Differential diagnosis and
therapy of organic
disorders
 Control questions
Control questions
1.
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Emergency intervention is needed in:
Delirium
Depression in Alzheimer’s disease
Suicidal intentions in Alzheimer’s disease
Progression of Alzheimer’s disease
Severe agitation in Alzheimer’s disease
2.
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Agressive behaviour is common in:
delirium
Alzheimer’s disease
Old-age depression
mental retardation
parietal lobe lesion
3.
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Helps dealing with agitation/agression based on organic mental disorder:
appropriate communication
psychoeducation of relatives
sociotherapy
sleep withdrawal
antipsychotics
benzodiazepins
4.
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True for the treatment of dementias:
Progression can be slowed down in each case
Causal treatment is only available in secondary dementias
Alzheimer’s disease is primarily treated with noradrenergic drugs
Most forms of dementias are reversible.
5.
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Pharmacotherapy can be effective in the teratment of:
pseudodementia
pharmacogenic dementia
cognitive symptoms of mental retardation
behavioural symptoms of mental retardation
behavioural symptoms of dementia
6.
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Recommended treatment in old-age depression:
tricyclic antidepressant
selective serotonin reuptake-inhibitor
first generation antipsychotics
high dosages of benzodiazepines
psychotherapy
sociotherapy
7.
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Non-pharmacological interventions can be effective in:
prevention of delirium
treatment of delirium
slowing of progression of dementia
treatment of cognitive symptoms of dementia
treatment of agression in organic mental disorders
Differential diagnosis and
therapy of organic
disorders
 Control questions
8. Disconcertment is observed at an 80-year-old female patient following a
surgical operation.
Her actual blood pressure and saturation are stable, she does not have fever
Attendance:
 Haloperidol drops per os
 ECT
 Citalopram per os
 Diazepam parenteral
9. Disconcertment is observed at a 60-year-old male patient under sick-ward
conditions, he also has fever.
Attendance:
 Antipyretic treatment
 Citalopram parenteral
 Diazepam parenteral
 Aripiprazole per os
10. Sudden and alternating agitation is observed at a 50-year-old female
patient during emergency care. She is cooperating during the examination.
In her medical history Diabetes mellitus and COPD are mentioned.
First steps to do:
 Clonazepam parenteral
 Citalopram per os
 Blood sugar test
 Olanzapine parenteral