Chapter 13 Single best answer questions

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. A 72 year old woman experiences visual hallucinations and becomes very disruptive while on the ward. The on-call doctor prescribes a new medication. A few days later, the woman deteriorates, becoming feverish, with muscle rigidity, and worsening confusion.
What is the MOST likely cause of this presentation?

Serotonin syndrome in response to antidepressant correct incorrect

Neuroleptic sensitivity, due to addition of antipsychotic correct incorrect

Phenelzine (MAOI) drug interaction correct incorrect

Delirium secondary to infection correct incorrect

Lithium toxicity correct incorrect

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. A 72 year old lady presents to A&E with a fractured neck of femur. She will require an operation. She is noted to have some memory impairment and you are asked to assess her capacity to consent to this procedure.
Which of the following will mean she lacks capacity?

MMSE score of 12/30 correct incorrect

Able to understand that she would benefit from an operation but unable to understand the risks involved correct incorrect

Deafness and severe dysarthria causing incomprehensible speech correct incorrect

Inability to recollect that she was going to have the operation at the next ward round, four days later. correct incorrect

Longstanding severe visual impairment and profound deafness correct incorrect

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. Your consultant asks you to see a 71 year old woman whose husband reports that she no longer recognizes their grandchildren, despite clearly being able to see them, and even being able to recite their names.
Which of the following terms will you use to describe this symptom when presenting her to your consultant?

Amnesia correct incorrect

Aphasia correct incorrect

Agnosia correct incorrect

Apraxia correct incorrect

Fluctuating consciousness correct incorrect

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. Which of the following is true of depression in old age?

15% of older people in hospital are depressed correct incorrect

Selective serotonin reuptake inhibitors are the first line medication correct incorrect

There is often a stronger emphasis on cognitive than physical symptoms compared with younger patients correct incorrect

The sundowning effect is seen in depressed patients with diurnal variation of mood correct incorrect

Pseudodementia does not place people at increased risk of developing later dementia correct incorrect

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. â-amyloid precursor protein (APP) is involved in the aetiology of Alzheimer's Disease.
Which of the following is TRUE of the APP gene?

It is located on chromosome 14 correct incorrect

Mutations are associated with an increased risk of late onset Alzheimer's disease correct incorrect

Mutations are inherited in an autosomal recessive fashion correct incorrect

People with Down syndrome possess an extra copy of this gene, and are at increased risk of Alzheimer's disease correct incorrect

Mutations decrease the risk of Alzheimer's disease correct incorrect