Exam (elaborations)
Comprehensive Geriatric Assessment
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Comprehensive Geriatric Assessment
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1 of 59Term
osteoporosis screening interpretation based on patient's BMD
compared to national mean:
◦Osteopenia: Z-score -1 to -2.5
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, -May tx
-Re-screen in 3-5 years
if 10 year ASCVD risk is >7.5%
goal is <100
high is 160-189
very high is 190+
-FRAX questions
-First dual-energy X-ray absorptiometry (DEXA) scan at age 65 (women) or age
70 (men)
-Can start younger if high risk (e.g. chronic steroid tx, h/o fx from low-impact
injury)
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2 of 59
Term
what is the screening method for gait, balance, and falls?
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"Have you lost any weight in the last year?"
"Do you have difficulty with driving, watching TV, reading, or doing ADL's
because of your eyesight?"
, Use of eyeglasses, contact lenses, magnifiers, prisms, etc.
"Have you fallen two or more times in the past year?"
"Have you fallen and hurt yourself since your last doctor's visit?"
"Have you been afraid of falling because of your balance or walking
problems?"
"Do you sometimes lose control of your urine?"
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3 of 59
Term
what is the screening method for instrumental activities of daily living
(IADLs)?
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"Over the past two weeks, how often have you been bothered by ____?"
•Little interest or pleasure in doing things
•Feeling down, depressed, or hopeless
(0 = not at all; 1 = several days; 2 = more than half the days; 3 = nearly every day)
Score of 3+ is positive screen for depression.
Whisper test
Use of hearing aids, amplifiers, etc.
, "Do you often have to ask people to repeat themselves?"
"Do you sometimes lose control of your urine?"
Lawton Scale of IADL's
•Using telephone
•Shopping
•Preparing meals
•Housekeeping
•Laundry
•Public transportation or driving
•Taking medications
•Handling finances
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4 of 59
Term
lipid panel: what is the goal range for HDL? for females and males
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"Do you sometimes lose control of goal is >50 females
your urine?" goal is >40 males
goal is <100
if 10 year ASCVD risk is >7.5% high is 160-189
very high is 190+
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