Geriatrics End Of Rotation Exam UPDATED Exam Questions and CORRECT Answers
3 views 0 purchase
Course
Geriatrics End Of Rotation
Institution
Geriatrics End Of Rotation
Geriatrics End Of Rotation Exam
UPDATED Exam Questions and
CORRECT Answers
what percent of hospitalized patients develop delirium? what is the in hospital and one-year
mortality rate? - CORRECT ANSWER- 33% develop delirium
22-76% hospital mortality (as high as the rates for MI or sepsis)
35...
Geriatrics End Of Rotation Exam
UPDATED Exam Questions and
CORRECT Answers
what percent of hospitalized patients develop delirium? what is the in hospital and one-year
mortality rate? - CORRECT ANSWER- ✔✔33% develop delirium
22-76% hospital mortality (as high as the rates for MI or sepsis)
35-45% one year mortality
do patients with or without dementia have more severe deficits as a result of delirium? -
CORRECT ANSWER- ✔✔without (higher mortality risk and worse recovery in ADLs)
how long for a patient to return to baseline after delirium? - CORRECT ANSWER- ✔✔4-6
weeks
CAM score (confusion assessment method for the ICU) in diagnosing delirium - CORRECT
ANSWER- ✔✔1. acute onset and fluctuating course
2. inattention
3. disorganized thinking (rambling)
4. altered LOS (hypervigilant to lethargic, or a mix of both)
*first 2 required + one of the last 2* = delirium
brain failure - CORRECT ANSWER- ✔✔increased stress/demand on the brain (especially
one with prior injury/damage) --> leads to delirium
metabolic threshold model vs cholinergic model of delirium - CORRECT ANSWER-
✔✔metabolic: low cortical glucose --> cerebral metabolic insufficiency
cholinergic: depleted cortical acetylcholine (hence why we don't give anti-cholinergics to
elderly)
,ideal room environment to treat delirium - CORRECT ANSWER- ✔✔calm, quiet, well lit
pharmacologic management of delirium - CORRECT ANSWER- ✔✔*none shown to
improve outcomes*
what kidney functions change as we age? - CORRECT ANSWER- ✔✔1) GFR decreases
2) CrCl decreases
3) RBF decreases 10% per decade after 40
4) lower overall renal function can result in toxic drug accumulation
why do old people usually have low B12? - CORRECT ANSWER- ✔✔stomach mucosa
thins --> decrease in gastric parietal cells --> less HCl and intrinsic factor production --> less
absorption of B12
*instrumental*
using phone, taking meds, managing money, laundry
abnormal get up and go - CORRECT ANSWER- ✔✔normal is <10 seconds
>20 seconds requires further testing to make sure there isn't increased risk of falls
, what nutrient do beta-blockers deplete? - CORRECT ANSWER- ✔✔CoQ10 --> heart failure
name 8 nutrient deficiencies in the elderly - CORRECT ANSWER- ✔✔protein
omega-3 fatty acids
dietary fibers
vitamins B6, B12
vitamin E
calcium
magnesium
potassium
define: constipation - CORRECT ANSWER- ✔✔- less than 3 BMs per week
- straining with defecation
- sensation of incomplete bowel evacuation
what is the cause of diarrhea in constipation? - CORRECT ANSWER- ✔✔liquid stool can
come around the solid stool, presenting as diarrhea
which medications cause constipation - CORRECT ANSWER- ✔✔- laxative overuse
- opioids
- anticholinergics
- antacids with aluminum
how does low vitamin B impact GI function? - CORRECT ANSWER- ✔✔colon muscle
dysfunction/constipation
top 4 risk factors for constipation - CORRECT ANSWER- ✔✔1) low fluids
2) low activity
3) meds/opiods
4) poor diet (too much milk, tea, alcohol)
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller MGRADES. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.49. You're not tied to anything after your purchase.
