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Geriatrics End Of Rotation Exam UPDATED Exam Questions and CORRECT Answers $10.49   Add to cart

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Geriatrics End Of Rotation Exam UPDATED Exam Questions and CORRECT Answers

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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...

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  • September 12, 2024
  • 24
  • 2024/2025
  • Exam (elaborations)
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  • geriatrics
  • Geriatrics End Of Rotation
  • Geriatrics End Of Rotation
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MGRADES
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*


1. benzos (lorazepam)
2. antipsychotic (haloperidol)


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


basic vs instrumental ADLs - CORRECT ANSWER- ✔✔*basic*
DEATH:
dressing/bathing
eating
ambulating
toileting
hygiene


*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)

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