Old age psychiatry – 1

Published on 23/05/2015 by admin

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38 Old age psychiatry – 1

Alan Murtagh

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1. Compared to verbal skills, digit span is preserved in old age.
2. Depression is more likely to improve spontaneously in older age.
3. A manic episode in an elderly person is usually treated with lithium alone.
4. Late onset schizophrenia is more common in women.
5. Low fecundity is seen in late onset delusional disorder.
6. Self-neglect in the elderly (Diogenes syndrome) is likely to be caused by delusions.
7. People with mild cognitive impairment progress to dementia at a rate of 20% per annum.
8. Mutations in the APP gene account for 10% of cases of Alzheimer’s disease.
9. In dementia associated with Alzheimer’s disease, the amnesia is similar for all decades of life.
10. Lewy body dementia is characterized by progressive deterioration of cognitive functions.
11. In semantic dementia the ability to list objects from a class is retained.
12. Early onset of apraxia indicates Pick’s disease rather than Alzheimer’s disease.
13. Personality changes before memory changes suggest Pick’s rather than Alzheimer’s disease.
14. Plaques occur in the brain in normal ageing.
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.
16. The hippocampus is spared in Alzheimer’s disease.
17. In early dementia, progressive agnosia is more suggestive of Alzheimer’s than vascular dementia.
18. Neurofibrillary tangles are very rare in Lewy body dementia.
19. Leukoaraiosis is associated with gait disturbances.
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.
21. Hospital admission is essential for elderly patients with delusional disorder.
22. In the elderly, the proportion of body fat is increased.
23. Up to 15% of elderly depressed patients develop agitation when prescribed SSRIs.
24. Because of its long half-life, donepezil is given once daily.
25. Memantine is useful in Alzheimer’s dementia.