Psychiatry, 11th Ed. Chapter 12:
Neurocognitive D/o Exam Questions And
Answers
How common are delusions in patients diagnosed with Alzheimer's Dementia? (Kaplan
& Sadock Synopsis, p 713) - Answers-30-40%
.How common are major depressive disorder in patients diagnosed with Alzheimer's
Dementia? (Kaplan & Sadock Synopsis, p 713) - Answers-10-20%
.What is Criteria A of Major or Mild Neurocognitive Disorder due to Alzheimer's
Disease? (Kaplan & Sadock Synopsis, p 714) - Answers-The criteria are met for a major
or mild neurocognitive disorder
.What is Criteria B of Major or Mild Neurocognitive Disorder due to Alzheimer's
Disease? (Kaplan & Sadock Synopsis, p 714) - Answers-There is insidious onset and
gradual progression of impairment in one or more cognitive domains (for mild) and at
least two or more (for major)
.Seizures are more common which subtype of Dementia? (Kaplan & Sadock Synopsis,
p 714) - Answers-Vascular Dementia
.Psueudobulbar palsy. Dysarthria and dysphasia are mostly found in this subtype of
Dementia (Kaplan & Sadock Synopsis, p 714) - Answers-Vascular Dementia
.This syndrome is characterized by drowsiness, confusion, ataxia, and accidental falls.
This occurs in demented patients when external stimuli, such as light and interpersonal
orienting cues are diminished. (Kaplan & Sadock Synopsis, p 714) - Answers-
Sundowner Syndrome
.What is the prevalence rate of Alcohol-Induced Persisting dementias? (Kaplan &
Sadock Synopsis, p 715) - Answers-4%
.Focal neurological symptoms are more commonly seen in which subtype of dementia?
(Kaplan & Sadock Synopsis, p 715) - Answers-Vascular Dementia
.What do you call brief episodes of focal neurological dysfunction lasting less than 24
hours (usually 5-15 minutes)? (Kaplan & Sadock Synopsis, p 715) - Answers-Transient
Ischemic attacks
, .Depression-related cognitive dysfunction is also known known as this term? Patients
with these have more prominent depressive symptoms, more insight into their
symptoms than do demented patients. (Kaplan & Sadock Synopsis, p 715) - Answers-
Pseudodementia
.What is the average survival expectation (in years) for patients with Alzheimer's
dementia? (Kaplan & Sadock Synopsis, p 715) - Answers-8 years with a range of 1-20
years.
.How many (in percentage) of those with Dementia will have a reversible course if
treatment is initiated early? ((Kaplan & Sadock Synopsis, p 716) - Answers-10-15%
.What is the first step in the treatment of Dementia? (Kaplan & Sadock Synopsis, p 717)
- Answers-Verification of the diagnosis
.Cholinesterase inhibitors reduce or increase activation of acetylcholine? (Kaplan &
Sadock Synopsis, p 717) - Answers-Reduce
.Tacrine is rarely used because of it's potential for which organ toxicity? (Kaplan &
Sadock Synopsis, p 718) - Answers-Hepatotoxcicity
.Which Dementia drug protects neurons from excessive amount of glutamate which is
said to be neurotoxic? (Kaplan & Sadock Synopsis, p 715) - Answers-Memantine
.What are the 6 Cognitive Domains? (DSM5, p 593-595) - Answers-Complex attention,
Executive function, Learning and memory, Language, Perceptual motor and Social
cognition
.This Neurocognitive disorder is marked by short-term confusion and cognition (Kaplan
& Sadock Synopsis, p694) - Answers-Delirium
.What are the 4 subcategories of Delirium based on etiology? (Kaplan & Sadock
Synopsis, p694) - Answers-General Medical Condition, Substance Induced, Multiple
Causes, and Other or multiple etiologies
.This Neurocognitive disorder is marked by severe impairment in memory, judgement,
orientation and cognition (Kaplan & Sadock Synopsis, p694) - Answers-Dementia
.Major Neurocognitive disorders caused by medical conditions are classified in DSM5
as what? (Kaplan & Sadock Synopsis, p694) - Answers-Amnestic disorders
.Prevalence of moderate to severe dementia in the general population 65 years and
older (Kaplan & Sadock Synopsis, p 704) - Answers-5%
.Prevalence of moderate to severe dementia in the general population older than 85 in
outpatient practices (Kaplan & Sadock Synopsis, p 704) - Answers-15-20%