MCQ IN MEDICINE

MEDICINE MCQ

NEUROLOGY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
The two main types of delirium are
A
hypertype and subtype
B
too far up and too far down
C
hyperactive and hypoactive
D
hypoglycaemic and hyperglycaemic
Explanation: 

Detailed explanation-1: -1) Hyperactive Delirium: Patients present with increased agitation and sympathetic activity. They can present with hallucinations, delusions, and occasionally combative or uncooperative behavior. 2) Hypoactive Delirium: Patients have increased somnolence and decreased arousal.

Detailed explanation-2: -Possible causes include: Certain medicines or medicine side effects. Alcohol or drug use or withdrawal. A medical condition such as a stroke, heart attack, worsening lung or liver disease, or an injury from a fall.

Detailed explanation-3: -The three subtypes of delirium are hyperactive, hypoactive, and mixed. Patients with the hyperactive subtype may be agitated, disoriented, and delusional, and may experience hallucinations.

Detailed explanation-4: -Hyperactive delirium is characterized by (motor) agitation, restlessness, and sometimes aggressiveness. Hypoactive delirium is characterized by motor retardation, apathy, slowing of speech, and patients can appear to be sedated (Lipowski, 1983; Meagher, 2009).

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