Mental Health Proctored Exam With Complete Questions And
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2 aspects of cognitive performance that show the most
profound changes with aging-ANSWER-1. information
processing (verbal speed, i.e.)
2. working memory
age at which brain functions and capabilities decline rapidly-
ANSWER->70
the most consistent cognitive change in aging-ANSWER-slowing
of responses
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,when do seniors have more difficulty remembering names and
objects?-ANSWER-when they are not in a familiar routine
seniors do poorly on memory tasks that involve these 3 things-
ANSWER-1. unfamiliar material
2. free recall
3. speed
4 major groups of conditions causing delirium (although it is
usually caused by multiple factors)-ANSWER-1. systemic
disease affecting the brain
2. primary intracranial disease
3. exogenous toxic agents
4. withdrawal from substances of abuse
when any type of systemic disease causes delirium, it's due to a
failure of one of these 2 things-ANSWER-1. failure of cerebral
perfusion
2. failure of cerebral metabolism
4 cardiac conditions that may cause delirium-ANSWER-1.
cardiogenic shock
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,2. HTN
3. cardiac arrest
4. heart failure
how do cardiac conditions cause delirium?-ANSWER-lack of
cerebral perfusion
the 2 most prevalent metabolic disturbances causing delirium-
ANSWER-1. hypoNa
2. hypoglycemia
3 CNS causes of delirium-ANSWER-1. stroke
2. seizure
3. vasculitis
possible cause of delirium in cancer patients-ANSWER-
paraneoplastic phenomenia such as limbic encephalitis
common malnutrition causing delirium in alcoholic pts-
ANSWER-vitamin B1 deficiency
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, most common way that infx affect the nervous system-
ANSWER-indirectly by toxins
common presenting sx of elderly pts w/ generalized sepsis-
ANSWER-altered mental status often precedes fever or
leukocytosis
6 common risk factors of delirium due to infection-ANSWER-1.
UTI
2. low serum albumin
3. proteinuria
4. fever
5. hypothermia
6. azotemia
does delirium always present the same way clinically regardless
of the systemic disease causing it?-ANSWER-yes, pretty much
which neurotransmitters do stimulants act through?-ANSWER-
dopamine and catecholamine pathways
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