DSM-5 Criteria for Major Neurocognitive Disorder

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Questions and Answers

What is the minimum score on the Montreal Cognitive Assessment that indicates normal cognitive function?

  • 24
  • 26 (correct)
  • 22
  • 30

What is the primary use of CSF analysis in the diagnosis of Alzheimer's disease?

  • To determine the level of tau and phosphorylated tau (correct)
  • To examine the brain's shrinkage
  • To measure the level of amyloid in the brain
  • To analyze the level of ApoE4 genotype

What is the effect of ApoE2 genotype on the risk of developing Alzheimer's disease?

  • It is only present in 1% of the population
  • It increases the risk
  • It is protective (correct)
  • It has no effect

What is the typical course of Alzheimer's disease?

<p>Gradual onset and slow progression (C)</p> Signup and view all the answers

What is the significance of low levels of amyloid in the CSF?

<p>It is a hallmark of Alzheimer's disease (A)</p> Signup and view all the answers

Which of the following is a risk factor for Alzheimer's disease?

<p>Lower years of education (D)</p> Signup and view all the answers

What is the preferred treatment for patients under 60 years old with Parkinson's disease?

<p>Dopamine agonists (B)</p> Signup and view all the answers

What is the main advantage of dopamine agonists?

<p>They are orally available and don't require injection (D)</p> Signup and view all the answers

What is the reason why dopamine agonists are preferred in younger patients?

<p>They are less likely to cause dyskinesia (B)</p> Signup and view all the answers

What is the main complication of Parkinson's disease that can occur later in the course of the disease?

<p>Fluctuations in disease with more complications (D)</p> Signup and view all the answers

What is the definition of orthostatic hypotension?

<p>A drop of 20 mmHg in systolic blood pressure or 10 mmHg in diastolic blood pressure (B)</p> Signup and view all the answers

What is the benefit of using Duodopa?

<p>It can be used in patients with delayed gastric emptying (A)</p> Signup and view all the answers

What is the primary goal of the Tilt test in patients with syncope?

<p>To reproduce symptoms in a controlled environment (C)</p> Signup and view all the answers

What percentage of ischemic strokes are caused by carotid artery disease?

<p>20% (C)</p> Signup and view all the answers

What is the primary indication for thrombolysis in ischemic stroke?

<p>Symptom onset &lt; 4.5 hours (B)</p> Signup and view all the answers

What is the most common cause of intracerebral hemorrhage?

<p>Aneurysm rupture (B)</p> Signup and view all the answers

What is the diagnostic test of choice for pulmonary embolism?

<p>Computed Tomography Pulmonary Angiography (CTPA) (C)</p> Signup and view all the answers

What is the primary treatment for tension pneumothorax?

<p>Needle decompression (C)</p> Signup and view all the answers

What is the primary indication for chest drain insertion?

<p>All of the above (D)</p> Signup and view all the answers

What is the primary complication of cirrhosis?

<p>Ascites (A)</p> Signup and view all the answers

What is the primary diagnostic test for celiac disease?

<p>IgA anti-tissue transglutaminase antibody (B)</p> Signup and view all the answers

What is the primary treatment for esophageal varices with bleeding?

<p>Terlipressin (D)</p> Signup and view all the answers

What is the characteristic of Kwashiorkor?

<p>Inadequate protein intake with reasonable caloric intake and edema (D)</p> Signup and view all the answers

What is the first line investigation for small bowel tumors in patients with obscure GI bleeding?

<p>Video capsule endoscopy (C)</p> Signup and view all the answers

What is the characteristic of Marasmus?

<p>Inadequate intake of protein and calories without edema (B)</p> Signup and view all the answers

What is the percentage of duodenal ulcers that bleed heavily?

<p>85-90% (A)</p> Signup and view all the answers

What is the characteristic of a perforated duodenal ulcer?

<p>Sudden upper abdominal pain, absent bowel sounds, rigid abdomen (C)</p> Signup and view all the answers

What is the sensitivity of ultrasound for diagnosing gallstones?

<p>90% (D)</p> Signup and view all the answers

What is the characteristic edge of arterial ulcers?

<p>Defined (D)</p> Signup and view all the answers

What is the primary risk factor for venous ulcers?

<p>Obesity (A)</p> Signup and view all the answers

Which type of ulcer is typically painless due to sensory neuropathy?

<p>Neuropathic ulcer (A)</p> Signup and view all the answers

What is the characteristic location of post-thrombotic and varicose ulcers?

<p>Above the medial malleolus (C)</p> Signup and view all the answers

What is the recommended approach to slough in chronic lower limb ulcers?

<p>Do not remove slough unless arterial insufficiency is excluded (C)</p> Signup and view all the answers

What is the characteristic edge of Marjolin's ulcer?

<p>Punched out (A)</p> Signup and view all the answers

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