Psychiatry chapter
PSYCHIATRY

Geriatric Psychiatry

52 practice questions · 0 study notes
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Questions

QUESTION 1
What age divides presenile and senile onset of Alzheimer's disease?
QUESTION 2
Why should tricyclic antidepressants be used in a lower dosage range in elderly patients?
QUESTION 3
Which pair of drug classes is listed for the treatment of phobic anxiety?
QUESTION 4
Based on the Western studies cited, approximately what proportion of elderly people are estimated to have psychiatric disorders?
QUESTION 5
Which social intervention is described as vital in all cases under management of elderly patients?
QUESTION 6
When prescribing benzodiazepines to an elderly patient, what dose relative to the usual adult dose is recommended?
QUESTION 7
Which age at onset is listed as a poor prognostic indicator for depression in elderly patients?
QUESTION 8
Which social circumstance is associated with an increased prevalence of depressive episodes in elderly patients?
QUESTION 9
An elderly patient with somatic anxiety has bronchial asthma. Which drug listed for reducing somatic anxiety is contraindicated?
QUESTION 10
Which condition is listed under metabolic causes of delirium in elderly patients?
QUESTION 11
Which combination of antidepressant properties is preferred in elderly patients?
QUESTION 12
What is the first priority in treating cognitive impairment in an elderly patient?
QUESTION 13
What proportion of older people living in residential care may be depressed?
QUESTION 14
An elderly patient has deterioration of memory, intellectual capacities and social functioning consistent with dementia. What state of consciousness is described for this condition?
QUESTION 15
A patient develops abrupt global cognitive impairment with disturbances of attention, sleep–wake cycle and psychomotor behaviour. The episode is relatively brief. Which diagnosis best fits these features?
QUESTION 16
An elderly patient claims to be very happy but appears tense, irritable and miserable, without infectious gaiety. Which term describes this presentation?
QUESTION 17
What proportion of India’s total population was above 60 years of age according to the 2001 Indian census?
QUESTION 18
Anniversary reactions are typically seen in patients with which illness?
QUESTION 19
Which combination of overall therapy duration and individual session length may be needed in psychotherapy for elderly patients?
QUESTION 20
Which staffing arrangement is specified for special geriatric inpatient units?
QUESTION 21
A decrease in choline acetyl transferase in Alzheimer’s disease leads to a reduction in which neurotransmitter?
QUESTION 22
Which activity is typically affected early in primary dementia, before simple self-care tasks become impaired?
QUESTION 23
How does a younger age of onset affect the rate of deterioration in primary dementia?
QUESTION 24
What is the most common cause of acquired Parkinsonism?
QUESTION 25
What proportion of schizophrenic disorders in women arise after the age of 65 years?
QUESTION 26
Approximately what proportion of paranoid psychotics have impaired hearing?
QUESTION 27
An elderly patient has depression that has remained unremitted for more than two years. What prognostic implication does this duration have?
QUESTION 28
Cerebral lesions at which sites are particularly implicated among the organic causes listed for late paraphrenia?
QUESTION 29
Which onset and delusional pattern characterizes the described clinical picture of paranoid psychosis?
QUESTION 30
In the described clinical picture of paranoid psychosis, how is personality frequently affected?
QUESTION 31
What is the approximate prevalence of psychiatric disorders among elderly people over 60 years of age in India?
QUESTION 32
Paranoid psychosis accounts for what percentage of all psychiatric first admissions after the age of 65 years?
QUESTION 33
Relatives of patients with late paraphrenia have an increased risk of which disorder?
QUESTION 34
Which premorbid personality is associated with neurotic depression?
QUESTION 35
Which feature belongs to the behavioural component of anxiety?
QUESTION 36
Which phobia is particularly highlighted among anxiety disorders in women aged 65 years or older?
QUESTION 37
Which substance-use pattern is specifically listed among physical conditions to consider when evaluating apparent anxiety?
QUESTION 38
In the clinical picture of depression in the elderly, which psychomotor presentation is more common than retardation?
QUESTION 39
Which vascular condition is identified as a possible precipitant of depression?
QUESTION 40
Which pair consists entirely of somatic manifestations of anxiety?
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