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Psychiatry General 9c16f2ef

All are features of delirium except: March 2011

A
Impairment of consciousness
B
Immediate memory retention and recall is normal
C
Disorientation
D
Hyperactivity
High-Yield Explanation
Ans. B: Immediate memory retention and recall is normalDelirium is characterized by clouding of consciousness, characterized by a decreased awareness of surroundings and a decreased ability to respond to environmental stimuli and disorientation (most commonly in time, then in place and usually later in person), associated with a decreased attention span and distractibility.There is also an impairment of registration and retention of new memories.Psychomotor disturbance, usually in form of agitation and occasionally retardation, is present.Delirium:Acute confusional stateCommon in hospitalized elderlyFeatures:- Impaired cognition- Altered level of consciousnessAltered sleep wake cycle- Disturbances in attention and psychomotor activity- Disorientation in time, place and person- HallucinationMarked diurnal variation

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