ALU 301 Chapter 5 Quiz Flashcards
All of the following increase the risk of experiencing a fall within the elderly population EXCEPT:
- inability to extend back
- decreased distant vision
- inability to perform two or more IADL’s
- poor balance upon sitting down
inability to perform two or more IADL’s
Parameters commonly used to develop a preferred criteria in the older age group include all of the following EXCEPT:
- cognitive function
- family history
- driving record
- blood pressure
family history
The lab test that is linked to an increased incidence of coronary and peripheral vascular diseases as well as an increased all-cause mortality is:
-serum albumin
- hemoglobin
- microalbuminuria
- HDL cholesterol
microalbuminuria
A lab marker that is commonly used for the diagnosis of heart failure is:
- alkaline phosphatase
- albumin
- N-terminal pro-BNP (NT-proBNP)
- hemoglobin A1c
NT-proBNP
Which of the following tests are life insurance companies encouraged to have as part of their essential underwriting requirements for elderly applicants?
A - complete cognitive assessment
B - paramedical exam
C - personal history interview
A only is correct
A & B are correct
B & C are correct
A, B & C are all correct
A, B, and C are all correct
Which of the following can impair the ability to safely operate a motor vehicle in the older population?
A- reduced reflexes
B - poor visual acuity
C - frailty
A only
A & B are correct
B & C are correct
A, B, and C are correct
A & B are correct
Which of the following factors reflect an ideal mortality risk within the elderly population?
A - ability to perform all IADL’s
B - living independently
C - socially active outside of the home
A only is correct
A & B are correct
B & C are correct
A, B, and C are all correct
A, B, and C are all correct
Which of the following are activities included within the Advanced Activities of Daily Living (AADL’s)
A - working
B - shopping
C - attending church
A only is correct
A & B are correct
A & C are correct
A, B, and C are correct
A & C are correct
The most common significant valvular disease in older individuals is:
- aortic stenosis
- mitral stenosis
- mitral insufficiency
- tricuspid regurgitation
aortic stenosis
All of the following can cause elevations of alkaline phosphatase in the elderly EXCEPT:
- liver disease
- osteoarthritis
- bone fractures
- Paget’s disease
osteoarthritis
Which of the following can be a sign of malignancy in the elderly?
A - unexplained weight loss
B - decreasing serum cholesterol
C - stable persistent anemia
A only
A & B only
B & C only
A, B, and C are all correct
A & B only
All of the following are considered an instrumental activity of daily living (IADL) EXCEPT:
- housework
- handling personal finances
- driving
- meal preparation
driving
Which of the following statements regarding vascular dementia is/are correct?
A - it is also known as multi-infarct dementia
B - it is caused by nutritional deficiencies
C - it is reversible
A is correct
A & B are correct
A & C are correct
B & C are correct
A only is correct
All of the following statements regarding frailty in the elderly are correct EXCEPT:
- the associated mortality risk is predictable
- its prevalence rises sharply with age
- there is an increased risk of hospitalization
- it results from a lack of reserve in key functional areas
the associated mortality risk is predictable
In life insurance all of the following statements regarding underwriting and pricing assumptions for the elderly are correct EXCEPT:
- a larger percentage will qualify for coverage compared to younger individuals
- lapse rates tend to diminish as age increases
- some medical conditions will influence mortality differently at younger ages
- the presence of multiple comorbid conditions is more common
- a larger percentage will qualify for coverage compared to younger individuals
Which of the following statements regarding coronary artery disease in the elderly is/are correct?
A - treatment with PTCA suggests less severe disease
B - many myocardial infarctions occur without significant symptoms
C - coronary artery bypass surgery has a lower perioperative mortality than in younger populations
B only is correct
A & B are correct
B & C are correct
A, B, and C are all correct
B only is correct
Which heart valves negatively impact the elderly population?
A - aortic valve
B - mitral valve
C - tricuspid valve
A & B are correct
A & C are correct
B & C are correct
A, B, and C are all correct
A and B are correct
All of the following statements regarding the elderly population are correct EXCEPT:
- occupational accidents are reduced
- accidental deaths are uncommon
- falls represent the primary cause of accidental death
- driving is an example of a non-frailty factor
accidental deaths are uncommon
Which of the following is/are included in the functional assessment of the elderly population?
A - social involvement
B - sleep cycles
C - nutrition
A only is correct
A & C are correct
B & C are correct
A, B, and C are all correct
A and C are correct
The best predictor of both cardiovascular and all cause mortality in the elderly is:
- nutrition
- blood pressure
- exercise capacity
- build
exercise capacity
Motor vehicle collisions involving the elderly are more likely to result in serious injuries and death because of the presence of:
A - poor visual acuity
B - frailty
C - comorbid conditions
B only is correct
A & C are correct
B & C are correct
A, B, and C are correct
B & C are correct
Polypharmacy is defined as:
- the use of multiple medications concurrently
- the increase of incidents in fraudulent prescriptions in the elderly populations
- the tendency for the elderly population to use several pharmacies
- the tendency for the prescription dosage to be increased among the elderly
the use of multiple medications concurrently
Which of the following statements regarding coronary artery disease in elderly is/are correct?
A - silent infarctions have a more favorable mortality risk than symptomatic infarcts
B - Many MI’s in the elderly occur without significant symptoms
C - having a PTCA performed means that the individual has less extensive disease
B only is correct
A & B are correct
B & C are correct
A, B, and C are all correct
B only is correct
Which of the following is/are risk factors for suicide in the elderly?
A - alcohol abuse
B - working fulltime after age 65
C - smoking
A only is correct
A & B are correct
B & C are correct
A, B, and C are all correct
A only is correct
Abnormally low levels of albumin can suggest:
- kidney disease
- cirrhosis
- osteoporosis
- alzheimer’s disease
cirrhosis
