The percentage of the FVC expired in one second is
FEV1/FVC ratio
The aging process causes what normal physiological changes in the heart
The heart valve thickens and becomes rigid, secondary to fibrosis and sclerosis
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A 55 yo Caucasian male follows up after referral to cardiologist. He thinks his med is causing a cough and
sometimes he has difficulty breathing. Which med was most likely prescribed?
Lisinopril
MJ presents with h/o structural damage with current s/s of HF. Treatment will be based on his stage of
HF which is
Stage C
65 yo Caucasian presents with mitral valve stenosis, physical exam is unremarkable. you know her stage
of HF is
Stage B
The best way to diagnose structural heart disease/dysfunction noninvasively is
,Echocardiogram
Chronic pain can have major impact on patients ability to function and have profound impact on overall
QOL. Ongoing pain may be linked to
Depression, sleep disturbance, decreased socialization
The Beers criteria are appropriate for use in evaluating use of certain meds in patients
>65 y/o
All of the following statements are true about lab values in older adults except
Abnormal findings are often due to physiological aging
According to the 2017 ACC HTN guidelines, the recommended BP goal for a 65y/o African American
woman with a h/o HTN and DM and no h/o CKD is
<140/80
THe pathophysiology of HF is due to
Inadequate cardiac output to meet the metabolic and O2 demands of the body
The volume of air a patient to exhale for total duration of the test during maximal effort is
FVC
,According it the 2017 ACC HTN guidelines, normal BP is
<120/80
Functional abilities are best assessed by
Observed assessment of function
LB is a 77 yo with chronic poorly controlled HTN. You know that goals include prevention of target organ
damage. During your eval you will assess for evidence of
Left ventricular hypertrophy
Aortic regurgitation requires medical treatment for early signs of HF with
ACEi
The volume of air in the lungs at max inflation is
TLC (total lung capacity)
Preferred amount of exercise for older adults is
30min/day of aerobic exercise 5 days a week
You know the following statements regarding th pain of acute coronary syndrome are true except
Present atypically more often in men than women
, Elderly patient presents with new onset of feeling heart race, fatigue. EKG reveals Afib with rate >100.
Patient also has a new tremor in both hands. Which of the following would you suspect
Hyperthyroidism
Which patient is more likely to have osteoporosis
80 y/o. Underweight male who smokes and has been on steroids for psoriasis
Post menopausal woman with osteoporosis is taking bisphosphonate daily po. What action info
statement would indicate she understood your instructions regarding this med?
Take med with full glass of water when up in the AM 30 min before other food and meds
60 y/o obese male has T2DM and lipid panel of TC= 250 HDL=32, LDL=165. You teach him about his
modifiable cardiac risk factors which include
DM, obesity, hyperlipidemia
OA of cervical and lumbar spine causes pain related to all of the following except
Crystal deposition
In differentiating OA from chronic gout, pseudo gout, or septic arthritis, the most valuable diagnostic
study would be
Synovial fluid analysis
Patients with OA of the hip and knee often have a distinguishable gait described as
Antalgic