Alzheimer's: The Latest Assessment and Treatment Strategies

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1 Questions from chapter 1 Alzheimer's: The Latest Assessment and Treatment Strategies 1) What is a loss of cognitive and intellectual powers without changes in consciousness. a) dementia b) delusions c) drunkenness d) depression 2) The inability to carry out voluntary movements despite intact muscle control is a) apraxia b) agnosia c) aphasia d) ataxia 3) By 2007, the number of persons with AD in the United States had grown to over a) 2 million b) 3 million c) 4 million d) 5 million 4) The greatest risk factor for Alzheimer's disease is a) age b) family history c) vascular risk factors d) genetic factors 5) The presence of Down syndrome is a risk factor for the development of AD. 6) Which is a protective factor against AD? a) moderate alcohol consumption b) education and intellect c) Mediterranean Diet d) all the above Questions from chapter 2 7) Which cognitive deficit results in problems with abstract thinking and planning? a) memory b) language disturbance c) agnosia and apraxia d) executive functioning

2 8) Compared with major depressive disorder, only symptoms need to be present during the same 2-week period for diagnosis of Alzheimer's-related depression. a) 2 b) 3 c) 4 d) 5 9) On the MMSE, there is typically a deterioration of points per year in AD. a) 3 to 5 b) 7 to 10 c) 15 to 20 d) 30 to 50 10) Which is a common assessment of the patient's ADL impairments? a) SLUMS b) Global Deterioration Scale c) Functional Assessment Staging Scale d) Barthel Index 11) The Trail Making Test A and B is an example of a test of a) Functional ability b) Effort testing c) Executive functioning d) Visuospatial ability 12) More than of patients with Parkinson disease will develop progressive dementia. a) 50% b) 65% c) 80% d) 95% Questions from chapter 3 13) In the case of Alzheimer's disease, two neurotransmitters are of particular interest a) acetylcholine and glutamate b) glutamate and dopamine c) dopamine and melatonin d) melatonin and acetylcholine 14) Which was the first ChEl to be approved by the FDA for the symptomatic treatment of patients with mild to moderate AD? a) Exelon b) Razadyne c) Cognex d) Namenda

3 15) Using any of the four cholinesterase inhibitors is the treatment recommendation for patients with a) a family history of AD who are over 85 years old b) Mild AD c) Moderate AD d) Severe AD 16) There is no FDA approval for atypical antipsychotics to treat behavioral and psychological symptoms in patients with AD. 17) A study showed that adherence to a diet was associated with a significantly lower risk of AD. a) Vegetarian b) High Protein c) Gluten Free d) Mediterranean 18) Which is not one of the 10 most prevalent comorbidities in AD and related dementias (ADRD)? a) Cardiovascular disease b) Diabetes c) Congestive heart failure d) Macular degeneration Questions from chapter 4 19) This therapy, used with adults exhibiting mild dementia, challenges the patient's negative ideations. a) Music therapy b) Psychodynamic therapy c) Therapeutic activity d) Cognitive therapy 20) Giving benefits to patients during intervals of no wandering was given as an example of a) time out b) intermittent reinforcement c) negative reinforcement d) differential reinforcement of other behavior 21) agitation may mimic a manic state. a) Spontaneous b) Reactive c) Disinhibited d) Florid

4 22) Memories played for a patient continuously simulating live phone calls are a) Simulated presence b) Pink noise c) Least noticeable difference d) Auditory disinhibition 23) Which is a rare disorder in which a person believes that an identical-looking impostor has replaced someone the patient knows? a) Doppelganger syndrome b) Capgras syndrome c) Looking-glass syndrome d) Impostor syndrome 24) The NITE-AD training for sleep abnormalities includes all the following EXCEPT a) daily walks b) use of a light box for 1 hour per day c) warm milk and turkey before bedtime d) napping time limits of 30 minutes Questions from chapter 5 25) The authors recommend that patients with severe dementia be tube-fed. 26) The Power of Attorney becomes effective only at the time the patient becomes incompetent. a) Winter b) Springing c) General d) Durable 27) Guardianship and conservatorship are granted by a) the patient's physician b) a judge c) the nursing home ombudsman d) a guardian ad litem 28) The scores of depression, loneliness, and positive affect scales for caregivers of spouses with dementia remain similar to those of current caregivers for up to after caregiving has ceased. a) 1 year b) 3 years c) 5 years d) 8 years

5 29) Studies have shown that which is a predictor of nursing home placement for patients with dementia? a) increasing number of comorbid diseases b) increasing need for daily assistance c) increasing age d) all the above 30) Which provides palliative care only? a) hospice care b) adult daycare centers c) assisted living d) special care units

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