Medications for Psychotic Symptoms
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Questions and Answers

Which age group has the highest prevalence of dementia?

  • Indigenous Australians
  • Over 80-year-olds
  • 90-year-olds (correct)
  • Over 65-year-olds
  • What percentage of all dementia cases is considered early-onset?

  • 70%
  • 1% (correct)
  • 30%
  • 10%
  • Which type of dementia is the most common?

  • Central nervous system dementia
  • Alzheimer's disease (correct)
  • Vascular dementia
  • Frontotemporal dementia
  • Which type of dementia is commonly associated with Parkinsonism and visual hallucinations?

    <p>Lewy body dementia</p> Signup and view all the answers

    Which of the following is a common complication in patients with dementia?

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

    Which of the following is NOT a symptom of depression in older people and people with dementia?

    <p>Increased attention and concentration</p> Signup and view all the answers

    True or False: Clinical depression is under-recognised and under-treated in terminally ill patients.

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

    Which of the following is a common symptom of depression in terminally ill patients?

    <p>Persistent suicidal ideation</p> Signup and view all the answers

    Which of the following is NOT a symptom of delirium?

    <p>Increased attention span</p> Signup and view all the answers

    What is the primary symptom of delirium?

    <p>Impairment of consciousness</p> Signup and view all the answers

    Which of the following is NOT a potential cause of delirium?

    <p>Sleep deprivation</p> Signup and view all the answers

    Which drug is traditionally the drug of choice for managing severe delirium?

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

    Which of the following is NOT a treatable cause of dementia?

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

    What is the biggest risk factor for delirium in individuals with dementia?

    <p>Presence of pre-existing cognitive impairment</p> Signup and view all the answers

    Which of the following is NOT a symptom of depression in individuals with advanced dementia?

    <p>Self-harm behavior</p> Signup and view all the answers

    What is the safest choice for managing agitation alone in individuals with advanced dementia?

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

    Which screening tool is commonly used for depression in dementia, but has not been validated in patients with an MMSE of 10 or less or in patients with significant BPSD?

    <p>Cornell Scale for Depression in Dementia</p> Signup and view all the answers

    What are two 'biological' symptoms of depression in the setting of dementia?

    <p>Poor appetite and insomnia</p> Signup and view all the answers

    What is the first-line pharmacological management for symptoms of Behavioral and Psychological Symptoms of Dementia (BPSD)?

    <p>SSRI antidepressants</p> Signup and view all the answers

    What is the recommended approach for managing mild to moderate depression in palliative care?

    <p>Drug therapy with antidepressants</p> Signup and view all the answers

    Which of the following is NOT recommended for rapid control of distressing psychotic symptoms?

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

    What is a common symptom in people who are dying?

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

    What can cause poor symptom control of anxiety, depression, pain, and other symptoms?

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

    What is terminal agitation?

    <p>A prolonged delirium</p> Signup and view all the answers

    Which of the following can be predictors of terminal agitation in a residential care setting?

    <p>Chest infections</p> Signup and view all the answers

    What is terminal agitation often mistaken for by care staff in a residential care setting?

    <p>Behavioral and psychological symptoms of dementia</p> Signup and view all the answers

    What percentage of referrals to the Australian national Severe Behaviour Response Teams were revealed to have been on a terminal trajectory?

    <p>10%</p> Signup and view all the answers

    What are some possible causes of physical discomfort that can contribute to terminal agitation?

    <p>Unrelieved pain</p> Signup and view all the answers

    What are some possible causes of psychological discomfort that can contribute to terminal agitation?

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

    What medication can aggravate restlessness in some patients if administered in inadequate doses?

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

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