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NEUROLOGICAL DISORDERS

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COMMON CAUSES OF ALZHEIMER'S DISEASE INCLUDE:   UNKNOWN = AMYLOID PLAQUES & NEUROFIBRILLARY TANGLES ARE SEEN IN AUTOPSY  
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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  
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WHAT CAUSES LEWY BODY DEMENTIA   UNKNOWN, BUT FAMIAL CASES HAVE BEEN REPORTED  
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FRONTOTEMPORAL DEMENTIA IS LINKED WITH WHAT POSSIBLE CAUSE ?   ABNORMAL TAU PROTEINS BUILT UP IN NEUROFIBRILLARY TANGLES = FRONTAL & TEMPORAL LOBES  
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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  
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THE S/S OF STAGE II ALZHEIMER'S DISEASE ?   WANDERIING, PERIODS OF LUCIDITY, SUNDOWNING, LANGUAGE DEFICITS, APRAXIA  
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WHAT IS PARAPHASIA   USING THE WRONG WORD  
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WHAT IS ECHOLALIA   REPITITION OF WORDS OR PHRASES  
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SCANNING SPEECH?   SEARCHING FOR WORDS  
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APHASIA?   ABSCENCE OF SPEECH  
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APRAXIA?   INABILITY TO PERFORM PURPOSEFUL MVMTS & USE OBJECTS CORRECTLY  
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WHAT SENSORIMOTOR DEFICITS ARE SEEN IN STAGE 2 ALZHEIMER'S? .........P1620   APRAXIA,ASTEREOGNOSIS (INABILITY TO IDENTIFY OBJECTS BY TOUCH), AGRAPHIA  
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WHAT ARE THE S/S OIF STAGE 3 ALZHEIMER'S DISEASE?   INCONTINENCE, FALLS, DELUSIONS, PARANOIA, ANOREXIA,  
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HOW IS ALZHEIMERS DIAGNOSED   RULE OUT ANY OTHER POSSIBILITIES  
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WHAT DO YOU RULE OUT WHEN SEEING A POTENTIAL ALZHEIMER'S PATIENT?   OD, INFX, HYPOTHYROID, DEHYDRATION, HEART DISEASE, STROKE, COPD,  
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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  
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WHAT ARE SOME Rx USED TO TREAT AD ?   COGNEX(TACRINE), ARICEPT (DONEPEZIL), EXELON (RIVASTIGMINE),(PARASYMPATHOMIMETICS)  
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WHICH Rx IS INDICATED FOR MODERATE TO SEVERE AD & VASCULAR DEMENTIA ?   NAMENDA (MEMANTINE)  
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Rx USED FOR SEVERE agitation in ad are ?   thioridazine (melaril), or haloperidol (haldol)  
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what are the 4 classifications of MS ?   relaspsing - remitting; primary progressive; secondary progressive; & progressive relapsing  
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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,  
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in which systems would you expect to see delayed conduction from evoked response testing ?   visual, auditory or somatosensory  
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why are ACTH & glucocorticoid Tx used in MS ?   to decrease inflammation & suppress the immune system  
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