Ageing 3 Flashcards

1
Q

stroke patients

A

hemiplegic gait

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2
Q

sensory ataxia

A

antalgic gait

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3
Q

primal myopathy

A

waddling gait

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4
Q

slow rising pulse indicates what

A

significant aortic stenosis

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5
Q

what can help define the severity of aortic stenosis

A

exercise testing

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6
Q

key MDT members

A
doctor 
nurse
physio
OT
care manager
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7
Q

cerebrally disease tone

A

reduced

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8
Q

fragmin proph dose

A

125000 units

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9
Q

does clonazepam cause a tremor

A

no

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10
Q

DVT and AF

A

risk is not high

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11
Q

ACS in older people

A

can present with shortness of breath

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12
Q

pain thresholds

A

lower in older age

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13
Q

PE more likely to present with

A

syncope

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14
Q

heart failure may present with

A

delirium

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15
Q
common risk factors for falling 
muscle 
history 
drugs
age 
eyes
brain
A
muscle weakness
previous fall
poly pharmacy, sedating drugs
visual impairment 
cogn impairment
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16
Q

long term deterioration in patients with delirium

A

can happen

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17
Q

pH of pleural fluid in an empyema

A

<7.2
low glucose
raised lactic dehydrogenase

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18
Q

massive unilateral pleural effusion

A

usually due to cancer

19
Q

in infection the protein content of the fluid will be

A

exudate >25

20
Q

transudates are usually what

A

bilateral

21
Q

anti emetic for parkinson’s px

A

domperidone

22
Q

postural hypotension can occur with what

A

dehydration

23
Q

Benzo’s in delirium

A

can be used to treat

but can worsen delirium

24
Q

hypothermia diagnosis

A

don’t use oral/auricular temperature - not reliable

25
Q

commonest cx of BPH

A

acute urinary retention

26
Q

liverpool care pathway designed why

A

ensure patients who were nearing death received appropriate care

27
Q

when is the Liverpool care pathway supposed to be used

A

in the last 48-72 hours of life - doesn’t mean patient will die in this time

28
Q

thrombosis is indicated

A

can be given up to 12 hours of onset of symptoms

most effective in the first 6 hours

29
Q

bifocal glasses

A

can distort images when looking down -> falls

30
Q

falls best prevented by

A

muscle strengthening and balance

31
Q

calcium supplementation and falls

A

no link

32
Q

exercises increases what when performed weight bearing

A

bone mineral density

33
Q

exercises improves what in osteoarthritis

A

joint flexibility

34
Q

prostate cancer and back pain

A

technetium bone scan

35
Q

becks triad

A

CBT depression

slef worthless
world/environment if unfair
future is hopeless

36
Q

amitryp and BPH

A

makes it worse

urinary incontincnace

37
Q

statins

A

grapefruit

38
Q

metro

A

alcohol - flush

39
Q

warfarin

A

leaf vegetables / cranberry

40
Q

bananas oranges grean leafy veg

potassium

A

ACIE
ARB
k sparing diuretics

41
Q

donepazil and atenolol

A

hypertension

drug drug interaction

42
Q

BZD causing memory loss

A

idiosyncratic effect

43
Q

steady of 1st order drugs

A

rate of administration = rate of elimination