41 Old age psychiatry – 4
| T | F | |
|---|---|---|
| 1. General practitioners overdiagnose depression in the elderly. |  |  |
| 2. Late onset depression is a risk factor for dementia. |  |  |
| 3. Mania accounts for one-third of all psychiatric problems in those aged over 65 years. |  |  |
| 4. Pseudodementia is associated with later cognitive decline. |  |  |
| 5. In the elderly with paranoid disorders there is equal prevalence of visual and hearing impairment. |  |  |
| 6. Visual hallucinations are common in Charles Bonnet syndrome. |  |  |
| 7. 12% of people aged >75 years have moderate or severe dementia. |  |  |
| 8. People with dementia cannot make valid financial decisions. |  |  |
| 9. In women on HRT the risk of Alzheimer’s disease is lower than in the general population. |  |  |
| 10. Cerebrospinal fluid (CSF) corticotropin-releasing factor (CRF) is reduced in Alzheimer’s disease. |  |  |
| 11. Vascular dementia is associated with gait disturbance. |  |  |
| 12. Episodic memory is usually impaired in semantic dementia. |  |  |
| 13. Having a seizure is more suggestive of Pick’s disease than Alzheimer’s disease. |  |  |
| 14. Normal ageing is associated with increased numbers of Lewy bodies. |  |  |
| 15. In a 70-year-old with suspected depression, a CT scan showing dilated ventricles does not rule out the diagnosis. |  |  |
| 16. Most people with Down’s syndrome have the neuropathological changes of Alzheimer’s disease by age 40 years. |  |  |
| 17. Lewy bodies are present in 40% of dementias. |  |  |
| 18. In dementia with white matter lesions on CT, there is an increased risk of ataxia. |  |  |
| 19. Post-mortem studies conducted on patients with fronto-temporal dementia show that the pathology is mainly due to Pick’s disease. |  |  |
| 20. Day hospitals manage people with mild to moderate dementia significantly better than day centres. |  |  |
| 21. Clomethiazole is a useful hypnotic in elderly patients due to its freedom from ‘hangover’ effects. |  |  |
| 22. In the elderly, relapse of depression is more likely following ECT than using tricyclic antidepressants. |  |  |
23.
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