Ageing 2

Question 1

sarcopenia definition 3

Answer 1

low muscle mass
low muscle strrength
low physical performance

Question 2

muscle mass starts to decline when

accelerates

Answer 2

30

60

Question 3

sarcopenia obesity

Answer 3

loss of muscle mass with increased fat

Question 4

physio

Answer 4

sit
stand
walk

Question 5

OT

Answer 5

dress
feed
groom

Question 6

speech and language therapies

Answer 6

swallow food
articulate sentences
communicate needs

Question 7

AAA screening

Answer 7

all men over 65

Question 8

exercise recommendation for 65s and over

Answer 8

150mins mod or 75 vigorous

and strength exercises on at least 2 days of the week

Question 9

syringe drivers

Answer 9

3 medicine can be mixed together
infused over 24 hours
changed daily

Question 10

pain/sob

Answer 10

morphine 2mg hourly

Question 11

distress

Answer 11

midaz 2mg hourly

Question 12

nausea/agitationq

Answer 12

levomepromazine 2.5mg 3 hourly

Question 13

resp secrtions

Answer 13

buscopan 20mg hourly

Question 14

liver

Answer 14

reduced liver function

so first pass metabolism reduced

Question 15

TCAs and anti arrhythmic class 1

Answer 15

lower efficacy of the anti arrhythmics

Question 16

ACEI and SU

Answer 16

increase hypoglycaemic effect

Question 17

neuropepileptics tramadol quinolones

Answer 17

lower seizure threshold

Question 18

constipation worsened by

Answer 18

calcium
anti cholinergics
CCB

Question 19

NSAIDs COX 2

Answer 19

exacerbate CHF

Question 20

bananas oranges break leafy evg

Answer 20

ACEI
ARB
K sparing diuretics

Question 21

apples chickpeas spinach nuts kiwi

Answer 21

warfarin

vit E and K

Question 22

chicken turkey milk soy cheese yoghurt alter pH

Answer 22

antibiotics
thyroid meds
digoxin
diuretics

Question 23

grapefruit apple orange cranberry

Answer 23

statins

antuhistamines

Question 24

older people have

Answer 24

less acid in stomach

more basic drugs absorbed

Question 25

elderly

Answer 25

low albumin (basic)
high alpha 1 acid glycoprotein which is acidic and binds to basic drugs

Question 26

interventions for someone who’s fallen

Answer 26

strength and balance training
home hazard assessment and intervention
vision assessment and referral
medication review

Question 27

ACEI in elderly

Answer 27

prindapil

Question 28

fluid in horizontal tissue

Answer 28

pulmonary oedema

Question 29

RAS dx

Answer 29

MR

Question 30

perinephric abscess commonest causes

Answer 30

EColi staph

Question 31

after delirium and dc

Answer 31

refer to old age psychiatry for review 1m later

Question 32

first line in constipation in the elderly

Answer 32

Senna 15mg

Question 33

pain 1st line
2nd line
3rd line

Answer 33

paracetamol QDS
codiene 15mg
morphine

Question 34

bendroflumathiazide

Answer 34

low sodium

low blood pressure