Term
| How many "spheres" of mental activity must be compromised in alzheimers and what are they? (5) |
|
Definition
3 most be compromised
1) language
2) Memor
3) visuospatial skills
4) emotion/personality
5) cognition |
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|
Term
| What is the most common cause of progressive dementia in patients >55 yo? |
|
Definition
|
|
Term
| What gene location is responsible for dementias? |
|
Definition
|
|
Term
| What is seen in the brain with alzheimers? |
|
Definition
| neuritic plaques and neurofibrillary tangles |
|
|
Term
| What is the diagnosis criteria for alzheimers? (6) |
|
Definition
1) dementia established on MMSE
2) deficits in 2 or more areas of cognition
3) progressive worsening memory
4) no consciousness disturbances
5) age 40-90 most after 65
6) absence of systemic brain disorders |
|
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Term
| What drug class may stabilize disease but not make better? |
|
Definition
| anticholinesterase inhibitors |
|
|
Term
| What med is used in moderate to severe alzheimers? |
|
Definition
|
|
Term
| What is the leading cause of disability and death in young adults? |
|
Definition
|
|
Term
| What is the criteria for a TBI/concussion? (4) |
|
Definition
1) loss of consciousness 30-60min
2) GCS score 13-15
3) confusion <24hours
4) no contusion/hematoma on CT |
|
|
Term
|
Definition
1) eye opening
2) Best verbal response
3) Best Motor response |
|
|
Term
|
Definition
1) none
2) to pain
3) to speech
4) Spontaneous |
|
|
Term
|
Definition
1) none
2) incomprehensible
3) inappropriate
4) Confused
5) Oriented |
|
|
Term
|
Definition
1) none
2) Extension response to pain
3) flexion response to pain
4) withdrawl response to pain
5) localization of pain
6) Obedience to commands |
|
|
Term
| What is the criteria for the 3 stages of concussions? |
|
Definition
1) transient mental changes <15 min with no loss of consciousness
2) mental changes >15 min w/no loss of consciousness
3) brief loss of consciousness |
|
|
Term
| What do 75% of concussion patients report over first few weeks following injury? |
|
Definition
| some somatic/cognitive symptoms |
|
|
Term
| What is the primary concern with concussion patients? |
|
Definition
| development of surgical lesions-hematomas |
|
|
Term
| 85% of MTBI patients recover within in what time? symptoms are often attributed to what? |
|
Definition
1) recover w/in 1 year
2) persistent symptoms due to psychogenic factors |
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|
Term
| Shock is usually the result of what in Moderate/severe head injuries? |
|
Definition
| hemorrhages outside of head |
|
|
Term
| hyperventilation is needed in patients with GCS of what? |
|
Definition
|
|
Term
| CT is indicated in whom with Moderate/severe TBI? |
|
Definition
| GCS <15, focal signs/posttraumatic amnesia |
|
|
Term
| CT is indicated in whom with Moderate/severe TBI? |
|
Definition
| GCS <15, focal signs/posttraumatic amnesia |
|
|
Term
|
Definition
1) abnormal CT
2) normal CT w/ 2 of following: age >40, motor posturing, systolic BP <90 |
|
|
Term
| ICP should be maintained at what? |
|
Definition
|
|
Term
| What is a feared complication of TBIs that is treated prophylactic for 1-2 weeks after injury |
|
Definition
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