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NEURO ....C46
NEUROLOGICAL DISORDERS
Question | Answer |
---|---|
COMMON CAUSES OF ALZHEIMER'S DISEASE INCLUDE: | UNKNOWN = AMYLOID PLAQUES & NEUROFIBRILLARY TANGLES ARE SEEN IN AUTOPSY |
BRAIN DAMAGE R/T CEREBROVASCULAR & CARDIO-VASCULAR PROBLEMS (USUALLY STROKE), CEREBRAL BLOOD VESSEL DAMAGE R/T GENTEICS, ENDOCARDITIS, MYELOID ANGIOPATHY, VASCULITIS,& PROFOUND HYPOTENSION ALL CONTRIBUTE TO WHICH TYPE OF DEMENTIA ? | VASCULAR DEMENTIA , THE 2ND MOST COMMON CAUSE OF DEMENTIA |
WHAT CAUSES LEWY BODY DEMENTIA | UNKNOWN, BUT FAMIAL CASES HAVE BEEN REPORTED |
FRONTOTEMPORAL DEMENTIA IS LINKED WITH WHAT POSSIBLE CAUSE ? | ABNORMAL TAU PROTEINS BUILT UP IN NEUROFIBRILLARY TANGLES = FRONTAL & TEMPORAL LOBES |
WHAT ARE THE S/S OF STAGE I ALZHEIMER'S DISEASE ? ........P1619 | APPEARS HEALTHY & ALERT; RESTLESS, FORGETFUL OR UNCOORDINATED; DISORIENTED TO TIME & DATE; PROBLEMS W/SIMPLE CALCULATIONS |
THE S/S OF STAGE II ALZHEIMER'S DISEASE ? | WANDERIING, PERIODS OF LUCIDITY, SUNDOWNING, LANGUAGE DEFICITS, APRAXIA |
WHAT IS PARAPHASIA | USING THE WRONG WORD |
WHAT IS ECHOLALIA | REPITITION OF WORDS OR PHRASES |
SCANNING SPEECH? | SEARCHING FOR WORDS |
APHASIA? | ABSCENCE OF SPEECH |
APRAXIA? | INABILITY TO PERFORM PURPOSEFUL MVMTS & USE OBJECTS CORRECTLY |
WHAT SENSORIMOTOR DEFICITS ARE SEEN IN STAGE 2 ALZHEIMER'S? .........P1620 | APRAXIA,ASTEREOGNOSIS (INABILITY TO IDENTIFY OBJECTS BY TOUCH), AGRAPHIA |
WHAT ARE THE S/S OIF STAGE 3 ALZHEIMER'S DISEASE? | INCONTINENCE, FALLS, DELUSIONS, PARANOIA, ANOREXIA, |
HOW IS ALZHEIMERS DIAGNOSED | RULE OUT ANY OTHER POSSIBILITIES |
WHAT DO YOU RULE OUT WHEN SEEING A POTENTIAL ALZHEIMER'S PATIENT? | OD, INFX, HYPOTHYROID, DEHYDRATION, HEART DISEASE, STROKE, COPD, |
A DIAGNOSIS OF ALZHEIMER'S REQUIRES WHAT 3 ELEMENTS? | DOCUMENTED PRESENCE OF DEMENTIA W/ONSET B/W 40 & 90 YRS OLD, NO LOSS OF CONSCIOUSNESS & ABSCENCE OF SYSTEMIC OR BRAIN DISORDER THAT COULD CAUSE MENTAL CHGS |
WHAT ARE SOME Rx USED TO TREAT AD ? | COGNEX(TACRINE), ARICEPT (DONEPEZIL), EXELON (RIVASTIGMINE),(PARASYMPATHOMIMETICS) |
WHICH Rx IS INDICATED FOR MODERATE TO SEVERE AD & VASCULAR DEMENTIA ? | NAMENDA (MEMANTINE) |
Rx USED FOR SEVERE agitation in ad are ? | thioridazine (melaril), or haloperidol (haldol) |
what are the 4 classifications of MS ? | relaspsing - remitting; primary progressive; secondary progressive; & progressive relapsing |
how is MS diagnosed ? .......p1627 | MRI w/findings of lesions is most definitive test; also CSF analysis for elevated IGg, ct scan = enlrgd ventricles , atrophy & white matter lesions; areas of chgs in glucose metabolism from PET scan, |
in which systems would you expect to see delayed conduction from evoked response testing ? | visual, auditory or somatosensory |
why are ACTH & glucocorticoid Tx used in MS ? | to decrease inflammation & suppress the immune system |