CGHS SSC - 2018
Medical & Surgical Nursing
Easy
Pick's disease is a rare and irreversible form of?
Appeared in: CGHS SSC - 2018
Explanation
- Pick's disease is a specific type of Frontotemporal Dementia (FTD), a major category of neurodegenerative diseases.
- It is characterized by the atrophy of the frontal and temporal lobes of the brain, leading to progressive and irreversible cognitive decline.
- The defining pathological feature is the presence of Pick bodies, which are abnormal aggregates of tau protein within neurons.
- Unlike Alzheimer's disease, the initial symptoms are predominantly changes in personality, social behavior, and language, with memory being relatively preserved in the early stages.
Why Other Options Were Wrong
- Option A: A phobia is an anxiety disorder characterized by an irrational fear. It does not involve the progressive brain cell death and atrophy seen in Pick's disease.
- Option C: Anxiety is a mental health condition involving excessive worry and fear. It is not a neurodegenerative disorder and does not cause the brain atrophy characteristic of dementia.
- Option D: Depression is a mood disorder. While severe depression can sometimes mimic cognitive decline (a condition known as pseudodementia), it is fundamentally different from the irreversible neurodegeneration of Pick's disease.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Classification of neurodegenerative disorders, specifically Pick's disease helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses caring for patients with Pick's disease (FTD) must prioritize safety due to behavioral changes like disinhibition and impaired judgment. Environmental modifications and consistent routines are crucial.
- Communication strategies must be adapted. For patients with language variants (aphasia), using simple sentences, visual aids, and non-verbal cues is essential. For behavioral variants, a calm and structured approach is needed.
- Unlike Alzheimer's care, the initial focus may be less on memory aids and more on managing challenging behaviors and providing emotional support to the family who are often distressed by the personality changes.
How to Approach the Question
- First, identify the core term in the question stem: 'Pick's disease'.
- This is a factual recall question. Access your knowledge base about major neurological and psychiatric conditions.
- Consider the options provided: Phobia, Dementia, Anxiety, Depression.
- Categorize each option. Phobia, Anxiety, and Depression are primarily psychiatric/mental health disorders. Dementia is a category of neurodegenerative disorders.
- Recall or deduce that Pick's disease is a known neurodegenerative condition that causes progressive cognitive and behavioral decline.
- Match 'Pick's disease' to the correct category. Since it involves irreversible brain degeneration and cognitive impairment, it falls under the umbrella of 'Dementia'.
Concept Tested & Keywords
- Concept Tested: Classification of neurodegenerative disorders, specifically Pick's disease.
- Stem keywords: Pick's disease, rare, irreversible
- Lead-in keywords: form of
- Negative lead-in flag: false
Question ID
QwUtf0q0ptN4xqhZzmyPRY
Reference Book
E6 Kaplan Sadock's Synopsis of Psychiatry-2022 (pp 1-3768 of 3768) p. 785-787
E6 Medicine Davidson Principles Practice 24e p. 1213-1215
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) p. 15678-15680
Practise the full CGHS SSC - 2018
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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