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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 C)
F) All of the above

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The neurocognitive disorder experienced by HIV patients primarily affects areas of the brain in the .


A) meninges
B) hindbrain
C) inner areas of the brain
D) brain stem

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

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Which of the following are problems associated with the medications used to treat neurocognitive disorder due to Alzheimer's disease?


A) Abilities only improve to the same point where they were 6 months prior to treatment.
B) Any gains in ability are temporary.
C) Many patients discontinue medication because of severe side effects and expense.
D) All of these are significant problems with the medications used to treat neurocognitive disorder due to Alzheimer's disease.

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

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What is MOST successful in assisting people who are susceptible to delirium?


A) Psychosocial approach
B) Preventive efforts such as patient counseling
C) Antipsychotic medications
D) Rest and reassurance

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

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One theory about the development of neurocognitive disorder due to Alzheimer's disease suggests that the formation of solid waxy proteins in the brain causes the disorder in a process similar to


A) cholesterol build-up in blood vessels causing cardiovascular disease.
B) vascular spasms causing migraines.
C) head trauma causing neuronal death.
D) formation of scar tissue following an injury.

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

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In the advanced stages of neurocognitive disorder due to 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) A) and B)
F) None of the above

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Apolipoprotein (apo E4) is associated with the development of neurocognitive disorder because apo E4


A) helps insulate neurons from various toxins.
B) results in neurofibrillary tangles.
C) causes aluminum to concentrate in the brain.
D) helps transport amyloid protein through the bloodstream.

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

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In regard to neurocognitive disorder due to Alzheimer's disease, the biological "cognitive reserve" hypothesis suggests that


A) skills acquired through formal education can actually enhance the early symptoms of the illness.
B) the more synapses one develops throughout life, the more neuronal death required before the person becomes impaired.
C) individuals with neurocognitive disorder due to Alzheimer's disease never had reserve neurons.
D) neurocognitive disorder due to Alzheimer's disease is caused by a lack of formal education.

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

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Designer drugs such as Ecstasy, "Molly," and "bath salts":


A) impact the ability to focus.
B) can cause delirium.
C) indicate the complex interaction between physical and psychological health.
D) all of the answers are correct.

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

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Mr. Smith (age 72) is brought to the hospital emergency room. His son explains that his father woke up this morning and was "not himself." Mr. Smith appears confused, agitated, and a bit frightened. He does not know his own name and cannot recognize his son. Mr. Smith's son reports that his father had been completely fine with no symptoms prior to that morning. Mr. Smith appears to be suffering from .


A) neurocognitive disorder due to Lewy Body disease
B) neurocognitive disorder due to Alzheimer's disease
C) delirium
D) amnestic disorder

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

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How is neurocognitive disorder due to Alzheimer's disease usually diagnosed?


A) MRI findings
B) Brain biopsy
C) Functional brain scan
D) Simplified mental status exam

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

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How does a holistic psychosocial intervention best serve someone with a cognitive impairment?

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The recommended first line of treatment ...

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There are fewer studies on vascular neurocognitive disorder because


A) it is less serious than neurocognitive disorder due to Alzheimer's disease.
B) of its lower incidence rates as compared to Alzheimer's disease.
C) its cause is clear and not in need of research.
D) none of the above

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

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If the findings from the study regarding the writings of a group of Catholic nuns (Snowden et al., 1996) are correct, which of the following individuals is most likely to eventually develop neurocognitive disorder due to Alzheimer's disease?


A) John, whose writing is very descriptive and a bit bizarre.
B) Mary, whose writing has many religious themes.
C) Maureen, whose writing is mostly about animals.
D) Lisa, whose writing describes events in very brief terms.

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

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Which of the following statements is TRUE regarding the different types of neurocognitive disorder?


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

E) None of the above
F) All of the above

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Compared to most disorders, Huntington's disease is very unusual because it is


A) the result of one gene.
B) influenced by many genes.
C) always a cause of neurocognitive disorder.
D) associated with subcortical impairment.

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

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Which disorder is associated with the formation of neurofibrillary tangles and amyloid plaques in the brain?


A) Huntington's disease
B) Pick's disease
C) neurocognitive disorder due to Alzheimer's disease
D) Creutzfeldt-Jakob disease

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

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Neurocognitive disorder 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) All of the above
F) A) and B)

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


A) Poison
B) Drug use
C) Infections
D) Allergic reactions

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

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All of the following are types of neurocognitive disorder EXCEPT


A) vascular neurocognitive disorder.
B) substance/medication-induced neurocognitive disorder.
C) neurocognitive disorder due to mononucleosis.
D) neurocognitive disorder due to prion disease.

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

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