CMS 111(6): NCI and Dissociation in Neurocognitive Disorders Lecture
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Questions and Answers

What is the most likely diagnosis for the 65-year-old man?

  • Dissociative identity disorder
  • Delirium (correct)
  • Schizophrenia
  • Neurocognitive disorder due to Alzheimer's disease
  • What is the key differentiating factor between neurocognitive disorders and dissociative disorders?

  • Underlying brain pathology (correct)
  • Age of onset
  • Nature of hallucinations and delusions
  • Presence of anterograde amnesia
  • Which symptom indicates a higher likelihood of delirium rather than neurocognitive disorder?

  • Chronic memory loss
  • Consistent orientation to time and place
  • Progressive decline in cognitive function
  • Fluctuating levels of consciousness (correct)
  • What type of dissociative disorder might be considered in this case?

    <p>Dissociative fugue</p> Signup and view all the answers

    Which of the following is a potential cause of delirium in the elderly?

    <p>Vitamin B deficiency and hypothermia</p> Signup and view all the answers

    What is the most common type of dementia?

    <p>Alzheimer's disease</p> Signup and view all the answers

    What is the defining characteristic of delirium?

    <p>Global cognitive impairment of abrupt onset</p> Signup and view all the answers

    Which cognitive function is assessed by testing the registration of 3 unrelated words or an address?

    <p>Short term memory</p> Signup and view all the answers

    What is the main feature of apraxia associated with parietal lobe dysfunction?

    <p>Clock drawing test</p> Signup and view all the answers

    Which condition results from central nervous system impairment and includes confusion and clouding of consciousness?

    <p>Delirium</p> Signup and view all the answers

    What is a potential cause of delirium related to drugs in the elderly?

    <p>Antihistaminics and neuroleptics</p> Signup and view all the answers

    Which type of cognitive function assessment involves naming objects or figures?

    <p>&quot;Naming objects or figures&quot; test</p> Signup and view all the answers

    'Dementia involves the gradual loss of intellectual abilities without impairment of consciousness.' What type of dementia does this statement refer to?

    <p>Mild NCD</p> Signup and view all the answers

    'It usually occurs in the course of an acute medical illness such as encephalitis or meningitis but is also seen in drug use and withdrawal, particularly withdrawal from alcohol.' What is being referred to in this statement?

    <p>&quot;Delirium&quot;</p> Signup and view all the answers

    'Delirium is a syndrome that includes confusion and clouding of consciousness that result from central nervous system impairment.' Which part of the brain is primarily affected in delirium?

    <p>&quot;Frontal lobe&quot;</p> Signup and view all the answers

    Which type of cognitive function assessment involves a test for aphasia by asking the individual to repeat 'no ifs or buts'?

    <p>Repeat 'no ifs or buts' test</p> Signup and view all the answers

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