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N6540 MIDTERM WEEK 5 KNOWLEDGE CHECK EXAM SOLVED -2
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N6540 MIDTERM WEEK 5 KNOWLEDGE CHECK EXAM SOLVED #2What are the physiological changes of aging - correct answer 1. Reduced physiological
reserve of most body systems
2.Reduced homeostatic mechanisms that fail to adjust
3. Changes in the sympathetic response
4. Impaired immunological function- infection risk is greater and autoimmune diseases
are more prevalent.
What factors influence lab value interpretation in the older adult - correct answer 1.
Physiological changes with aging
2. The prevalence of chronic disease
3. Changes in nutritional and fluid intake
4. Lifestyle
What lab values is important - correct answer Creatinine clearance, GFR and renal
function
What are examples of drugs are eliminated renally - correct answer Digoxin, H2
blockers, lithium and water-soluable antibiotics
What are the two formulas to evaluate the kidney function - correct answer The
Cockcroft-Gault formula and the Modification of Diet in Renal Disease (MDRD)
What neurological conditions commonly have an initial onset in older age? - correct
answer Parkinson's, dementia, stroke, and complex partial seizures
What are geriatric syndromes - correct answer Diseases that involve multiple systems
and have more than one underlying cause
What are the geriatric syndrome giants currently - correct answer Frailty, anorexia of
aging, sarcopenia and cognitive impariment
What are bimodal presentations of disease - correct answer Diseases that can present
in a younger age and an older age.
What are examples of bimodal diseases? - correct answer Psoriasis, Inflammatory
bowel disease, Ulcerative Colitis, Crohn's disease, Hodgkin's lymphoma, and
myasthenia gravis
What is primary prevention? - correct answer Activities to prevent the occurrence of a
disease or adverse, including mental health
What is secondary prevention - correct answer Tasks directed towards detection of a
disease or adverse health condition in an asymptomatic individual who has risk factors
, What is tertiary prevention - correct answer The management of existing conditions to
prevent disability and minimize complications to prevent disability for optimal function
What is the key to increasing geriatric physical activity - correct answer motivation
What is the nutrition screening tool for community dwelling older adults - correct answer
Mini-Nutritional Assessment (MNA)
What factors affect maintaining a healthy balanced diet in geriatrics? - correct answer 1.
Chronic illness and disability-related to adls like shopping and meal preparation,
2. Financial hardships-limit food choices
3. Prescribed medications-affects absorption of nutrients, sense of taste or appetite
4. Depression or social isolation
5. Obesity
What is a big influence of geriatric functionality and quality of life? - correct answer
Injury prevention
What are important 6 areas of geriatric safety prevention - correct answer 1. Safe
storage and removal of firearms
2. Fall prevention
3. Wearing seatbelts
4. No drinking and driving
5. Having a working smoke detector
6. Keeping hot water set below 120 degrees
Periodic screening of gums and mouth can screen for what? - correct answer 1. Oral
cancer
2. Ill-fitting or poorly functioning dentures
3. Periodontal disease
4. Erosion of dentin
5. Dependence on others for dental resources
What screening tools are covered by Medicare? - correct answer 1.HIV
2. Alcohol misuse
3. Smoking cessation
4. Depression
5. High blood pressure
6. Blood glucose r/t cardiovascular risk assessment
7. Lipids screening
8. Mammography until aged 75
9. Osteoporosis
10. Colorectal cancer
What are the immunizations recommended for geriatrics? - correct answer 1. Influenza-
annually for all over 50
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