TESTED QUESTIONS AND SOLUTIONS FULL
REVIEW GRADED A+
◉ atypical antipsychotics. Answer: Treatment for agitation in
patients with dementia.
◉ BZD. Answer: Used only for short term and acute episodes of
aggression, agitation, and psychosis in patients with dementia.
◉ delirium. Answer: TCAs, Anticholinergics, Benzos, Non-benzos,
Corticosteroids, H2 blockers, opioids cause what medical emergency
in elderly patients?
◉ hypersexuality, hyperorality. Answer: Kluver-Bucy syndrome, a
type of frontotemporal degeneration (FTD), results from bilateral
lesions of the medial temporal lobe and manifests with what 2
common symptoms?
◉ Donepezil, rivastigmine, galantamine. Answer: Cholinesterase
inhibitors appropriate for mild to moderate dementia, remember
*Damn, Grandma's Regressing*
, ◉ memantine. Answer: NMDA receptor antagonist that promotes
synaptic plasticity and is used for moderate to severe dementia.
◉ nortiptyline. Answer: TCA with fewest anticholinergic effects,
making it the most appropriate TCA in the elderly *SSRIs ARE
PREFERRED*
◉ mirtazapine. Answer: Most appropriate medication for elderly
patient with MDD, insomnia, and decreased appetite.
◉ methylphenidate. Answer: In cases of severe depression or
psychomotor retardation, this may be used in low doses as an
adjunct to antidepressants.
◉ trazodone. Answer: Best alternative to sedative-hypnotic use for
insomnia in the elderly as it's less likely to cause memory
impairment, paradoxical excitement, or rebound insomnia.
◉ delirium. Answer: A reversible condition that may be caused by
drugs, electrolyte imbalance, low O2 sat, infection, reduced sensory
input, intracranial events, urinary retention, or myocardial issues.
◉ methylphenidate, amphetamine salts, dexmethylphenidate,
dextroamphetamine. Answer: The 4 stimulants for treating ADHD.
*Man, Adhd Does Damage* **know long vs short acting**