Geriatrics Exam 1
What are the 3 most vulnerable body systems for aging? - ANS cardiovascular
renal
CNS
Review how each body system changes in response to aging .... no good way to put on here :( - ANS
How often should height & weight be assessed in geriatric pts? - ANS Height = annually
Weight = each appointment
How often should the average geriatric pt receive an ophthalmologist or optometrist eye exam? - ANS
every 1-2 yrs
**differs for some populations - like diabetics**
You are assessing your 69 y/o male pt's hearing & get a positive HHIE score. Pt has no prior
documentation of hearing loss. What is your next step? - ANS refer to audiologist for further testing
True/False
Fourth heart sounds are common in older pts w/out evidence of cardiovascular disorders. - ANS true
,**indicates decreased ventricular compliance/stiffness which is part of normal aging**
True/False
Diastolic murmurs are generally considered normal in the geriatric population. - ANS FALSE - diastolic
murmurs are pathologic in ALL age groups
What is the most common heart valve lesion in older pts? - ANS aortic valve sclerosis
(aka symptomatic aortic stenosis)
True/False
A few basilar rales are a normal age related finding in many geriatric pts. - ANS true
True/False
It is normal to be able to palpate ovaries in post-menopausal & older women. - ANS false - must work
em up if you are able to palp!
What are some normal age-related foot findings in geriatric pts? - ANS hallux valgus
hammer toe
claw toe
Heberden nodes & bouchard nodes are a sign of what? - ANS osteoarthritis
Swan neck deformity & boutonnière deformity are signs of what? - ANS rheumatoid arthritis
, **also subluxation of MCP joint & ulnar dev of fingies**
What type of hearing loss generally occurs first in geriatric pts? - ANS HIGH pitched
Why do geriatric pt experience decreased sense of smell? - ANS lining of nose becomes thinner & dryer
nerve endings in the nose deteriorates
What is the most common cause of irreversible central vision loss in older pts? - ANS macular
degeneration
What is the #1 risk factor for macular degeneration? - ANS AGE
True/False
All macular degeneration starts as dry macular degeneration. - ANS true
You are performing a fundoscopic exam on a pt w known dry macular degeneration & note yellow
retinal deposits. What finding is being described? - ANS drusen
Neovascularizations are associated w what type of macular degeneration? - ANS WET
A 72-year-old woman reports gradually noticing that her central vision has become blurry in both eyes
over the past few months. She describes difficulty reading and recognizing faces, but denies any eye
pain or redness. Her medical history is significant for hypertension and a family history of macular
What are the 3 most vulnerable body systems for aging? - ANS cardiovascular
renal
CNS
Review how each body system changes in response to aging .... no good way to put on here :( - ANS
How often should height & weight be assessed in geriatric pts? - ANS Height = annually
Weight = each appointment
How often should the average geriatric pt receive an ophthalmologist or optometrist eye exam? - ANS
every 1-2 yrs
**differs for some populations - like diabetics**
You are assessing your 69 y/o male pt's hearing & get a positive HHIE score. Pt has no prior
documentation of hearing loss. What is your next step? - ANS refer to audiologist for further testing
True/False
Fourth heart sounds are common in older pts w/out evidence of cardiovascular disorders. - ANS true
,**indicates decreased ventricular compliance/stiffness which is part of normal aging**
True/False
Diastolic murmurs are generally considered normal in the geriatric population. - ANS FALSE - diastolic
murmurs are pathologic in ALL age groups
What is the most common heart valve lesion in older pts? - ANS aortic valve sclerosis
(aka symptomatic aortic stenosis)
True/False
A few basilar rales are a normal age related finding in many geriatric pts. - ANS true
True/False
It is normal to be able to palpate ovaries in post-menopausal & older women. - ANS false - must work
em up if you are able to palp!
What are some normal age-related foot findings in geriatric pts? - ANS hallux valgus
hammer toe
claw toe
Heberden nodes & bouchard nodes are a sign of what? - ANS osteoarthritis
Swan neck deformity & boutonnière deformity are signs of what? - ANS rheumatoid arthritis
, **also subluxation of MCP joint & ulnar dev of fingies**
What type of hearing loss generally occurs first in geriatric pts? - ANS HIGH pitched
Why do geriatric pt experience decreased sense of smell? - ANS lining of nose becomes thinner & dryer
nerve endings in the nose deteriorates
What is the most common cause of irreversible central vision loss in older pts? - ANS macular
degeneration
What is the #1 risk factor for macular degeneration? - ANS AGE
True/False
All macular degeneration starts as dry macular degeneration. - ANS true
You are performing a fundoscopic exam on a pt w known dry macular degeneration & note yellow
retinal deposits. What finding is being described? - ANS drusen
Neovascularizations are associated w what type of macular degeneration? - ANS WET
A 72-year-old woman reports gradually noticing that her central vision has become blurry in both eyes
over the past few months. She describes difficulty reading and recognizing faces, but denies any eye
pain or redness. Her medical history is significant for hypertension and a family history of macular
