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Chapter 29. Alzheimer Disease

Student Questions

Which of the following disease states is likely to be confused with Alzheimer disease?

A. Schizophrenia

B. Parkinson's disease

C. Depression

D. Anxiety disorder

Answer: C

Option A: Incorrect. Although cognitive decline can occur with schizophrenia, the decline with Alzheimer disease does not typically contain many of the positive symptoms seen with schizophrenia.

Option B: Incorrect. Although cognitive decline can occur with Parkinson's disease, the movement disorders seen with Parkinson's disease is not seen with AD.

Option C: Correct. Symptoms of dementia can mimic many of the same types of symptoms seen with depression, including memory loss, difficulty completing familiar tasks, disorientation, social withdrawal, and changes in mood. The symptoms of depression tend to occur over a slower onset then AD. Additionally, a patient with depression is able to complete some of the above tasks if provided more time versus a patient with AD many not ever be able to complete them.

Option D: Incorrect. Anxiety disorder may have cognitive decline, but the extent is not as substantial as that seen with AD.

Which of the following is a risk factor for AD?

A. Male gender

B. Higher socioeconomic class

C. Acetaminophen use

D. Younger age

Answer: A

Option A: Correct. Risk factors for AD include advancing age, family history, female gender, and vascular risk factors such as diabetes, hypertension, heart disease, and current smoking.

Option B: Incorrect. Lower socioeconomic class has been associated with development of AD.

Option C: Incorrect. NSAID use, not acetaminophen, has been associated with development of AD.

Option D: Incorrect. Older age has been associated with development of AD.

Which of the following is most often a contributing factor to death in a patient with AD?

A. Suicide

B. Stroke

C. Heart attack

D. Cancer

Answer: B

Option A: Incorrect. Suicide is a contributing factor to death in other psychiatric and neurologic disorders but not AD.

Option B: Correct. Although AD does not directly cause death, it is associated with an increase in various risk factors that often ...

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