Adult-Gerontology CNS Test Neurological and Cognitive Disorders

Question 1

Which type of dementia is characterized by fluctuating cognition, visual hallucinations, and spontaneous Parkinsonism?

Accepted Answer

Lewy body dementia

Answer

Lewy body dementia presents with the classic triad of fluctuating cognition, recurrent visual hallucinations, and spontaneous Parkinsonism.

Question 2

Which cholinesterase inhibitor is FDA-approved for mild, moderate, and severe stages of Alzheimer's disease?

Accepted Answer

Donepezil

Answer

Donepezil (Aricept) is the only cholinesterase inhibitor FDA-approved for mild, moderate, and severe Alzheimer's disease.

Question 3

What is the hallmark pathological finding of Alzheimer's disease on post-mortem examination?

Accepted Answer

Amyloid plaques and neurofibrillary tangles

Answer

Alzheimer's disease is defined pathologically by extracellular amyloid-beta plaques and intracellular tau neurofibrillary tangles.

Question 4

An 80-year-old with Parkinson's disease develops sudden-onset confusion. Which medication complication should be suspected first?

Accepted Answer

Dopaminergic medication side effect

Answer

Dopaminergic medications like levodopa and dopamine agonists commonly cause confusion, hallucinations, and psychosis in Parkinson's patients.

Question 5

Which behavioral symptom of dementia should be managed with non-pharmacological interventions as the first-line approach?

Accepted Answer

Agitation and wandering

Answer

Non-pharmacological approaches such as structured activities, redirection, and environmental modifications are first-line for dementia-related agitation.

Adult-Gerontology CNS Test Practice Test

Adult-Gerontology CNS Test Practice Test

Adult-Gerontology CNS Test Neurological and Cognitive Disorders