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NEURO ....C46

NEUROLOGICAL DISORDERS

QuestionAnswer
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
Created by: migibson44