Medications for Psychotic Symptoms

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30 Questions

Which age group has the highest prevalence of dementia?

90-year-olds

What percentage of all dementia cases is considered early-onset?

1%

Which type of dementia is the most common?

Alzheimer's disease

Which type of dementia is commonly associated with Parkinsonism and visual hallucinations?

Lewy body dementia

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

Pneumonia

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

Increased attention and concentration

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

True

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

Persistent suicidal ideation

Which of the following is NOT a symptom of delirium?

Increased attention span

What is the primary symptom of delirium?

Impairment of consciousness

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

Sleep deprivation

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

Haloperidol

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

Parkinson's disease

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

Presence of pre-existing cognitive impairment

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

Self-harm behavior

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

Benzodiazepines

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?

Cornell Scale for Depression in Dementia

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

Poor appetite and insomnia

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

SSRI antidepressants

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

Drug therapy with antidepressants

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

Melatonin

What is a common symptom in people who are dying?

Insomnia

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

All of the above

What is terminal agitation?

A prolonged delirium

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

Chest infections

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

Behavioral and psychological symptoms of dementia

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

10%

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

Unrelieved pain

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

Hopelessness

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

Midazolam

Quiz: Choosing the Right Medications for Psychotic Symptoms Learn about the best medication options for rapid control of distressing psychotic symptoms. Discover why sedatives may not be recommended in some cases and explore the importance of combining them with antipsychotics. Test your knowledge now!

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