Introduction     Diagnosis of Mild Cognitive Impairment and Alzheimer's Disease Karen L. Bell, M.D.     Treatment Strategies for Dementia and Mild Cognitive Impairment Mary Sano, Ph.D.     Treatment of Depression, Agitation, and Psychosis in Dementia Davangere P. Devanand, M.D.     Recognition of Vascular Dementia, Dementia with Lewy Bodies, and Frontotemporal Dementia Lawrence S. Honig, M.D., Ph.D.     Neuropsychology of Mild Cognitive Impairment, Alzheimer's Disease, Dementia with Lewy Bodies, and Frontotemporal Dementia Penne Sims, Ph.D.     Neuroimaging in Dementia Scott A. Small, M.D.     Genetics of Neurodegenerative Disease: Alzheimer's Disease, Frontotemporal Dementia Jennifer Williamson-Catania, M.S.     Legal and Ethical Issues for Patients with Dementia Daniel G. Fish, Esq.     Posttest         Accreditation     Reference List     Acknowledgements		Posttest Dementia: Update for the Practitioner Release Date: March 1, 2004 Valid for Credit through: March 1, 2006 Instructions: Please complete the quiz below. You must score a seven out of ten or better to receive CME credit. To score your test, click on the submit button at the bottom of the form. You may take the quiz as often as you like. If you pass the test, print out a copy of the congratulations screen. If you have technical difficulties, please contact Columbia University Digital Knowledge Ventures. To receive CME credit, you must do the following: Complete and pass the Post Test and print out a copy of the test congratulations screen. Print out a copy of the completed evaluation form. Submit these documents, along with a check for twenty dollars, payable to Columbia University. Be sure to include the course number (c1182) on your check. Materials should be mailed to Center for Continuing Education (NEURO PM 913) Columbia University College of Physicians & Surgeons 630 West 168th Street, Unit 39 New York, NY 10032 e-mail: cme@columbia.edu http://ColumbiaCME.org Your browser must be javascript enabled for the quiz to work. If the quiz doesn't work, you should print out this page, enter your answers by hand, and submit the filled-in page with your other documents. 1. Which of the following are possible risk factors for Alzheimer's disease?  a. age  b. family history  c. head trauma  d. all of the above  e. none of the above 2. Which of the following genetic tests are necessary to confirm a diagnosis of Alzheimer's disease for a patient with dementia, age of onset age 68? Family history of the patient includes a mother with dementia, age of onset 60, deceased age 68, and a sister with memory complaints age of onset 72, current age 75.  a. PS1  b. APOE  c. PS2  d. APP  e. all of the above  f. none of the above 3. Which of the following tests is recommended by the American Academy of Neurology for diagnosing dementia?  a. Rapid Plasma Reagin (RPR)  b. thyroid function tests (TFTs)  c. all of the above  d. serum B-12  e. brain imaging 4. The most persistent psychopathological symptom of Alzheimer's disease is  a. delusions  b. depression  c. hallucinations  d. agitation/aggression  e. anxiety 5. Which of the following is not a common antecedent to a patient being placed in a nursing home?  a. wandering  b. incontinence  c. psychosis  d. forgetfulness  e. agitation 6. Of the following symptoms, which is most likely to lead to a diagnosis of Lewy-body dementia?  a. dementia plus hallucinations plus parkinsonism  b. dementia plus agitation  c. spontaneous parkinsonism plus fainting spells  d. frequent fainting spells plus agitation  e. hallucinations plus agitation 7. The Folstein exam does not test for  a. visual memory  b. abstraction  c. distractibility  d. all of the above  e. none of the above 8. Which of the following is measured by SPECT?  a. cerebral blood flow  b. cerebral blood volume  c. cerebral glucose metabolism  d. acetylcholine  e. none of the above 9. In terms of large-scale brain function, reduced cerebral blood flow in the occipital cortex is an indicator of  a. Alzheimer's disease  b. progressive supranuclear palsy  c. mild cognitive Impairment  d. ALS dementia  e. Lewy-body dementia 10. Which of the following documents is recommended to protect one's assets or medical rights in case of possible disability?  a. health-care proxy  b. power of attorney  c. living will  d. a and c only   e. a and b only