Geriatric Emergencies A+ Grade
Exam with Questions and Correct
Answers
when should you consider CNS cause of AMS in the elderly? - ✔✔(possible CVA/ICH)
-acute onset
-lateralizing signs
-aphasia / dysarthria / ataxia
what are the metabolic causes of AMS? - ✔✔-hypoglycemia
-electrolyte abnormalities
-endocrine
what "toxins" should be considered as a potential cause of AMS in the elderly? - ✔✔-
new medications
-OTC
-existing medications
-intentional / accidental ingestions
-carbon monoxide
what hemodynamic changes can cause AMS? - ✔✔-MI
-dysrhythmia
-dehydration
, what are the causes of respiratory distress? - ✔✔-Pneumonia
-COPD / Asthma
-Pulmonary Embolism
-CHF/Pulmonary Edema
-Metabolic
-Cardiac ischemia/Acute MI
What dz is the 4th leading cause of death and is 50x more common in nursing home pts? - ✔✔PNA
how does PNA present differently in the elderly? - ✔✔-Cough, fever may be
absent -Possibly abdominal pain rather than chest pain
what should you consider in a COPD pt that suddenly decompensated? - ✔✔PTX
**intubate ASAP**
what should you suspect if Sudden dyspnea + decreased mobility + no other quickly identified causes? -
✔✔PE
**usually pleurtic chest px, tachypnea, tachycardia and cyanosis**
what are the signs of lung CA? - ✔✔Dyspnea, hemoptysis, chronic cough, weight loss
when should you worry about HTN in the ER? - ✔✔if they have HA, vomiting etc or they
around 220/110
Exam with Questions and Correct
Answers
when should you consider CNS cause of AMS in the elderly? - ✔✔(possible CVA/ICH)
-acute onset
-lateralizing signs
-aphasia / dysarthria / ataxia
what are the metabolic causes of AMS? - ✔✔-hypoglycemia
-electrolyte abnormalities
-endocrine
what "toxins" should be considered as a potential cause of AMS in the elderly? - ✔✔-
new medications
-OTC
-existing medications
-intentional / accidental ingestions
-carbon monoxide
what hemodynamic changes can cause AMS? - ✔✔-MI
-dysrhythmia
-dehydration
, what are the causes of respiratory distress? - ✔✔-Pneumonia
-COPD / Asthma
-Pulmonary Embolism
-CHF/Pulmonary Edema
-Metabolic
-Cardiac ischemia/Acute MI
What dz is the 4th leading cause of death and is 50x more common in nursing home pts? - ✔✔PNA
how does PNA present differently in the elderly? - ✔✔-Cough, fever may be
absent -Possibly abdominal pain rather than chest pain
what should you consider in a COPD pt that suddenly decompensated? - ✔✔PTX
**intubate ASAP**
what should you suspect if Sudden dyspnea + decreased mobility + no other quickly identified causes? -
✔✔PE
**usually pleurtic chest px, tachypnea, tachycardia and cyanosis**
what are the signs of lung CA? - ✔✔Dyspnea, hemoptysis, chronic cough, weight loss
when should you worry about HTN in the ER? - ✔✔if they have HA, vomiting etc or they
around 220/110
