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A patient's medical chart indicates that her physician recommended a trial of donepezil (Aricept) . What is the likely diagnosis?


A) Down syndrome
B) Alzheimer's disease
C) Parkinson's disease
D) Huntington's disease

E) B) and C)
F) A) and B)

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A psychologist holds out a comb and asks Mr. Bonte "What is this called in my hand?" Mr. Bonte replies, "I have no idea what that's called." The psychologist then asks Mr. Bonte to show what he would do with the object. Mr. Bonte says, "How should I know? I don't know what it is!" Mr. Bonte's response led the psychologist to describe his condition as


A) aphasia.
B) agnosia.
C) apraxia.
D) Alzheimer's disease.

E) C) and D)
F) All of the above

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Imagine you were listening to Jimmie G (the case study presented in the textbook) as he was recounting his life. What note would you jot down that would help in your assessment of the case?


A) He referred to the doctor as "doc."
B) He was interested in children playing baseball.
C) He spoke of his post WWII experiences in the present tense.
D) He thought there was something wrong with his nerves because he was interviewed by a neurologist.

E) All of the above
F) A) and B)

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In Alzheimer's disease the microtubules of neurons disintegrate in the absence of tau proteins, and the whole neuron shrivels and dies. The disorganized tangles of tau that are left at the end of this process are known as __________ tangles.

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Two patients on the neurology ward at the hospital have different memory problems. Ann has difficulty remembering what happened before a car accident, whereas Carson's difficulty is in learning to remember new material. At a case conference, how will these two cases be described?


A) Ann has apraxia; Carson has aphasia
B) Ann has aphasia; Carson has apraxia
C) Ann has retrograde amnesia; Carson has anterograde amnesia
D) Ann has anterograde amnesia; Carson has retrograde amnesia

E) A) and D)
F) All of the above

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It is generally believed that accurate diagnosis is especially important in dealing with cognitive disorders because


A) insurance companies only pay benefits when an organic basis has been confirmed.
B) the diagnosis can identify specific medical conditions that can then sometimes be successfully treated.
C) cognitive disorders are too easily confused with schizophrenia and other psychotic disorders.
D) once diagnosed, most cognitive disorders can be successfully treated.

E) A) and C)
F) B) and C)

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ALL of the following are true with regard to genetic studies of the cause of Alzheimer's disease EXCEPT.


A) There are markers for Alzheimer's disease on a dozen gene alleles.
B) There are markers for Alzheimer's disease on the chromosome 21.
C) There are associations between the gene responsible for producing amyloid precursor protein, or APP, and Alzheimer's disease.
D) There are markers for Alzheimer's disease on the same gene associated with Down syndrome.

E) B) and D)
F) A) and D)

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Stanley is 65, and for the past couple of years he has been suffering a gradual worsening of his memory as well as some language difficulties and problems with his reasoning and decision making. What is the most likely diagnosis?


A) delirium
B) organic psychosis
C) dementia
D) schizophrenia

E) C) and D)
F) A) and B)

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Typically the symptoms of delirium


A) develop rapidly and then remain at a steady level as they slowly develop.
B) develop slowly and fluctuate throughout the day.
C) occur rapidly and then fluctuate throughout the day.
D) None of the above are accurate.

E) All of the above
F) C) and D)

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Approximately what percentage of patients diagnosed with dementia also show signs of major depressive disorder?


A) 10 percent
B) 25 percent
C) 35 percent
D) over 50 percent

E) A) and D)
F) A) and C)

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If the Word Health Organization assembled the most respected researchers on the genetics of Alzheimer's disease and asked them to review the research, which of the following would make for the most appropriate title for that report?


A) "A Single Disease, a Single Gene"
B) "How Toxins Affect Genetic Vulnerability"
C) "Link Identified: Distractibility as the Key"
D) "Alzheimer's Disease: No Single Genetic Path"

E) All of the above
F) A) and C)

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Some drugs are designed to relieve cognitive symptoms of dementia by boosting the action of a neurotransmitter that is involved in memory and whose level is reduced in patients with Alzheimer's disease called __________ .

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acetylchol...

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Describe what chromosome 21 has to do with our understanding of Alzheimer's disease and Down syndrome.

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Down syndrome is associated with trisomy...

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You are head of an assessment team that needs some testing to determine the level and type of cognitive impairment being experienced by your client. You call on the services of which type of team member for this assessment?


A) psychiatric social worker
B) neuropsychiatrist
C) neuropsychologist
D) psychiatric nurse

E) A) and B)
F) A) and C)

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You are reading a medical chart in which a patient is referred to as displaying chorea. If you met this patient, you might expect a lot of


A) restless and fidgety movements.
B) incoherent speech.
C) obscene language.
D) listlessness and psychomotor retardation.

E) B) and D)
F) B) and C)

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Frontotemporal dementia (FTD) is a rare form of dementia associated with atrophy of the frontal and temporal lobes of the brain. In FTD __________________ generally precede(s) the onset of cognitive impairment.


A) extreme anxiety
B) personality changes
C) lose of long-term memory
D) hallucinations

E) A) and B)
F) B) and D)

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FTD is an acronym for ___________ dementia.

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Effective management of patients with dementia can be improved by helping them to


A) express their frustrations openly.
B) accept the terminal nature of their illness.
C) follow a structured and predictable daily schedule.
D) restrict their intake of high calorie foods.

E) B) and D)
F) All of the above

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A stroke occurs when


A) the heart stops beating.
B) blood flow to the brain is interrupted.
C) a seizure disrupts neuronal transmissions.
D) head injury causes damage to the frontal lobe.

E) C) and D)
F) A) and D)

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All of the following are true with regard to the incidence of Alzheimer's disease EXCEPT


A) The incidence of AD is about the same for men and women until age 90.
B) The incidence of AD is greater for men at all ages.
C) After age 90 the incidence of AD decreases for men.
D) After age 90 the incidence of AD increases for women.

E) A) and B)
F) B) and D)

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