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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, but the course and outcome are similar.

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

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If Jane's neurocognitive disorder is caused by a process that has damaged her brain's dopamine pathways, it can be assumed that this condition is caused by


A) head trauma.
B) Parkinson's disease.
C) Huntington's disease.
D) neurocognitive disorder due to Alzheimer's disease.

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

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At the age of 50, Delia has begun to be teased by her family for being 'absent-minded'.The truth is that Delia has been hiding the fact that each week she seems to remember less and less.For the last month, she has been getting lost while driving home from work.Lately, she has been relying on a hand-drawn map to get home.She has started having trouble recognising the faces of people at work and frequently forgets why she started to do something.Delia appears to be developing


A) delirium.
B) amnestic disorder.
C) neurocognitive disorder.
D) medically induced dementia.

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

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Although the sample size is small, the results of a study that looked at the writings of a group of Catholic nuns (Snowden et al., 1996) , suggest that the development of neurocognitive disorder due to Alzheimer's disease might be predicted in early life by analysing the __________ present in an individual's writing.


A) errors
B) word usage
C) idea density
D) emotional tone

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

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The cause of most cognitive disorders is


A) the normal process of ageing.
B) brain dysfunction.
C) alcohol/substances.
D) medication side effects.

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

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


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

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

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The research finding of a negative correlation between smoking and neurocognitive disorder due to Alzheimer's disease is generally interpreted to mean that


A) research findings are sometimes in error.
B) nicotine protects against neurocognitive disorder due to Alzheimer's disease for most people.
C) smoking may be helpful in protecting people at high risk for Alzheimer's disease.
D) smoking may shorten the lives of smokers so they do not live long enough to develop neurocognitive disorder due to Alzheimer's disease.

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

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What is the main reason we do NOT have an effective treatment for neurocognitive disorder due to Alzheimer's disease?


A) The disorder affects the elderly who generally have many other health problems.
B) We do not have a way to replace extensive brain damage.
C) The amount of treatment research is considerably less for neurocognitive disorder than for other disorders.
D) The cause is genetic.

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

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One hypothesis to explain the observed differences in the rate of neurocognitive disorder due to Alzheimer's disease for individuals of varying educational levels is that


A) the abilities acquired through formal education create a 'mental reserve' that helps offset the symptoms of the illness as they progress.
B) the type of mental activity associated with formal education places an additional burden on the brain that makes symptoms worse once a person has the disorder.
C) knowledge acquired through formal education helps one avoid exposure to environmental stimuli that might influence the disorder.
D) the type of work that most college graduates pursue is less likely to expose the individual to the stressors associated with the disorder.

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

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According to the most recent research, which of the following statements is TRUE concerning ethnic background and the development of neurocognitive disorder due to Alzheimer's disease?


A) Japanese, Nigerian and Amish individuals have lower prevalence of the disorder.
B) The illness 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) None of the above
F) B) and D)

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The risk of developing vascular neurocognitive disorder is


A) greater for women than men.
B) greater for men than women.
C) equal for men and women.
D) greater for men in Europe, but equal for men and women in the rest of the world.

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

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The disorder that causes a form of neurocognitive disorder called Creutzfeldt-Jakob disease may be linked to


A) Huntington's disease.
B) Pick's disease.
C) neurocognitive disorder due to Alzheimer's disorder.
D) bovine spongiform encephalopathy ('mad cow disease') .

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

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Genetic research suggests that Alzheimer's disease is linked to


A) Down's syndrome through chromosome 21.
B) Parkinson's disease through a single gene.
C) depression through chromosome 12.
D) Huntington's disease due to a genetic mutation.

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

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Patients with neurocognitive disorder 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) 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 counselling
C) antipsychotic medications
D) rest and reassurance

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

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What is the typical response to medication that can be expected for a patient with neurocognitive disorder due?


A) about one year without symptoms
B) doubling of life expectancy
C) temporary improvement in abilities
D) relief of physical but not cognitive symptoms

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

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From the following choices, the age group most likely to use prescription medications is


A) infants and young children.
B) children and adolescents.
C) middle-aged adults.
D) older adults.

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

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In DSM-IV-TR, the organic mental disorders were relabelled as cognitive disorders because


A) almost all disorders involve brain dysfunction.
B) delirium and dementia involve cognitive symptoms while the other disorders do not.
C) delirium and dementia occur primarily in the very young.
D) both a and b

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

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One of the major differences between major neurocognitive disorder caused by Alzheimer's disease and major neurocognitive disorder caused by depression is that Alzheimer's type major neurocognitive disorder


A) is generally reversible.
B) is not reversible.
C) involves a slow increase in symptoms.
D) leads to a rapid decline in abilities.

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

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Which of the following are problems associated with the medications used to treat neurocognitive disorder?


A) Abilities only improve to the same point where they were six 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.

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

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