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Dementia Diagnosis and Management

You'll be able to work up a patient with cognitive decline, distinguish dementia subtypes, and manage behavioral symptoms using a structured approach.

What this track covers

This track covers the diagnostic workup for cognitive impairment, including cognitive testing and differentiation from reversible causes, alongside the major dementia subtypes and their distinguishing features. It also addresses pharmacologic options, non-pharmacologic strategies for behavioral and psychological symptoms, and the practical realities of supporting caregivers through disease progression.

What you will practice

  • Differentiate Alzheimer disease from vascular, Lewy body, frontotemporal, and mixed presentations based on clinical features
  • Apply a structured approach to new-onset cognitive complaints, including ruling out reversible causes
  • Select appropriate cognitive screening tools for a given clinical scenario
  • Work through the DICE approach for a patient with agitation or psychosis
  • Counsel a caregiver on advance care planning and long-term care transitions

Simulator scenario

A simulated visit with an older adult brought in by a family member concerned about progressive memory loss and new nighttime agitation, requiring workup, subtype differentiation, and a caregiver conversation.

Board question topics

  • DSM-5 criteria for major and mild neurocognitive disorder
  • Distinguishing features of dementia subtypes
  • Pharmacologic classes used in Alzheimer disease
  • Non-pharmacologic management of behavioral symptoms

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