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Geriatrics Midterm Questions
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Geriatrics Midterm Questions
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GERIATRICS MIDTERM QUESTIONSWITH CORRECT DETAILED ANSWERS
t What is the hallmark of frailty in an aged patient?
a. The patient is unable to personally manage key activities of self-care.
b. The patient's reserve to withstand physiologic stress
c. The patient has long problem and medication lists. - b. The patient's reserve to withstand physiologic
stress
Which pattern of problems would more likely identify a frail aged patient?
a. She is unable to manage her own medications and her own wardrobe.
b. She requires supplemental oxygen at night and during exercises.
c. She walks very slowly, is losing weight, and does not have the strength to brush her own teeth. - c. She
walks very slowly, is losing weight, and does not have the strength to brush her own teeth.
Having identified an aged patient as being irreversibly quite frail, the physician would be wise to do
which of the following?
a. Begin a discussion with the patient and family about care goals and intervention limitations.
b. Withdraw disease-targeting medications and medical treatments.
c. Reduce functional maintenance modalities such as therapeutic exercise and activities. - a. Begin a
discussion with the patient and family about care goals and intervention limitations.
Each of these factors can help serve to identify a patient as frail and vulnerable except:
a. Low activity level and easy fatigability
b. Major progressing weight loss
c. A large number of major organ-system comorbidities
d. Progressive loss of strength
e. Very advanced age
, f. There is no "except"... all are important factors in frailty. - f. There is no "except"... all are important
factors in frailty.
Progress has been made in defining a valid concept of frailty. Pick the one true statement about current
understanding of the frailty syndrome.
a. Neither the Fried nor Rockwood model is well suited to frailty research.
b. Neither the Fried nor Rockwood model has found wide acceptance in clinical care.
c. The Fried model takes into account cognitive decline, pain, and chronologic age.
d. Regardless of the models used to characterize it, frailty is a syndrome that rarely improves even with
carefully tailored interventions. - b. Neither the Fried nor Rockwood model has found wide acceptance in
clinical care.
Which of these statements about frailty is (are) true?
a. The concepts of "frailty" and "disability" are essentially synonymous.
b. Identifying a patient as "frail" can help guide thinking about risks and benefits in choosing care paths.
c. Neither of the two most prominent models of frailty includes age as a factor.
d. Frailty is typically irreversible, and when identified, primarily serves to initiate discussions regarding
comfort care. - b. Identifying a patient as "frail" can help guide thinking about risks and benefits in
choosing care paths.
and
c. Neither of the two most prominent models of frailty includes age as a factor.
All of the following concepts underlie the notion of "frailty in old age" except:
a. Progressive decline in organism reserves to be able to withstand a variety of stresses
b. Multiple interdependent organ systems progressing toward overt failure with age and/or disease
c. A well-defined geriatric syndrome with a validated set of agreed-upon specific clinical markers
d. Higher risk for major untoward events with medical interventions that are generally safe in younger
patients - c. A well-defined geriatric syndrome with a validated set of agreed-upon specific clinical
markers
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