A nurse is reviewing a client's MRI results that show cortical thinning. The nurse should identify that this finding is evident in which of the following types of dementia?
HIV infection
Alzheimer's disease
Prion disease
Substance use disorder
The Correct Answer is B
B In Alzheimer's disease, cortical thinning typically begins in the temporal and parietal lobes of the brain, areas associated with memory, language, and higher cognitive functions. As the disease progresses, cortical thinning may extend to other regions of the brain, contributing to the worsening cognitive decline seen in affected individuals.
A. HIV-associated neurocognitive disorders (HAND) can result in various structural and functional changes in the brain, including cortical atrophy, but cortical thinning is not a specific hallmark of HIV infection-related dementia.
C. Prion diseases can lead to spongiform changes and neuronal loss in the brain, but cortical thinning is not typically described as a characteristic feature.
D. Chronic substance abuse, particularly alcohol and certain drugs, can lead to structural and functional changes in the brain, including cortical atrophy. However, cortical thinning is not specific to substance use disorder-related dementia and can occur in various other neurological conditions as well.
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Related Questions
Correct Answer is D
Explanation
A. Frontotemporal lobar degeneration (FTLD), also known as frontotemporal dementia (FTD), is a type of dementia characterized by progressive degeneration of the frontal and temporal lobes of the brain. It is not typically associated with sleep and appetite changes.
B. TBI can cause changes in sleep patterns and concentration difficulties but it is not typically associated with lack of appetite as a primary symptom.
C.While it can lead to neurocognitive disorders, the symptoms might not be as prominent as in other forms of dementia, especially in the early stages.
D. Prion diseases are rare neurodegenerative disorders caused by abnormal protein folding in the brain. These diseases can manifest with a variety of cognitive and neurological symptoms, but lack of sleep, lack of appetite, and difficulties with concentration are not typically prominent features of prion diseases.
Correct Answer is B
Explanation
B. An individual with anorexia nervosa often experiences fear or anxiety surrounding certain foods, particularly those perceived as high in calories or fat. This fear may lead to restrictive eating patterns and avoidance of certain food groups.
A. The primary motivation for restricting food intake is typically driven by factors such as fear of weight gain or body dissatisfaction, rather than simply disliking the taste of food.
C. They often meticulously monitor food intake and may keep detailed records of calorie consumption. Therefore, the statement about not tracking calories is less consistent with typical behaviors seen in anorexia nervosa.
D. People with anorexia nervosa often restrict their calorie intake well below recommended levels for maintaining health, and 2,000 calories per day would be considered a relatively high amount of food for someone with this disorder.
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