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


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

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C

Substance-induced delirium is a major problem for the elderly because


A) they are more likely to take prescription medications than other age groups.
B) their bodies are less able to process and eliminate drugs.
C) improper use of medication is likely to have serious side effects.
D) all of the above.

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

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The neurofibrillary tangles associated with neurocognitive disorder due to Alzheimer's disease are best described as


A) tangled, strand-like filaments in brain cells.
B) tangled, strand-like filaments throughout the nervous system.
C) gummy protein deposits in the cortex.
D) gummy protein deposits throughout the nervous system.

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

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Patients with neurocognitive disorder due to Alzheimer's disease 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) B) and D)

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A

Treatment for Alzheimer's disease utilizes drugs that prevent the breakdown of acetylcholine including all of the following EXCEPT


A) paroxetine (Paxil) .
B) tacrine hydrochloride (Cognex) .
C) donepezil (Aricept) .
D) galantamine (Reminyl) .

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

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The symptoms of substance/medication-induced neurocognitive disorder are most similar to the symptoms observed in _______________.


A) vascular neurocognitive disorder
B) neurocognitive disorder due to Alzheimer's disease
C) Huntington's disease
D) HIV-induced neurocognitive disorder

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

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The greater the number of apolipoprotein (apo E4) genes an individual possesses, the


A) more likely the individual is to develop vascular neurocognitive disorder.
B) less likely the individual is to develop vascular neurocognitive disorder.
C) more likely the individual is to develop neurocognitive disorder due to Alzheimer's disease.
D) less likely the individual is to develop neurocognitive disorder due to Alzheimer's disease.

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

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The risk for developing neurocognitive disorder is influenced by all of the following psychological or social factors EXCEPT


A) cigarette smoking.
B) participation in sports such as boxing.
C) personality traits such as extroversion.
D) level of formal education.

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

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

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Which of the following individuals has the greatest risk of developing neurocognitive disorder due to Alzheimer's disease?


A) Paul, who is wealthy and well educated.
B) Rena, who completed college although she has an average IQ.
C) Jason, who is extremely bright but never finished college.
D) Carrie, who dropped out of school when she was very young.

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

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Early symptoms of HIV-induced neurocognitive disorder include:


A) seizures.
B) forgetfulness.
C) susceptibility to brain infection.
D) all of these answers are correct.

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

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If the presence of a gene means you have a 100% chance of developing the disease, the gene is considered ________________.


A) deterministic
B) reductionistic
C) susceptible
D) absolutist

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

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A

John was recently diagnosed with neurocognitive disorder due to Alzheimer's disease. 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 B)
F) A) and C)

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Delirium is generally treated with .


A) antibiotic medication
B) benzodiazepine medication
C) antidepressant medication
D) a treatment based on the specific cause of the delirium

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

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The symptoms of delirium tend to develop


A) very slowly, over the course of several years.
B) very quickly, over the course of a few hours to a few days.
C) moderately slowly, over the course of several months.
D) either very quickly or very slowly, depending on the cause.

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

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A key difference between vascular neurocognitive disorder and Alzheimer's disease is/are .


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

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

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Delirium brought on by withdrawal from alcohol or other drugs is generally treated with


A) rest and reassurance.
B) antipsychotic medication.
C) antidepressant medication.
D) restraining the patient until the withdrawal symptoms are over.

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

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The late onset form of Alzheimer's disease is related to chromosome .


A) 21
B) 14
C) 19
D) 12

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

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Recent research on Alzheimer's Disease reveals that:


A) it is likely to go away on its own.
B) some people with Alzheimer's actually increase their cognitive functioning.
C) early diagnosis can potentially impact the development of the disease.
D) All of the answers are correct.

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

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The prevalence of major neurocognitive disorder in adults between the ages of 65 and 74 is .


A) around .5%
B) less than 1%
C) hovering at 3%
D) a little more than 5%

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

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