Question 1

Patients suffering from Alzheimer's disease (AD) most typically consider the most disturbing symptom to be ____.

Accepted Answer

A)   deterioration of memory
B)   loss of ability to problem solve
C)   loss of ability to think abstractly
D)   deterioration of their physical functioning A

Question 2

The cause of Alzheimer's disease is ____.

Accepted Answer

A)   believed to be a product of hereditary and environmental factors
B)   excessive drinking leading to encephalopathy
C)   the natural aging process
D)   excessive blood flow in the brain A

Question 3

It is a rare, genetically transmitted disorder that involves twitching movements, dementia, and death. Its symptoms begin to appear in childhood to late in life, and onset most typically occurs during midlife. What is it?

Accepted Answer

A)   Huntington's disease
B)   Alzheimer's disease
C)   Parkinson's disease
D)   Meningitis A

Question 4

Which statement about parasomnias is accurate ?

Accepted Answer

A)   The etiology with parasomnias has been well established.
B)   Physiological sleep systems function normally, but psychological systems do not.
C)   Parasomnias occur when an individual cannot get to sleep.
D)   Parasomnias often remit spontaneously.

Question 5

A handout on Alzheimer's disease says, "Alzheimer's is the third leading cause of dementia in older persons. It only affects the elderly, it causes marked deterioration in mental functioning without emotional disturbances, and it has no cure." Which portion of this statement is accurate ?

Accepted Answer

A)   It is accurate to say that Alzheimer's only affects the elderly.
B)   It is accurate to say that Alzheimer's has no cure.
C)   It is accurate to say that Alzheimer's is the third leading cause of dementia in older persons.
D)   It is accurate to say that Alzheimer's causes marked deterioration in mental functioning without emotional disturbances.

Question 6

A physician says, "Most people know that AIDS leaves people open to deadly infections, but few are aware that cognitive impairment may be the first sign of HIV infection or AIDS. In serious cases, a diagnosis of AIDS delirium complex (ADC) is made. Prevalence of ADC among persons with HIV infection is between 30 to 40 percent in Western countries. Recently, medications have proven to improve symptoms of ADC once they develop." What about the physician's comments is correct ?

Accepted Answer

A)   Cognitive impairment may be the first sign of HIV infection or AIDS.
B)   In serious cases, a diagnosis of AIDS delirium complex (AD
C)   is made.
C)   Medications have proven to improve symptoms of ADC.
D)   Prevalence of ADC among persons with HIV infection is between 30 to 40 percent in Western countries.

Question 7

Which of the following can cause a neurocognitive disorder?

Accepted Answer

A)   ischemic stoke
B)   depression
C)   stress
D)   aging

Question 8

Which statement about dementia is accurate ?

Accepted Answer

A)   Which statement about dementia is accurate ?
B)   Dementia never involves hallucinations or delusions.
C)   The prevalence of dementia decreases after age 65.
D)   Dementia is associated with a wide range of disorders.

Question 9

Harold was involved in a fight and received several kicks to the head. A CAT scan revealed bruising of his cortex. Harold's symptoms suggest ____.

Accepted Answer

A)   that he suffered a contusion
B)   apraxia and agnosia
C)   that he suffered a stroke
D)   that a cerebral laceration occurred

Question 10

Bethany starts working as a nurse on the night shift, and therefore, must change her normal sleeping patterns to accommodate her job. As a result, she has trouble sleeping. What would be the likely diagnosis?

Accepted Answer

A)   parasomnia
B)   circadian rhythm sleep disorder
C)   sleep inertia
D)   hypersomnolence disorder

Question 11

Dr. Wayne says during a differential diagnosis, "We know that the patient's cognitive disorder is caused by an infectious agent. That automatically rules out ____."

Accepted Answer

A)   syphilis
B)   encephalitis
C)   AIDS dementia
D)   Huntington's disease

Question 12

Normal age changes in the brain and occasional lapses in memory are ____.

Accepted Answer

A)   common in healthy adults
B)   uncommon in healthy adults
C)   warrant a minor neurocognitive disorder diagnosis
D)   insignificant changes

Question 13

Describe the characteristics of dementia in general and Alzheimer's disease (AD) in particular. What is known about the cause of Alzheimer's and what appear to be some protective factors that reduce the risk of developing AD?

Accepted Answer

The answer of Describe the characteristics of dementia in general...

Question 14

Dr. Pushkin is seeing a new patient whom she suspects has a neurocognitive disorder. Dr. Pushkin wants to assess quickly the patient's overall cognitive functioning, including the patient's memory, attentional skills, and orientation to time and place. What instrument will Dr. Pushkin most likely use to conduct this assessment?

Accepted Answer

A)   objective personality testing
B)   neuropsychological testing
C)   neuroimaging techniques
D)   mental status exam

Question 15

Late on Saturday night, Dennie is taken to the hospital after drinking twenty beers. His confusion, rambling, and incoherent speech stop as soon as the alcohol is out of his system. This incident illustrates ____.

Accepted Answer

A)   an amnestic disorder
B)   dementia
C)   delirium
D)   a neurocognitive disorder not otherwise specified

Question 16

Marcus is 83 takes a long time to think about and say what he is thinking. Simple thoughts take a lot of effort, and he needs help with his finances. He developed this condition very suddenly and has experienced a steady cognitive decline. Marcus was diagnosed with mild neurocognitive disorder. What aspect of his case is unusual ?

Accepted Answer

A)   It is unusual for mild neurocognitive disorder to show a steady cognitive decline.
B)   It is unusual for mild neurocognitive disorder to occur in someone over 80.
C)   It is unusual for mild neurocognitive disorder to involve speech aphasia.
D)   It is unusual for mild neurocognitive disorder to have a sudden onset.

Question 17

Parkinson's disease is diagnosed ____.

Accepted Answer

A)   more in men than in women
B)   more in women than in men
C)   only in women
D)   equally across genders

Question 18

Brenda is undergoing a test that combines X-rays and computer analysis to assess her brain damage. Which test is being used?

Accepted Answer

A)   CTE
B)   CT
C)   AS
D)   TBI

Question 19

Hazel was not wearing her helmet when she had an accident on her bicycle. As she fell, her brain was punctured by a broken spoke from the wheel of her bike, causing a rupture of her brain and hemorrhaging. Hazel experiences which type of head injury?

Accepted Answer

A)   concussion
B)   cerebral laceration
C)   contusion
D)   anoxia

Question 20

What are some of the treatments for neurocognitive disorders?

Accepted Answer

The answer of What are some of the treatments for...

Exam 13: Neurocognitive and Sleep-Wake Disorders