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Old Age Psychiatry
1. Patients suffering from organic brain syndrome, show fluctuation in their level of consciousness T
2. Patients suffering from organic brain syndrome should be nursed in a quiet darkened room. F
3. Patients suffering from organic brain syndrome are frequently excitable. T
4. Patients suffering from organic brain syndrome are often preoccupied with internal themes T
5. Patients suffering from organic brain syndrome are suggestible F
6. Disorientation is suggestive of organic rather than functional disorders T
7. visual hallucinations are suggestive of organic rather than functional disorders T
8. Poor performance of the serial 7s test is suggestive of organic rather than functional disorders T
9. Dysphasia is suggestive of organic rather than functional disorders T
10. Poor registration is suggestive of organic rather than functional disorders F
11. Multiple sclerosis causes a reversible cognitive impairment T
12. Normal pressure causes a reversible cognitive impairment Hydrocephalus T
13. Lead poisoning causes a reversible cognitive impairment F
14. Cardiac surgery causes a reversible cognitive impairment T
15. Anti-epileptic drugs causes a reversible cognitive impairment T
16. Extreme apathy differentiates dementia from pseudo-dementia F
17. Early morning wakening differentiates dementia from pseudo-dementia T
18. Typical I don’t know answers differentiates dementia from pseudo-dementia T
19. History of severe head injury differentiates dementia from pseudo-dementia F
20. Positive response to antidepressants differentiates dementia from pseudo-dementia T
21. Features of organic confusional state include improvement at night F
22. Features of organic confusional state include misidentification T
23. Features of organic confusional state include worsening in the evening T
24. Features of organic confusional state include visual Hallucinations T
25. Features of organic confusional state include hyperventilation F
26. Subjective complaints about memory loss would differentiate dementia from depression in a 70-year-old T
27. Visual hallucinations would differentiate dementia from depression in a 70-year-old.
28. I don’t know answers would differentiate dementia from depression in a 70-year-old. F
29. Catastrophic reaction would differentiate dementia from depression in a 70-year-old.F
30. Psychomotor retardation would differentiate dementia from depression in a 70-year-old.F
31. CVA may cause acute confusion in the elderly T
32. Hypothyroidism may cause acute confusion in the elderly T
33. Pick’s disease may cause acute confusion in the elderly T
34. Hypoglycaemia may cause acute confusion in the elderly T
35. benzodiazepines use may cause acute confusion in the elderly T
36. Patients with acute confusional state should be nursed in a quiet & dark room F
37. Level of awareness in patients with acute confusional state fluctuates over time T
38. Patients with acute confusional state are often preoccupied with internal themes T
39. Following an episode of acute confusional state, the patients would have a full recollection of the episode after recovery F
40. Multi-infarct dementia is characterised by a step wise decline in cognitive functioning T
41. Multi-infarct dementia has an equal sex incidence F
42. Multi-infarct dementia is more common than Alzheimer’s dementia F
43. Multi-infarct dementia is the commonest dementia in Japan T
44. Multi-infarct dementia may be diagnosed despite normal CT brain scan T
45. Common causes of delirium in the elderly include hypocalcaemia F
46. Common causes of delirium in the elderly include hyperthyroidism F
47. Common causes of delirium in the elderly include benzodiazepines T
48. Common causes of delirium in the elderly include CVA T
49. Common causes of delirium in the elderly include Alcohol misuse T
50. Early personality deterioration in Pick’s disease is a well recognised feature T
51. Topographic agnosia is a well recognised feature of Alzheimer’s disease T
52. Pathological changes confined to the frontal lobes is a well recognised feature of Alzheimer’s disease F
53. Fluctuating cognitive level is a well recognised feature of Lewy body dementia T
54. Acute confusional states are most common in the elderly T
55. Acute confusional state may be due to psychological stress in later life F
56. Acute confusional state are best treated with phenothiazines F
57. Acute confusional state is often caused by cardio-vascular insufficiency F
58. Acute confusional state should be managed on general medical wards T
59. Sub vocal Hallucinations are characteristically seen in delirium in the elderly F
60. Labile mood is characteristically seen in delirium in the elderly T
61. An exacerbation of symptoms later in the day is characteristically seen in delirium in the elderly T
62. Raised suggestibility is characteristically seen in delirium in the elderly T
63. Alzheimer’s disease is characterised by early loss of insight T
64. Alzheimer’s disease is characterised by focal neurological symptoms F
65. Alzheimer’s disease is characterised by step wise evolution F
66. Alzheimer’s disease is characterised by extracelluler Neurofibrillary tangles F
67. Alzheimer’s disease is characterised by Lewy bodies F
68. AIDS is a treatable causes of dementia T
69. Huntington Chorea is a treatable causes of dementia F
70. CJD is a treatable causes of dementia F
71. Normal pressure Hydrocephalus is a treatable causes of dementia T
72. B12 deficiency is a treatable causes of dementia T
73. Features of Pick’s disease include male predominance F
74. Features of Pick’s disease include a positive family history T
75. Features of Pick’s disease include an association with Down’s syndrome F
76. Features of Pick’s disease include a knife blade atrophy of the gyri T
77. Features of Pick’s disease include dressing apraxia F
78. Wisconsin card sorting test is a specific test for frontal lobe syndrome T
79. Banister’s repertory grid is a specific test for frontal lobe syndrome F
80. Stroop test is a specific test for frontal lobe syndrome T
81. Weschler adult intelligence scale WAIS is a specific test for frontal lobe syndrome F
Other tests: verbal fluency, cognitive estimates test, Strategy application test
Tower of London test, trial making test & Goldstein
Sheerer
82. Cognitive impairment improves substantially after the first 6 months inpatients with post concussional syndrome F
83. Depression is rare inpatients suffering from mild post concussional syndrome F
84. Symptoms fluctuate inpatients suffering from mild post concussional syndrome T
85. Incidence of schizophrenia like psychosis is increased compared with normal population T
86. Litigation is usually the motive behind post concussional syndrome F
87. Organic cerebral dysfunction should be suspected when a patient shows Right-left disorientation
88. Organic cerebral dysfunction should be suspected in patients showing discrepancy between verbal & performance abilities T
89. Organic cerebral dysfunction should be suspected in patients showing psychomotor retardation F
90. Organic cerebral dysfunction should be suspected in patients showing disorientation for place
91. Organic cerebral dysfunction should be suspected in patients showing visual spatial abnormalities T
92. Characteristic pathological features of senile dementia of Alzheimer’s type include selective atrophy of frontal lobes F
93. Characteristic pathological features of senile dementia of Alzheimer’s type include amyloid plaques T
94. Characteristic pathological features of senile dementia of Alzheimer’s type include Neurofibrillary tangles T
95. Characteristic pathological features of senile dementia of Alzheimer’s type include extensive atheroma of cerebral Arteries T
96. Characteristic pathological features of senile dementia of Alzheimer’s type include decreased acetylecholine esterase activity in the brain
97. As many as 60% of patients with Multi-infarct dementia display depressive symptoms T
98. Persistent apathy is a characteristic feature of frontal lobe tumours T
99. Autoscopy is a characteristic feature of occipital lobe pathology F
100. Organic hallucination soften occur with insight preserved T
101. In Alzheimer’s disease there is a marked dendritic loss from neurocortical pyramidal cells T
102. Persisting cognitive impairment following head injury is greatest when there is a post traumatic amnesia of between 6 & 12 months F is greatest when it lasts >24 hours
103. Cerebellar atrophy is a feature of Pick’s disease F
104. B12 deficiency can cause dementia T
105. Clouding of consciousness in delirium characteristically occur in the afternoon F
106. Sub cortical dementia is characterised by slowing of cognition & difficulty with complex intellectual tasks T
107. In Amnestic syndrome confabulation is a feature of bilateral hippocampal damage
108. Most people with dementia live in residential & nursing homes F
109. Neurofibrillary tangles ( NFT ) may be seen in normal elderly brains T
110. AF is more strongly associated with vascular dementia than AD F
111. Delirium is the most common Psychological manifestation in people with Parkinson’s disease F
112. Pick’s disease affects women more often than men T
113. Early onset AD is associated with E4 allele of apolipoprotein E
114. Dementia of Lewy body can present with psychotic symptoms & fluctuating consciousness T
115. Senile plaques & NFT may be present in Dementia of Lewy body T
116. In clouding of consciousness disorientation for time occurs earlier than for place & person T
