38 Old age psychiatry – 1
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1. Compared to verbal skills, digit span is preserved in old age. | ![]() |
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2. Depression is more likely to improve spontaneously in older age. | ![]() |
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3. A manic episode in an elderly person is usually treated with lithium alone. | ![]() |
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4. Late onset schizophrenia is more common in women. | ![]() |
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5. Low fecundity is seen in late onset delusional disorder. | ![]() |
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6. Self-neglect in the elderly (Diogenes syndrome) is likely to be caused by delusions. | ![]() |
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7. People with mild cognitive impairment progress to dementia at a rate of 20% per annum. | ![]() |
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8. Mutations in the APP gene account for 10% of cases of Alzheimer’s disease. | ![]() |
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9. In dementia associated with Alzheimer’s disease, the amnesia is similar for all decades of life. | ![]() |
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10. Lewy body dementia is characterized by progressive deterioration of cognitive functions. | ![]() |
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11. In semantic dementia the ability to list objects from a class is retained. | ![]() |
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12. Early onset of apraxia indicates Pick’s disease rather than Alzheimer’s disease. | ![]() |
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13. Personality changes before memory changes suggest Pick’s rather than Alzheimer’s disease. | ![]() |
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14. Plaques occur in the brain in normal ageing. | ![]() |
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15. An elderly patient who suffers a first episode of depression is more likely to have larger ventricles than someone of the same age who had not had an episode of depression. | ![]() |
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16. The hippocampus is spared in Alzheimer’s disease. | ![]() |
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17. In early dementia, progressive agnosia is more suggestive of Alzheimer’s than vascular dementia. | ![]() |
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18. Neurofibrillary tangles are very rare in Lewy body dementia. | ![]() |
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19. Leukoaraiosis is associated with gait disturbances. | ![]() |
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20. Carers of the opposite sex are more likely to abuse a patient in a nursing home for the elderly than carers of the same sex. | ![]() |
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21. Hospital admission is essential for elderly patients with delusional disorder. | ![]() |
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22. In the elderly, the proportion of body fat is increased. | ![]() |
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23. Up to 15% of elderly depressed patients develop agitation when prescribed SSRIs. | ![]() |
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24. Because of its long half-life, donepezil is given once daily. | ![]() |
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25. Memantine is useful in Alzheimer’s dementia. | ![]() |