Question 1
Which of the following are potential causes of delirium in the elderly? Mark all that apply.
Dehydration
Medication Effects
Sepsis
Metabolic imbalance
Question 2
Personality changes in patients with Traumatic Brain Injury include all of the following except:
Hypervigilance
Impaired Social Judgment
Apathy
Impulsivity
Question 3
Common presenting symptoms of dementia include all of the following except:
Depression
Irritability
Inability to find the right
words Abstract thinking
increases
Question 4
Which type of medication may be particularly dangerous when treating aggression in patients with traumatic
brain injury (TBI) because it could cause paradoxical agitation?
Benzodiazepines
Clonidine
Haloperidol
Propranolol
Question 5
Chris is a 28-year-old marine who just returned from active duty from Iraq. He has been complaining of dizziness,
extreme headaches, and memory problems related to traumatic brain injury. His neurological injuries are most
likely the effect of:
Changes related to altitude in climate.
Rotational acceleration/deceleration, resulting in focal injury.
Diffuse axonal damage as the result of a blast-induced injury.
Direct blunt trauma, resulting in damage to underlying
tissues.
Question 6
A pleasant 73-year-old male presents to the clinic with his wife. His wife states that she has noted increasing
problems with his memory including forgetting to get some items on his grocery list and misplacing his car keys.
You administer the MMSE in the office and he scores 24/30 which is consistent with Mild Dementia per the
scoring guidelines. Your best response to his wife is:
The MMSE score alone is a strong indicator of Dementia and we can proceed with medication based on these
results.
The MMSE score along with the memory issues are more concerning for head injury and so we will pursue a head
, CT to rule out TBI.