Geriatrics - Book Questions With Correct
Answers
Which one of the following is most true about the rule of fourths?
a. One-fourth of geriatric problems are iatrogenic.
b. Little can be done to prevent three-fourths of the problems of aging.
c. For every medical complaint a patient presents wit...
Which one of the following is most true about the rule of fourths?
a. One-fourth of geriatric problems are iatrogenic.
b. Little can be done to prevent three-fourths of the problems of aging.
c. For every medical complaint a patient presents with, a careful assessment can identify three
other diagnoses.
d. What used to be called normal aging can be largely explained by processes that are not
normal.
e. A good way to conduct a geriatric assessment is to use four categories: mental, physical,
psychosocial, and environmental. - answer✔d. What used to be called normal aging can be
largely explained by processes that are not normal.
Which one of the following is most true about aging changes?
a. Stage 3 and 4 sleep decreases.
b. Renal perfusion is not reduced, but renal function is reduced.
c. Hearing acuity declines beginning in middle age.
d. Prostatic enlargement occurs only in a minority of men. - answer✔a. Stage 3 and 4 sleep
decreases.
An old woman who is cared for by attentive, cautious, concerned family is particularly likely to
suffer from which one of the following complications after an episode of gastroenteritis?
a. Immobility related to overconcern
b. Continued vomiting caused by too-rapid feeding
d. Constipation related to overtreatment of diarrhea - answer✔a. Immobility related to
overconcern
Which one of the following is most true about psychological aging?
a. Disengagement tends to promote better psychological health than continued engagement.
b. Most older adults do not worry about memory loss.
c. Happiness declines starting in middle age.
d. Ageism can lead to isolation and depression. - answer✔d. Ageism can lead to isolation and
depression.
Of the following conditions, which one is most common and most often preventable?
a. Falls
b. Frailty
c. Cognitive impairment
d. Iatrogenic disease
e. Depression - answer✔d. Iatrogenic disease
Which one of the following statements is false regarding the role of the primary care provider
(PCP) in the healthcare team?
a. The PCP is responsible for assessing and managing the patient's medical problems.
b. The PCP has the responsibility to inform other team members of the patient's medical
condition.
c. The PCP is always the leader of an interprofessional team.
d. The PCP plays an important role in the discussion of advance care planning with the patient
and family. - answer✔c. The PCP is always the leader of an interprofessional team.
Which of the following statements is false regarding the role of the medical social worker in the
healthcare team?
d. Social workers make diagnostic decisions about the patient's clinical symptoms. - answer✔d.
Social workers make diagnostic decisions about the patient's clinical symptoms.
Which of the following is not a trait of effective interprofessional healthcare teams?
a. Effective teams include leaders who take full responsibility for decision making.
b. Members of effective teams have mutual support for other team members: They respect the
role that other members play, offer to help other team members, and ask for help when they need
it themselves.
c. Effective teams can use a variety of evidence-based techniques to facilitate effective
communication.
d. Healthcare professionals who work in effective interprofessional teams can experience greater
job satisfaction and reduced burnout compared with providers who do not provide team-based
care. - answer✔a. Effective teams include leaders who take full responsibility for decision
making.
. An 86-year-old male who lives in an assisted living facility is at the clinic. He has a history of
hypertension and manages his own medications. He admits he takes them sometimes. After
speaking to him, you find it unclear if he understands the questions and discussions. Which of
the following evidences that the patient has adequate health literacy?
a. He knows the names and doses of his medications and can explain why he takes them.
b. He knows how to call 911.
c. He has spoken over the phone with a dietician who has recommended a low-salt diet.
d. He uses terms such as hypertensive , nephropathy , and retinopathy . - answer✔a. He knows
the names and doses of his medications and can explain why he takes them.
You are performing a geriatric assessment on an 82-year-old female. At the end of the visit,
which of the following would require top priority over the others?
d. A 5-lb weight gain over the past 2 months - answer✔b. The death of the patient's caregiver
. Ms. M's family has noticed memory loss for the past 6 months. She continues to drive but
recently had a fender bender and was caught speeding on a 35-mph road. She insists that she is
safe and needs to drive to church and for shopping. What is the best next step?
a. Take away her license.
b. Sell her car.
c. Get a driving evaluation.
d. Get her a GPS.
e. Continue letting her drive. - answer✔c. Get a driving evaluation.
An 86-year-old female comes to your office for a wellness visit. Her blood pressure is 125/70
mmHg, pulse 69 beats per min, and respiratory rate 18 breaths per min. She is well appearing
and reports she is up to date on her routine vaccinations. She introduces her partner of 35 years
whom she would like to make medical decisions for her in case she becomes unable to make
decisions for herself. She reports that she and her partner are not married. She asks if she needs
any further documentation to ensure her goals of care are followed.
Which one of the following would be the most appropriate recommendation for this patient and
her partner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documentation to be recognized legally.
c. Advise them to file an advanced directive.
d. Respond that although they lack documentation, her partner will be recognized de facto. -
answer✔c. Advise them to file an advanced directive.
An 81-year-old transgender female with history of depression and hyperlipidemia presents to
your clinic for routine care. She endorses a history of smoking, currently smoking 1 pack per
day, and occasionally drinks a glass of wine, although she denies illicit drug use. She reports she
takes atorvastatin 20 mg and subcutaneous estrogen therapy.
Which of the following is the most important next step in this patient's primary care?
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