Pre-test: Breakthroughs In Neuro-cognitive Disorders

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Pre-test: Breakthroughs In Neuro-cognitive Disorders - Quiz


Questions and Answers
  • 1. 
    Which of the following individual cognitive assessment tools is the most sensitive in measuring cognitive dysfunction in MS?
    • A. 

      Paced Auditory Serial Addition Test (PASAT)

    • B. 

      Symbol Digit Modalities Test (SDMT)

    • C. 

      California Verbal Learning Test

    • D. 

      Brief Visuospatial Memory Test

    • E. 

      Controlled Oral Word Association Test (COWAT)

  • 2. 
    Which of the following types of cognitive impairment is NOT commonly associated with CADASIL at any time point during the disease?
    • A. 

      Attention

    • B. 

      Executive dysfunction

    • C. 

      Visuospatial impairment

    • D. 

      Agnosia

    • E. 

      Reasoning

  • 3. 
    Psychotic symptoms are most prevalent in which of the following dementias?
    • A. 

      Lewy body disease

    • B. 

      Alzheimer disease

    • C. 

      Frontotemporal dementia

    • D. 

      Vascular dementia

    • E. 

      Psychotic symptoms have about equal prevalence across dementias

  • 4. 
    Of the following, the most troubling psychotic symptom is:
    • A. 

      Agitation

    • B. 

      Euphoria

    • C. 

      Delusion

    • D. 

      Apathy

    • E. 

      Anxiety

  • 5. 
    What is the best way to differentiate Parkinson’s Disease Dementia from Dementia with Lewy Bodies?
    • A. 

      Neuroleptic sensitivity

    • B. 

      Bilateral parkinsonism

    • C. 

      Timing of onset of dementia in relation to onset of parkinsonism

    • D. 

      Presence or absence of hallucinations

  • 6. 
    Which form of atypical parkinsonism is least likely to have significant cognitive deficits?
    • A. 

      Corticobasal Degeneration

    • B. 

      Progressive Supranuclear Palsy

    • C. 

      Multiple System Atrophy

    • D. 

      Dementia with Lewy bodies

  • 7. 
    The clinical presentation of Chronic Traumatic Encephalopathy may include:
    • A. 

      Parkinsonian features

    • B. 

      Depression, anxiety, or poor impulse control

    • C. 

      Cerebellar signs

    • D. 

      All of the above

  • 8. 
    The clinical diagnosis  of Chronic Traumatic Encephalopathy:
    • A. 

      Is based on biomarker evidence of tau deposition either by PET imaging or Cerebrospinal fluid analysis

    • B. 

      Requires that the individual have more than 10 years of exposure to head trauma

    • C. 

      None of the above

  • 9. 
    The following are principles of bioethics, except: 
    • A. 

      Autonomy

    • B. 

      Respect for persons

    • C. 

      Beneficence

    • D. 

      Justice

  • 10. 
    Mr. H visits your clinic for a diagnostic work-up related to self-reported cognitive impairment. After a full work up you conclude that he has Mild Cognitive Impairment, likely consistent with Alzheimer's disease pathology. He meets the eligibility criteria for a clinical trial for an infusion secondary prevention intervention. You have been a consultant for the pharmaceutical company sponsoring the study. Prior to enrolling Mr. H in the study which of the following should you consider:
    • A. 

      Whether the patient has capacity

    • B. 

      Whether your bias is influencing your suggestion that he enroll

    • C. 

      Whether the patient/legally authorized representative understandings the distinction between research and clinical treatment

    • D. 

      All of the above

  • 11. 
    The most important useful aspect of brain volumetrics is:
    • A. 

      Accurate brain volumes

    • B. 

      Good quality MRI exams

    • C. 

      Normative data that is age/gender matched

    • D. 

      Normative data that is NOT age/gender matched

  • 12. 
    True or False: Assessment of hippocampal volume loss also requires visualization of adjacent temporal horn.
    • A. 

      True

    • B. 

      False

  • 13. 
    True or False: FDG-PET is helpful in differentiating AD from FTD, but not from other dementing disorders.
    • A. 

      True

    • B. 

      False

  • 14. 
    True or False: Amyloid-PET can be helpful in assessing the severity of Alzheimer’s disease.
    • A. 

      True

    • B. 

      False

  • 15. 
    The scientist influential in calling attention to the role of ApoE4 in Alzheimer was:
    • A. 

      Stan Prusiner

    • B. 

      Robert Katzman

    • C. 

      Allan Roses

    • D. 

      Bruno Dubois

  • 16. 
    The cholinergic hypothesis of Alzheimer’s disease:
    • A. 

      Originated with David Selkoe

    • B. 

      Followed chemical and histological observations in the 1970’s

    • C. 

      Was based on the success of cholinesterase inhibitors in the 1990’s

    • D. 

      Has been replace by the amyloid hypothesis

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