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Some studies suggest that deposits of ______ cause the cell death associated with Alzheimer's disease:


A) beta-amyloid
B) fat
C) cholesterol
D) protein

E) B) and D)
F) C) and D)

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Describe the differences and similarities between Alzheimer's type dementia and vascular dementia.Why it is not always possible to determine the actual cause of dementia while the patient is alive?

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Dementia is a cognitive disorder charact...

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After Mr.Khalil's 85th birthday,he began to experience difficulties that appeared to be characteristic of delirium.His psychologist is careful about making a diagnosis,as she realizes that a diagnosis of delirium in the elderly is difficult


A) since the majority of assessment techniques that are used to make such a diagnosis were designed primarily for use with children.
B) since the DSM-IV criteria are so rigid that many people with the disorder do not get properly diagnosed.
C) due to the combination of medical illnesses and medications used to treat illnesses within the elderly population.
D) all of the above

E) All of the above
F) B) and C)

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One major difference that is useful in the diagnosis of dementia or delirium is that


A) dementia symptoms develop slowly over time, and delirium symptoms develop quickly.
B) dementia symptoms are usually associated with underlying medical conditions, and delirium is usually the result of other factors.
C) the initial symptoms of dementia are generally more severe than the symptoms of delirium.
D) the symptoms of dementia involve memory, but the symptoms of delirium are more likely to involve expressive language.

E) A) and C)
F) None of the above

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In the "Abnormal Psychology Live" CD for Chapter 15,the Alzheimer's patient named Tom was shown to be _________________.


A) delusional
B) angry and aggressive
C) memory impaired
D) mute

E) C) and D)
F) B) and C)

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In the advanced stages of Alzheimer's disease,a phenomenon called "sundowner syndrome" occurs in which cognitive disturbances tend to


A) improve as the day goes on.
B) become worse toward evening.
C) come and go during the course of the day.
D) peak around mid-day.

E) C) and D)
F) None of the above

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Which of the following statements is TRUE about vascular dementia?


A) The prevalence rate is 25% for those over age 80.
B) The risk for women is slightly higher than men.
C) The outcome is similar to that of Alzheimer's disease.
D) The onset is about the same as for Alzheimer's disease.

E) All of the above
F) B) and C)

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According to the most recent research,which of the following statements is TRUE concerning ethnic background and the development of Alzheimer's type of dementia?


A) Japanese, Nigerian, and Amish have lower rate of prevalence of the disorder.
B) Alzheimer's disease is found in roughly the same numbers across all ethnic groups.
C) Educated European ethnic groups have a lower rate of getting the disease.
D) Native Americans have a slightly higher rate of the disorder.

E) A) and D)
F) None of the above

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John was recently diagnosed with Alzheimer's type dementia.After researching his treatment options,he decides to try medication and attempt to make the most of his remaining abilities.John plans to stay as physically and mentally active as possible for as long as he can and to use compensation strategies if necessary.His decision


A) makes little sense as there are more aggressive biological treatments that are effective.
B) seems reasonable given the fact that there are no effective treatments available.
C) ignores the additional demands that his decision will ultimately place on his caregivers.
D) makes little sense since intensive psychosocial intervention has been shown to be effective.

E) A) and D)
F) A) and C)

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The term "organic mental disorders" is no longer used to describe cognitive disorders because


A) there is nothing "organic" about these disorders.
B) cognitive disorders are actually thought disorders.
C) the term implies that there is no effective treatment.
D) most psychological disorders have an "organic" component.

E) B) and D)
F) A) and D)

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What does glial cell-derived neurotrophic factor (GDNF) do?


A) Preserve and possibly restore neurons.
B) Break down amyloid plaques.
C) Regulate dopamine production.
D) Cure hypothyroidism.

E) A) and D)
F) None of the above

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A key difference between vascular dementia and Alzheimer's disease is ____________.


A) rate of onset
B) prevalence
C) gender distribution
D) all of the above

E) All of the above
F) A) and B)

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Dementia caused by HIV appears to be due to ______________.


A) the HIV infection itself
B) side effects of medications used to treat HIV
C) opportunistic infections that occur in HIV patients
D) chemical imbalances in the brain

E) C) and D)
F) A) and B)

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Which of the following individuals is MOST likely to develop delirium?


A) Joe (age 76) takes multiple medications for various medical conditions. Two new medications have just been prescribed for him, and he has already made a mistake taking the first dose.
B) Jean (age 89) is in good physical and mental health. This morning, she has a little bit of a head cold, but has not yet taken any medication for it.
C) Mark (age 12) woke up with a low-grade fever from the viral infection that has been going around his class this past week.
D) Sarah (age 40) was in a minor car accident but claims to feel fine.

E) B) and D)
F) All of the above

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Research suggests that Alzheimer's disease accounts for about _____of the cases of dementia.


A) 15%
B) 25%
C) 50%
D) 75%

E) A) and B)
F) B) and C)

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When a person has dementia,he or she may also experience delusions,depression,agitation,aggression,and/or apathy,all of which are due to


A) progressive deterioration of brain functioning.
B) frustration experienced by these patients as they lose their cognitive abilities.
C) neither of these
D) both of these

E) B) and C)
F) None of the above

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Which of the following statements is TRUE regarding the different types of dementia?


A) All forms of dementia have the same onset, symptoms, and course.
B) Vascular dementia has a more rapid, onset and patients suffer a much more rapid demise that with the other forms of dementia.
C) Vascular dementia has a more rapid onset and results in fewer deficits than Alzheimer's type dementia.
D) Vascular dementia has a more rapid onset than Alzheimer's type dementia, although the course and outcome are similar.

E) B) and C)
F) A) and C)

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Biological treatments for dementia are usually ineffective because


A) there is no effective treatment for the primary disorder.
B) no medications exist that provide even temporary symptom relief.
C) vitamin E treatments have proven ineffective.
D) people with dementia rarely participate in treatment.

E) A) and B)
F) B) and C)

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All of the following are considered deterministic genes EXCEPT __________.


A) presenilin-1
B) presenilin-2
C) apoE4
D) ß-amyloid precursor

E) A) and D)
F) None of the above

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Patients with Alzheimer's type dementia benefit from medications that work by


A) preventing the breakdown of acetylcholine.
B) enhancing the level of dopamine.
C) preventing the reuptake of serotonin.
D) unknown mechanisms.

E) None of the above
F) A) and D)

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