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2. _____ is the inability to carry out motor activities. |
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3. _____ is the inability to recognize or identify. |
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4. What is the most common cause of dementia? |
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1) ALZHEIMERS, 2) VASCULAR CAUSES, 3) HIV, 4) PARKINSON’S, 5) HEAD TRAUMA, 6) HUNTINGTON’S, 7) MEDICATIONS, 8) DRUGS |
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6. _____ is a cause of dementia due to primary cortical degeneration. |
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7. _____ is a cause of dementia due to primary subcortical degeneration. |
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8. These 2 causes of dementia are caused by cerebrovascular disease. |
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1) CVA, 2) LACUNAR INFARCTS |
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9. 3 structural or traumatic causes of dementia. |
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1) BRAIN TUMOR, 2) HEAD INJURY, 3) POST SURGERY |
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10. These 4 nutritional deficiencies can cause dementia. |
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1) B-12, 2) FOLATE, 3) NIACIN, 4) THIAMINE |
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11. 2 neurological and metabolic causes of dementia. |
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12. 4 inflammatory causes of dementia. |
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1) COLLAGEN VASCULAR DISEASE, 2) SJORGREN SYNDROME, 3) SLE, 4) VASCULITIDES |
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13. The pathologic hallmarks of Alzheimers are _____ and _____, which essentially represent an imbalance between neuronal injury and repair. These pathological changes are accompanied by losses of synaptic connections, neurons and neurotransmitters. |
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SENILE PLAQUES AND NEUROFIBRILLARY TANGLES |
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14. The primary components of neurofibrillary tangles are filaments of abnormally phosphorylated _____. |
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15. Senile plaques are composed of abnormally processed _____, _____, and _____. |
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BETA-AMYLOID PROTEIN, DEGENERATING NEURONS, AND SURROUNDING INFLAMMATORY CELLS |
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16. There is an increased concentration of _____ in amyloid plaques. |
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17. 8 s/s of early dementia. |
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1) REDUCTION IN PRODUCTIVE AND SPONTANEOUS ACTIVITES, 2) IMPAIRMENT IN COGNITION, 3) INABILITY TO COPE WITH COMPLEX OR NEW TASKS, 4) REDUCED VERBAL OUTPUT, 5) RETENTION OF WELL LEARNED BEHAVIOR, 6) MISPLACED ITEMS, 7) FINANCIAL PROBLEMS, 8) DECREASED INITIATIVE AND DEPRESSION |
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18. 6 s/s of moderate dementia. |
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1) REDUCTION OF COGNITIVE FUNCTION, 2) MORE DEPENDENT IN ACTIVITES, 3) LONG-TERM MEMORY ALTERED, 4) FURTHER DECLINE IN VERBAL OUTPUT, 5) BEHAVIOR CHANGES, 6) INDEPENDENT LIVING IS DANGEROUS |
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19. 6 s/s of advanced dementia. |
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1) REMNANTS OF MEMORY REMAIN, 2) COMMUNICATION IS LIMITED TO REPEATED WORDS, 3) EVENTUAL MUTISM, 4) BLADDER AND BOWEL INCONTINENCE, 5) COMPLETE ASSISTANCE WITH ADL’S, 6) EVENTUAL DEATH |
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20. 5 evaluation procedures when dealing with an Alzheimer’s patient. |
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1) HISTORY FROM PATIENT AND RELIABLE SOURCE, 2) PHYSICAL EXAM, 3) COMPLETE PHYSICAL AND NEUROLOGICAL EXAM, 4) MENTAL STATUS EXAM, 5) SHORT BLESSED EVALUATION |
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21. _____ is an 8-10 questionnaire to tell how a patient is tracking. |
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22. A chiropractor must be aware that a variety of different _____ can cause cognitive dysfunction. MEDICATIONS |
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23. 12 lab tests in a dementia workup. |
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1) CBC, 2) ELECTROLYTES, 3) GLUCOSE, 4) RENAL FUNCTION, 5) CALCIUM, 6) THYROID FUNCTION, 7) ESR, 8) VITAMIN B12, 9) FOLATE, 10) RPR/FTA/VDRL, 11) URINALYSIS, 12) LIPID PROFILE |
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24. 2 diagnostic studies in a patient with dementia. |
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1) BRAIN MRI, 2) CAROTID ULTRASOUND |
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25. 6 management strategies of a patient with dementia. |
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Definition
1) ESTABLISH A SPECIFIC DIAGNOSIS, 2) EMPOWER THE PATIENT AND CAREGIVER WITH INFO, 3) PARTICIPATION IN CAREFIVER SUPPORT GROUPS, 4) LIVING ARRANGEMENTS, 5) RELIEF FOR CAREGIVER, 6) AFFRESS SAFETY ISSUES |
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26. How often should an alzheimers care-giver get relief? |
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ATLEAST 1 MORNING OR AFTERNOON A WEEK |
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27. Most people with alzheimers die between _____ years. |
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28. Patients with Alzheimer’s should avoid _____ at all cost!!! |
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29. 5 nutritional supplements a patient with alzheimer’s should receive. |
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1) ANTIOXIDANTS, 2) ANTI-INFLAMMATORY, 3) ESTROGEN, 4) GINKO BILOBA, 5) ERGOLOID MESYLATES |
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30. 10 treatment strategies for a patient with dementia. |
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1) TREAT LIKE A KID, 2) GRADED ASSISTANCE, 3) LOW LEVEL LIGHTING, 4) MUSIC THERAPY, 5) WALKING/LIGHT FORMS OF EXERCISE, 6) PET THERAPY, 7) COGNITIVE REMEDIATION, 8) MULTIMODALITY GROUP TRAINING, 9) MASSAGE, 10) PHARMACOLOGY TO STABILIZE FUNCTION AND DELAY PROGRESSION |
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31. _____ diabetes requires total insulin replacement in order to live, because the body does not make adequate amounts. |
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32. _____ diabetes is related to insulin resistance (lack of the ability of the body to respond to insulin appropriately) and is often accompanied by obesity and high cholesterol. |
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33. _____ diabetes occurs during pregnancy. |
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34. Diabetes affects 1-15 in US, and type 2 diabetes accounts for _____% of all cases. |
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35. Type 1 diabetes can usually be distinguished from type 2 by its early _____, and dependency on _____. |
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36. _____ is a chroninc, life-long disease that results when the body’s insulin does not work well. |
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37. _____ is a hormone released by the pancreas in response to increased levels of blood sugar. It is necessary for glucose to move from the blood to the inside of the cells. |
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38. Type 2 diabetes usually occurs gradually, and most people are _____ at the time of diagnosis. |
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39. Type 2 diabetes is especially prevalent in the _____. |
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40. Unless glucose gets into the cells, the body cannot use it for _____, and then excess glucose remains in the blood and is removed by the kidneys. |
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41. A main component of type 2 diabetes is _____. |
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42. In type 2 diabetes, the insulin produced by the pancreas cannot connect with fat and muscle cells to let glucose inside and produce energy. The result is _____ in the blood. |
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43. The hyperglycemia caused by type 2 diabetes causes a defect which stimulates the _____. |
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PANCREAS TO PRODUCE MORE INSULIN |
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44. When the pancreas secretes more and more insulin, the cells sense the increased supply of insulin and become even more _____. The adverse reactions create a viscous cycle of high glucose levels and high insulin levels. |
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45. 11 risk factors for type 2 diabetes. |
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1) GENETICS, 2) FAMILY HISTORY, 3) LOW ACTIVITY LEVEL, 4) POOR DIET, 5) OBESITY, 6) BEING NIGGER, 7) AGE GREATER THAN 45, 8) PREVOUS IMPAIRMENT OF GLUCOSE TOLERANCE, 9) HIGH BLOOD PRESSURE, 10) HDL CHOLESTEROL LESS THAN 35, OR TRIGLYCERIDE LEVEL GREATER THAN 250, 11) HISTORY OF GESTATIONAL DIABETES |
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46. Patients with type 2 diabetes often have no symptoms at all, if they do have symptoms they may include these 7 things. |
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1) POLYDIPSIA, 2) POLYPHAGIA, 3) POLYURIA, 4) FATIGUE, 5) BLURRED VISION, 6) SLOW HEALING INFECTIONS, 7) ERECTILE DYSFUNCTION |
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47. In established type 2 diabetes patients, fasting insulin levels may be normal and the glucose-stimulated insulin secretion is still _____. |
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48. In established diabetes, the decreased insulin levels reduced insulin-mediated glucose uptake and fail to restrain _____. |
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HEPATIC GLUCOSE PRODUCTION |
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49. The prevalence of type 2 diabetes increased with _____. |
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50. Hyperglycemia increases the risk of macrovascular disease by _____x. |
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