38 Old age psychiatry – 1
| T | F | |
|---|---|---|
| 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. |
