotype is useful for counselling relatives of the risk of Alzheimers disease

25. In the elderly, relapse of depression is more likely following ECT than using tricyclic antidepressants

26. Tonsillar biopsy showing prion protein is highly specific for variant CJD

27. The difference between prion protein and scrapie prion protein is a disulphide bond

28. Dementia with myoclonus occurs in CJD

29. Old people with dementia are at significant risk of non-accidental injury by their carer

30. There are specific histological changes to the brain in alcohol dementia

31. An abnormal gait is more suggestive of early Alzheimers disease than vascular dementia

32. Cognitive impairment is seen in chronic multiple sclerosis

33. Emotional lability is more common in Alzheimers disease than Vascular dementia

34. Confabulation in the elderly most commonly occurs in Korsakoffs syndrome

35. Carbon monoxide poisoning rarely causes permanent cognitive impairment

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1.Shrunken frontal lobes indicates Pick's than Alzheimer;s.

TRUE

(Pg 331, Synopsis of Psych, Kaplan & Sadock, 8th Ed)

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2. Patients with Parkinsons disease are impaired with set-shifting tasks

TRUE.

Due to slowness in comprehension & response, aka bradyphrenia

(Pg 412, Revision Notes in Psych, Puri & Hall)

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3. Lewy bodies are found in 40% of patients with dementia

FALSE.

5-15%

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

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4. Lewy bodies are found in Parkinson disease

TRUE.

(Pg 412, Revision Notes in Psych, Puri & Hall)

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5. The age of onset of Huntington disease is associated with the number of trinucleotide repeats

TRUE.

(Pg 121, Exam Notes in Psych, Basic Sciences, Malhi & Mitchell)

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5. The age of onset of Huntington disease is associated with the number of trinucleotide repeats

TRUE.

(Pg 121, Exam Notes in Psych, Basic Sciences, Malhi & Mitchell)

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6. In dementia associated with Huntingtons disease, the amnesia is similar for all decades of life

FALSE

(Pg 331, Synopsis of Psych, Kaplan & Sadock, 8th Ed)

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7. In dementia associated with Alzheimers disease, the amnesia is similar for all decades of life

FALSE

(Pg 1294, Synopsis of Psych, Kaplan & Sadock, 8th Ed)

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9. Life events are no less likely to precede depression in the elderly than in adults

TRUE

(Pg 418, Revision Notes in Psych, Puri & Hall)

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10. Old-age depression is not associated with significant structural changes in brain imaging

FALSE

(Pg 417-8, Revision Notes in Psych, Puri & Hall)

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11. Men self-harm more often than women in old age

FALSE equal rate

(Pg 739, Revision Notes in Psych, Puri & Hall)

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12. Men over 65 are more likely to commit suicide than women

TRUE

(Pg 739, Revision Notes in Psych, Puri & Hall)

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13. Mania makes up 1/3 of admissions to acute old-age wards

FALSE

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

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santhana, please would you clarify the following question?

****8. In Alzheimer’s disease there is decreased latency in the evoked responses on EEG

what's #8217;s

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14. Mania is associated with depressive symptoms more often in the elderly

TRUE

(Pg 529, Oxford textbook of Psych, 3rd Ed, Gelder et al)

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15. In a 65 year old man with new onset depression, the diagnosis is likely to be early-onset dementia

FALSE

Early onset dementia is < 65yrs

(Pg 323, Oxford textbook of Psych, 3rd Ed, Gelder et al)

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16. Alcohol detoxification cannot usually be done at home in a 65 year old man

FALSE

(Pg 130, Exam Notes in Psych, 3rd ed, Buckley et al)

(Pg 352, Companion to Psych studies, 6th Ed, Johnstone et al)

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18. Alzheimers disease affecting the parietal lobe is associated with a worse prognosis  

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)

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20. Self neglect in the elderly (Diogenes syndrome) is likely to be caused by delusions

FALSE

(Pg 423, Revision Notes in Psych, Puri & Hall)

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21. Self neglect in the elderly (Diogenes syndrome) is generally thought to be burnt-out personality disorder

TRUE

(Pg 423, Revision Notes in Psych, Puri & Hall)

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22. Delusional disorder of old age (paraphrenia) usually progresses to dementia

FALSE

(Pg 422, Revision Notes in Psych, Puri & Hall)

(Pg 531, Oxford textbook of Psych, 3rd Ed, Gelder et al)

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23. In delusional disorder of old age (paraphrenia), the delusions are usually First Rank

TRUE

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

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24. Determining Apoprotein E genotype is useful for counselling relatives of the risk of Alzheimers disease

FALSE

(Pg 728, Companion to Psych studies, 6th Ed, Johnstone et al)

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25. In the elderly, relapse of depression is more likely following ECT than using tricyclic antidepressants

FALSE??

Probably from non-compliance due to TCA side effects

Anyone with a different opinion?

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