| Breaking Barriers to Medical Management of Alzheimer's Disease in Latino Communities |
1. Which one of the following tests is NOT recommended in all patients with dementia?
a. Thyroid Stimulating Hormone
b. Brain imaging
c. Hemoglobin Hematocrit
d. Serologic test for syphilis
2. Which one of the following is NOT tested in the Folstein Mini Mental Status?
a. Spelling WORLD backwards
b. Drawing intersecting pentagons
c. Remembering 3 names for several minutes
d. Naming current president
e. Performing a three stage command
3. Which of the following statements, important to caregivers, is FALSE?
a. Disordered sleep heads the list of patients' characteristics stressing caregivers
b. There is convincing evidence that patients with dementia have more driving accidents that those
without dementia
c. Catastrophic reactions can be induced by too much input of any kind
d. Hallucinations in Alzheimer's disease are generally not threatening to the patient
4. True or false?
There are 200,000 Latinos in USA living with Alzheimer's disease, and this number will increase by 1.3
millions by 2050
True
False
5. Dementia may produce specific impairments, behaviors, or symptoms that may include all
of the following EXCEPT:
a. Repeats questions and misplaces objects
b. Difficulty dressing and using the toilet unaided
c. A tendency to suddenly fall asleep while conversing or engaging in activities
d. Trouble recognizing familiar persons and places
e. Inability to follow directions
6. Although there are many instruments available to assess the cognitive function of
patients who may be demented, the one that is most often used is the:
a. Activities of Daily Living part of the Minimum Data Set
b. Mini-Mental State Examination
c. Functional Activities Questionnaire
d. Barthel Index
7. Each of the following diagnoses except ________ suggests that the affected patient may
be demented.
a. Parkinson’s disease
b. Amyotrophic lateral sclerosis
c. Senile memory loss
d. Normal-pressure hydrocephalus
e. Alcohol-related encephalopathy
8. Unlike patients with delirium or depression, those with dementia:
a. Frequently exhibit significant day-to-day fluctuations in function and the ability to think
b. Usually do not exhibit altered levels of consciousness
c. Tend to have more somatic symptoms
d. Perform relatively well on tasks involving automatic processing
9. True or false?
In demented patients, sudden changes in functional ability, level of consciousness, and behavior nearly
always result from some other acute condition.
True
False
10. Which of the following conditions or circumstances is NOT recognized as predisposing to
dementia?
a. Alcohol abuse
b. Brain tumor
c. HIV infection
d. Chronic heart failure
e. Vitamin B12 deficiency
11. A diagnosis of dementia requires:
a. Memory impairment alone, as evidenced by difficulty learning new information or recalling
previously learned information
b. The presence of aphasia, apraxia, agnosia, or impaired executive functioning, even if memory is
not compromised
c. A significant decline in social and occupational functioning from the previous level
12. Alzheimer’s disease is characterized by:
a. An acute and continued decline in cognitive function
b. A gradual onset and continuous cognitive dysfunction
c. A gradual onset and subsequent discontinuous decreases in cognitive abilities
13. Further diagnostic work-ups, post-admission to the nursing home, may be appropriate if:
a. The work-up would be burdensome to the patient
b. The patient is terminally ill
c. The findings would not alter the management plan
d. The findings would identify potentially treatable conditions
14. A patient who finds it difficult to prepare a simple meal or perform household chores, and
who may require help with some aspects of self-care, is considered to have ________
dementia.
a. Severe
b. Moderate
c. Mild
15. Which of the complementary and alternative therapies listed below may be especially
helpful to residents who are agitated and depressed?
a. Aromatherapy
b. Pet therapy
c. Music therapy
d. Diaphragmatic breathing exercises
e. Massage.
16. The more impaired a demented resident may be, the ______ the immediate environment
is likely to influence the patient’s ability to function and contribute to excessive disability.
a. More
b. Less
17. Of the cholinesterase inhibitors approved by the Food and Drug Administration (FDA) for
treating patients with dementia of the Alzheimer type, which requires only once-a-day
dosing, is most easily titrated, has the longest elimination half-life, and does not interact with
food?
a. Donepezil
b. Rivastigmine
c. Galantamine
18. Memantine, approved by the FDA for use in patients with moderate to severe Alzheimer’s
dementia:
a. Should be used alone
b. May be used in combination with a cholinesterase inhibitor
c. May be used in either manner
19._______________ , an agent tried in patients with dementia with no strong evidence of
efficacy, may actually worsen cognitive function and also cause cardiovascular
complications.
a. Selegiline
b. Estrogen
c. Nonsteroidal anti-inflammatory drugs
d. Vitamin E
20. True or false
Dietary factors, such as the MeDi diet (Mediterranean diet high intake of vegetables, legumes, fruits,
cereals, and fish; low intake of saturated fatty acids, dairy products, meat, and poultry with a mild-to-
moderate amount of alcohol), regular exercise, and intellectual involvement, seem to favorably modify
the disease course and may help to prevent or delay AD.
True
False
21. The prevalence of Alzheimer's disease in persons older than 85 years is approximately:
a. 10 %
b. 50 %
c. 30 %
d. 90 %
22. The activity of which of the following neurotransmitters is MOST reduced in Alzheimer's
disease patients?
a. Glutamate
b. Dopamine
c. Serotonin
d. Acetylcholine
a. Thyroid Stimulating Hormone
b. Brain imaging
c. Hemoglobin Hematocrit
d. Serologic test for syphilis
2. Which one of the following is NOT tested in the Folstein Mini Mental Status?
a. Spelling WORLD backwards
b. Drawing intersecting pentagons
c. Remembering 3 names for several minutes
d. Naming current president
e. Performing a three stage command
3. Which of the following statements, important to caregivers, is FALSE?
a. Disordered sleep heads the list of patients' characteristics stressing caregivers
b. There is convincing evidence that patients with dementia have more driving accidents that those
without dementia
c. Catastrophic reactions can be induced by too much input of any kind
d. Hallucinations in Alzheimer's disease are generally not threatening to the patient
4. True or false?
There are 200,000 Latinos in USA living with Alzheimer's disease, and this number will increase by 1.3
millions by 2050
True
False
5. Dementia may produce specific impairments, behaviors, or symptoms that may include all
of the following EXCEPT:
a. Repeats questions and misplaces objects
b. Difficulty dressing and using the toilet unaided
c. A tendency to suddenly fall asleep while conversing or engaging in activities
d. Trouble recognizing familiar persons and places
e. Inability to follow directions
6. Although there are many instruments available to assess the cognitive function of
patients who may be demented, the one that is most often used is the:
a. Activities of Daily Living part of the Minimum Data Set
b. Mini-Mental State Examination
c. Functional Activities Questionnaire
d. Barthel Index
7. Each of the following diagnoses except ________ suggests that the affected patient may
be demented.
a. Parkinson’s disease
b. Amyotrophic lateral sclerosis
c. Senile memory loss
d. Normal-pressure hydrocephalus
e. Alcohol-related encephalopathy
8. Unlike patients with delirium or depression, those with dementia:
a. Frequently exhibit significant day-to-day fluctuations in function and the ability to think
b. Usually do not exhibit altered levels of consciousness
c. Tend to have more somatic symptoms
d. Perform relatively well on tasks involving automatic processing
9. True or false?
In demented patients, sudden changes in functional ability, level of consciousness, and behavior nearly
always result from some other acute condition.
True
False
10. Which of the following conditions or circumstances is NOT recognized as predisposing to
dementia?
a. Alcohol abuse
b. Brain tumor
c. HIV infection
d. Chronic heart failure
e. Vitamin B12 deficiency
11. A diagnosis of dementia requires:
a. Memory impairment alone, as evidenced by difficulty learning new information or recalling
previously learned information
b. The presence of aphasia, apraxia, agnosia, or impaired executive functioning, even if memory is
not compromised
c. A significant decline in social and occupational functioning from the previous level
12. Alzheimer’s disease is characterized by:
a. An acute and continued decline in cognitive function
b. A gradual onset and continuous cognitive dysfunction
c. A gradual onset and subsequent discontinuous decreases in cognitive abilities
13. Further diagnostic work-ups, post-admission to the nursing home, may be appropriate if:
a. The work-up would be burdensome to the patient
b. The patient is terminally ill
c. The findings would not alter the management plan
d. The findings would identify potentially treatable conditions
14. A patient who finds it difficult to prepare a simple meal or perform household chores, and
who may require help with some aspects of self-care, is considered to have ________
dementia.
a. Severe
b. Moderate
c. Mild
15. Which of the complementary and alternative therapies listed below may be especially
helpful to residents who are agitated and depressed?
a. Aromatherapy
b. Pet therapy
c. Music therapy
d. Diaphragmatic breathing exercises
e. Massage.
16. The more impaired a demented resident may be, the ______ the immediate environment
is likely to influence the patient’s ability to function and contribute to excessive disability.
a. More
b. Less
17. Of the cholinesterase inhibitors approved by the Food and Drug Administration (FDA) for
treating patients with dementia of the Alzheimer type, which requires only once-a-day
dosing, is most easily titrated, has the longest elimination half-life, and does not interact with
food?
a. Donepezil
b. Rivastigmine
c. Galantamine
18. Memantine, approved by the FDA for use in patients with moderate to severe Alzheimer’s
dementia:
a. Should be used alone
b. May be used in combination with a cholinesterase inhibitor
c. May be used in either manner
19._______________ , an agent tried in patients with dementia with no strong evidence of
efficacy, may actually worsen cognitive function and also cause cardiovascular
complications.
a. Selegiline
b. Estrogen
c. Nonsteroidal anti-inflammatory drugs
d. Vitamin E
20. True or false
Dietary factors, such as the MeDi diet (Mediterranean diet high intake of vegetables, legumes, fruits,
cereals, and fish; low intake of saturated fatty acids, dairy products, meat, and poultry with a mild-to-
moderate amount of alcohol), regular exercise, and intellectual involvement, seem to favorably modify
the disease course and may help to prevent or delay AD.
True
False
21. The prevalence of Alzheimer's disease in persons older than 85 years is approximately:
a. 10 %
b. 50 %
c. 30 %
d. 90 %
22. The activity of which of the following neurotransmitters is MOST reduced in Alzheimer's
disease patients?
a. Glutamate
b. Dopamine
c. Serotonin
d. Acetylcholine
Pre-Test
Answer each question by checking the box next to your chosen answer.
Complete the personal information section to ensure we record your answers accurately.
You will be given feedback on your performance after the workshop.
Complete the personal information section to ensure we record your answers accurately.
You will be given feedback on your performance after the workshop.
