Psychiatry chapter
PSYCHIATRY

Organic Mental Disorders

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Questions

QUESTION 41
Which type of dementia is described as common in progressive supranuclear palsy, Huntington’s chorea, Parkinson’s disease and Wilson’s disease?
QUESTION 42
What permits an organic mental syndrome to be termed an organic mental disorder?
QUESTION 43
What is the stated purpose of ventriculoatrial or ventriculoperitoneal shunting in normal pressure hydrocephalus?
QUESTION 44
Which pairing correctly identifies the acute and chronic examples of organic brain syndromes, respectively?
QUESTION 45
An organic mental disorder is classified primarily by an effect on personality. Which syndrome corresponds to this category?
QUESTION 46
In a patient being evaluated for delirium, inconsistencies in mental status testing and a normal EEG favor which differential diagnosis?
QUESTION 47
Which pair of organic mental disorders is classified as causing global cognitive impairment?
QUESTION 48
Which group is listed as antitubercular drugs associated with delirium?
QUESTION 49
Which drug is listed as a cause of hypomania and mania?
QUESTION 50
Withdrawal from which substance is listed as a cause of depression?
QUESTION 51
What proportion of medical and surgical inpatients is organic mental syndrome believed to affect?
QUESTION 52
Which organic mental syndrome is classified as involving impairment of selected areas of cognition?
QUESTION 53
Which is the most common dementing disorder?
QUESTION 54
In addition to intellectual decline interfering with social or occupational functioning, objective impairment in which domain is required for the stated definition of dementia?
QUESTION 55
Which feature distinguishes dementia from delirium in the supplied diagnostic description?
QUESTION 56
Which drug should be avoided because it can precipitate delirium?
QUESTION 57
Approximately what proportion of dementia cases in the elderly is attributed to Alzheimer’s disease?
QUESTION 58
Which drug is preferred for a delirious patient with hepatic failure?
QUESTION 59
Two patients develop Alzheimer’s dementia at ages 62 and 70 years, respectively. How are their dementias classified by age?
QUESTION 60
Which course of cognitive decline favors multiinfarct dementia over Alzheimer’s disease?
QUESTION 61
A patient with dementia develops agitation, hallucinations, and sleep disturbance. What is the stated purpose of appropriate psychopharmacological treatment for these problems?
QUESTION 62
What starting oral rivastigmine regimen is specified for dementia management?
QUESTION 63
A patient with dementia has focal localizing neurological signs, hypertension, and a history of cerebrovascular disease. Which diagnosis is favored by these findings?
QUESTION 64
Which substance is present in the clusters of degenerating nerve endings described as senile plaques?
QUESTION 65
Which microscopic structure characterizes neurofibrillary tangles?
QUESTION 66
Which condition is identified as a possible cause of global deterioration in a patient with alcohol-related dementia?
QUESTION 67
Deficiency of which vitamin leads to median thalamic, diencephalic, periventricular, and upper brain stem lesions with focal cell loss and small haemorrhages?
QUESTION 68
Which cerebral lobes are most commonly affected in the pathology described for alcohol-related dementia?
QUESTION 69
After approximately how long a history of very heavy drinking does alcohol-related dementia occur?
QUESTION 70
A person with alcohol-related dementia initially develops disregard for social conventions, poor foresight, and impaired planning. These changes correspond to which initial presentation?
QUESTION 71
Which agent is listed as a cholinesterase inhibitor used in dementia management?
QUESTION 72
A patient presents with fever, focal temporal lobe signs, disorientation, paranoid features and seizures. The illness resembles a temporal lobe tumour. Which diagnosis best fits this presentation?
QUESTION 73
Which feature is described as conspicuously absent in the subcortical dementia of progressive supranuclear palsy?
QUESTION 74
Which drug is identified as essential for early treatment of herpes simplex encephalitis?
QUESTION 75
What is the mode of inheritance of Wilson’s disease?
QUESTION 76
Infarction in the territory of which arteries is listed as a cause of amnestic syndrome?
QUESTION 77
Which serum finding supports the diagnosis of Wilson’s disease?
QUESTION 78
Which CT or MRI finding is described in Wilson’s disease?
QUESTION 79
Which combination characterizes organic amnestic syndrome?
QUESTION 80
What underlies the most common form of amnestic syndrome?
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