GeriatricLatest Questions With Complete Solutions!!!
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Geriatric Syndrome
Which of the following encompasses the oldest population in the world?
a. Florida
b. Thailand
c. Japan
d. Hawaii - ANS a
Was is presbyopia?
a. Decreased flexibility of lens
b. Yellow, thickening of lens
c. Increased size and permeability of lens
d. Loss of periorbital fat - ANS ...
GeriatricLatest Questions With Complete
Solutions!!!
Which of the following encompasses the oldest population in the world?
a. Florida
b. Thailand
c. Japan
d. Hawaii - ANS a
Was is presbyopia?
a. Decreased flexibility of lens
b. Yellow, thickening of lens
c. Increased size and permeability of lens
d. Loss of periorbital fat - ANS a
What are the CNS changes involved in aging?
a. Decreased serotonin, increased dopamine
b. Increased serotonin, increased dopamine
c. Decreased serotonin, decreased dopamine
d. Increased serotonin, decreased dopamine - ANS c
All of the following are IADLs EXCEPT:
a. Preparing meals
b. Managing finances
c. Bathing
d. Taking medication - ANS c
Your 75 yo pt gets a score of 8 on the Lawton IADL scale. What is your interpretation and
education to this patient and their family based on this score?
a. This patient is considered dependent and requires 24 hr in-home assistance to live
b. The patient is considered dependent, but only requires assistance with certain tiring activities,
such as grocery shopping or running to the pharmacy
c. The patient is considered independent, requiring no assistant to maintain self in the
community
d. The patient is considered independent, but should no longer drive - ANS c
An 82 yo F with PMH DM, HTN, GERD is brought in by family for AMS x 2 days. They state
"she just isn't acting like herself". What is on your differential for AMS?
a. Electrolyte imbalance
,b. Alcohol intoxication
c. Seizure
d. Uremia
e. All of the above - ANS e
Vision loss is defined as:
a. 20/200 or worse
b. 20/20
c. <20/40
d. 20/100 - ANS c
How often should pts >65 yo receive comprehensive eye exams?
a. Annually
b. Every 3 years
c. Every 5 years
d. No longer needed after 65 yo - ANS a
What is the leading cause of blindness in patients > 65 yo?
a. Central artery occlusion
b. Macular degeneration
c. Glaucoma
d. Ischemic optic neuropathy
e. Giant cell arteritis - ANS b
Presbycusis and sensorineural hearing loss is more common in the elderly. What is the greatest
risk factor for the development of sensorineural hearing loss?
a. External ear pathology
b. Recurrent URIs
c. Surgery
d. Noise - ANS d
When should you start screening for osteoporosis?
a. Premenopausal women >40 yo
b. Men > 50 with no risk factors
c. Postmenopausal women >65 yo
d. Everyone > 50 yo regardless of risk factors - ANS c
A 67 yo F presents with a recent fracture. You want to compare her bone density to what is
normally expected in a healthy young adult of her same sex (female). What is this test called
a. Z-score
b. DEXA scan
c. T-score
d. BMD score test - ANS C
, What is considered "significant" involuntary weight loss in geriatric pts?
a. 8 lbs over 10 months
b. 3% body weight over 12 months
c. 2 lbs over 6 months
d. 7% body weight over 8 months - ANS d
What is NOT a characteristic of delirium, but rather of dementia?
a. Rapid onset over a period of hours or days
b. Waxing and waning
c. Reversible cognitive decline
d. Lack of sleep-wake cycle disturbance - ANS d
In addition to psychotherapy, what is the pharmacotherapy of choice for depression in the
elderly?
a. ECT
b. Benzodiazepines
c. SSRIs
d. MAOIs - ANS c
What is true regarding cancer screening in geriatric patients?
a. Recommend thyroid palpation annually
b. Recommend screening asymptomatic adults for ovarian cancer
c. Recommend cervical cancer screening after 65 yo
d. Recommend pancreatic cancer screening in asymptomatic adults
e. Recommend prostate screening via PSA - ANS a
Which document addresses resuscitation and life support, a decision made by the patient
themselves?
a. Living will
b. Durable power of attorney
c. Physician orders for life-sustaining treatment (POLST)
d. Insurance information - ANS a
"The mental and cognitive capabilities required to execute a legally recognized act rationally -
i.e. prepare a will, stand trial, make medical decisions" describes:
a. Capacity
b. Complacent
c. Competency
d. Combative - ANS c
Care that is granted by the authority of law (seen with mental health evaluations, protective
custody, and arrests by law enforcement) describes which type of consent?
a. Voluntary
b. Informed
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