ALU 301 Chapter 5 Quiz Flashcards

1
Q

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
A

inability to perform two or more IADL’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

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
A

family history

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

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

A

microalbuminuria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

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
A

NT-proBNP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

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

A, B, and C are all correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

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

A & B are correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

A, B, and C are all correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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

A & C are correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

The most common significant valvular disease in older individuals is:

  • aortic stenosis
  • mitral stenosis
  • mitral insufficiency
  • tricuspid regurgitation
A

aortic stenosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

All of the following can cause elevations of alkaline phosphatase in the elderly EXCEPT:

  • liver disease
  • osteoarthritis
  • bone fractures
  • Paget’s disease
A

osteoarthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

A & B only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

All of the following are considered an instrumental activity of daily living (IADL) EXCEPT:

  • housework
  • handling personal finances
  • driving
  • meal preparation
A

driving

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

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

A only is correct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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
A

the associated mortality risk is predictable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

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
  • a larger percentage will qualify for coverage compared to younger individuals
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

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

A

B only is correct

17
Q

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

A and B are correct

18
Q

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
A

accidental deaths are uncommon

19
Q

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

A and C are correct

20
Q

The best predictor of both cardiovascular and all cause mortality in the elderly is:

  • nutrition
  • blood pressure
  • exercise capacity
  • build
A

exercise capacity

21
Q

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

A

B & C are correct

22
Q

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
A

the use of multiple medications concurrently

23
Q

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

A

B only is correct

24
Q

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

A only is correct

25
Q

Abnormally low levels of albumin can suggest:

  • kidney disease
  • cirrhosis
  • osteoporosis
  • alzheimer’s disease
A

cirrhosis