Severe Mental Illness — Flashcards

Flashcard 71: Dementia is a common feature of _____ Parkinson's disease

Answer: late

Flashcard 72: Patients with Lewy body dementia are especially sensitive to _____ drug class

Answer: antipsychotic

Flashcard 73: What investigation can be used for lewy body dementia? _____

Answer: DaTscan (I-FP-CT SPECT)

Flashcard 74: A stroke can x2 ↑ the risk of suffering from _____

Answer: dementia (vascular)

Flashcard 75: A patient with diagnosed dementia should notify the _____

Answer: DVLA

Flashcard 76: Antipsychotics should not be used in patients with _____ dementia because they may exhibit neuroleptic hypersensitivity which can worsen the dementia

Answer: Lewy body

Flashcard 77: Early-onset dementia with Parkinsonian features suggests _____ dementia

Answer: Lewy body

Flashcard 78: What is the 2nd most common type of dementia? _____

Answer: Vascular

Flashcard 79: What is the pharmacological management of vascular dementia? _____

Answer: None; consider AChE inhibitors or memantine in comorbid Alzheimer's, Parkinson’s disease dementia, or dementia with Lewy bodies. Main focus remains on ↓ cardiovascular risks

Flashcard 80: Lewy body dementia diagnostic criteria for 2/3 core clinical features: _____ Parkinsonism Fluctuating cognition (Note: Fourth core feature is REM sleep behavior disorder)

Answer: Recurrent visual hallucinations

Extra: Core clinical features of Dementia with Lewy Bodies (DLB): 1. Fluctuating cognition with pronounced variations in attention and alertness. 2. Recurrent visual hallucinations that are typically well-formed and detailed. 3. REM sleep behavior disorder (RBD), which may precede cognitive decline. 4. One or more spontaneous cardinal features of parkinsonism. Probable DLB diagnostic criteria: - 2 or more core clinical features. - 1 core clinical feature + 1 or more suggestive biomarker.