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Higher levels of education are associated with


A) the prevention of neurocognitive disorder due to Alzheimer's disease.
B) a delay in the onset of symptoms of neurocognitive disorder due to Alzheimer's disease.
C) a slow course of deterioration after neurocognitive disorder due to Alzheimer's disease first starts.
D) the rapid onset of symptoms in neurocognitive disorder due to Alzheimer's disease.

E) A) and B)
F) B) and C)

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Impaired consciousness and cognition during the course of several hours or days defines .


A) delirium
B) neurocognitive disorder
C) Alzheimer's disease
D) Pick's disease

E) C) and D)
F) None of the above

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Treatment for Alzheimer's disease utilizes drugs that prevent the breakdown of acetylcholine including all of the following EXCEPT


A) paroxetine (Paxil) .
B) tacrine hydrochloride (Cognex) .
C) donepezil (Aricept) .
D) galantamine (Reminyl) .

E) B) and C)
F) A) and C)

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A

In regard to neurocognitive disorder due to Alzheimer's disease, the biological "cognitive reserve" hypothesis suggests that


A) skills acquired through formal education can actually enhance the early symptoms of the illness.
B) the more synapses one develops throughout life, the more neuronal death required before the person becomes impaired.
C) individuals with neurocognitive disorder due to Alzheimer's disease never had reserve neurons.
D) neurocognitive disorder due to Alzheimer's disease is caused by a lack of formal education.

E) C) and D)
F) B) and C)

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Psychological and social influences involved in neurocognitive disorder


A) help determine the onset and course.
B) are direct causes.
C) have no influence.
D) have not been studied.

E) B) and C)
F) A) and C)

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The gene responsible for producing amyloid precursor protein (APP) appears to explain the development of


A) neurocognitive disorder due to Alzheimer's disease in general.
B) late onset neurocognitive disorder due to Alzheimer's disease.
C) non-Alzheimer's type of neurocognitive disorder that tends to affect unique populations, such as those with strong family history of the disorder.
D) early onset neurocognitive disorder due to Alzheimer's disease and the higher frequency of the disorder in Down Syndrome patients.

E) B) and D)
F) B) and C)

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The definitive diagnosis of neurocognitive disorder due to Alzheimer's disease can currently be made based on solely on _.


A) cognitive testing
B) brain scans
C) autopsy results
D) behavioral analysis

E) A) and B)
F) A) and C)

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Research suggests that Alzheimer's disease accounts for about of the cases of neurocognitive disorder.


A) 15%
B) 25%
C) 50%
D) 75%

E) A) and B)
F) A) and D)

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The neurofibrillary tangles associated with neurocognitive disorder due to Alzheimer's disease are best described as


A) tangled, strand-like filaments in brain cells.
B) tangled, strand-like filaments throughout the nervous system.
C) gummy protein deposits in the cortex.
D) gummy protein deposits throughout the nervous system.

E) A) and B)
F) B) and C)

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Why are the symptoms of vascular neurocognitive disorder so different in each patient?


A) It is not known why patients with vascular neurocognitive disorder have different symptoms.
B) The symptoms relate to the area of the brain damaged.
C) The symptoms depend upon the person's other medical conditions.
D) Patients tend to be elderly and easily confused.

E) All of the above
F) C) and D)

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The inability to recognize objects is called .


A) agnosia
B) alexia
C) anhedonia
D) apraxia

E) A) and D)
F) B) and C)

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A possible external cause of neurocognitive disorder involves .


A) repeated head trauma
B) constant stress
C) sleep deprivation
D) smoking

E) A) and B)
F) A) and C)

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According to the most recent research, which of the following statements is TRUE concerning ethnic background and the development of neurocognitive disorder due to Alzheimer's disease?


A) Japanese, Nigerian, and Amish individuals have lower prevalence of the disorder.
B) The illness is found in roughly the same numbers across all ethnic groups.
C) Educated European ethnic groups have a lower rate of getting the disease.
D) Native Americans have a slightly higher rate of the disorder.

E) B) and D)
F) B) and C)

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Apolipoprotein (apo E4) is associated with the development of neurocognitive disorder because apo E4


A) helps insulate neurons from various toxins.
B) results in neurofibrillary tangles.
C) causes aluminum to concentrate in the brain.
D) helps transport amyloid protein through the bloodstream.

E) C) and D)
F) B) and C)

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D

The differing patterns of impairment associated with neurocognitive disorder due to Alzheimer's disease and neurocognitive disorder due to HIV are primarily attributable to


A) the different areas of the brain affected.
B) the immune response to the virus in HIV patients.
C) psychosocial differences in the lives of the typical patients with each disorder.
D) unexplained causes.

E) A) and C)
F) A) and B)

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A

If the findings from the study regarding the writings of a group of Catholic nuns (Snowden et al., 1996) are correct, which of the following individuals is most likely to eventually develop neurocognitive disorder due to Alzheimer's disease?


A) John, whose writing is very descriptive and a bit bizarre.
B) Mary, whose writing has many religious themes.
C) Maureen, whose writing is mostly about animals.
D) Lisa, whose writing describes events in very brief terms.

E) A) and D)
F) A) and C)

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Substance-induced delirium is a major problem for the elderly because


A) they are more likely to take prescription medications than other age groups.
B) their bodies are less able to process and eliminate drugs.
C) improper use of medication is likely to have serious side effects.
D) all of the above

E) B) and C)
F) None of the above

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Which of the following statements about major neurocognitive disorder is FALSE?


A) Globally, one new case of major neurocognitive disorder is identified every 30 seconds.
B) Worldwide, the cost of major neurocognitive disorder is about $315 billion per year.
C) Nearly half of the cases of major neurocognitive disorder are of the Alzheimer's type.
D) The rate of new cases doubles with every 5 years of age after age 75.

E) None of the above
F) All of the above

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The progression of cognitive deterioration in neurocognitive disorder due to Alzheimer's disease is


A) slow during early stages and late stages, and rapid during middle stages.
B) rapid during early and late stages, and slow during middle stages.
C) slow and progressive throughout the individual's life.
D) slow in the early stages and rapid during late stages.

E) A) and D)
F) B) and C)

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What is MOST successful in assisting people who are susceptible to delirium?


A) Psychosocial approach
B) Preventive efforts such as patient counseling
C) Antipsychotic medications
D) Rest and reassurance

E) B) and C)
F) A) and D)

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