Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Clinical Assessment III- Bates Flashcards > Bates Geriatric with Review stuff she said in class > Flashcards

Bates Geriatric with Review stuff she said in class Flashcards

1
Q

____________ are less influential on myocardial contraction/

A

Beta-adrengergic catecholamines

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

What is S3 after 40y/o due to?

A

heart failure from volume overload in left ventricle (coronary artery disease, cardiomyopathy or valvular disease, such as mitral regurg)

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

When is S4 present in healthy older people?

A

Possible ventricular compliance and impaired ventricular filling; HTN

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

What is the most common murmur of elderly?

A

Systolic aortic murmur

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

How does aging affect aortic cusps?

A

Causes fibrous tissue which leads to calcification and audible vibrations

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

What is the difference between aortic sclerosis and aortic stenosis?

A

Sclerosis has fibrosis and calcification that doesn’t impede blood flow; stenosis has calcified and immobile aortic valve leaflets that cause outflow obstruction

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

What is the best to determine it is aortic sclerosis and not aortic stenosis?

A

There can be a brisk carotid upstroke due to delayed upstroke

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

What are people with an aortic sclerosis or aortic stenosis at higher risks for?

A

CV morbidity and mortality

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

What is mitral regurgitation?

A

Calcification of mitral valve ring which impedes normal valve closure during systole

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

Is loss of arterial pulsations typical?

A

No, it isn’t typical and needs careful evaluation

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

If an older adult male has abdominal or lower back pain, smokes, and has coronary disease, what is he at higher risk for?

A

AAA

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

What can giant cell or temporal arteritis lead to?

A

Loss of vision and complaints of HA and jaw claudication

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

How does aging affect the symptoms of acute abdominal disease?

A

Blunts symptoms: pain is less severe, fever is less prounounced, signs of peritoneal inflammation (muscle guarding or rebound tenderness) may diminish or are absent

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

What are some changes with aging seen in male genitalia?

A

Decreased testosterone, erections depend on touch not erotic cues, penis shrinks, testicles drop further into scrotum, pubic hair decreases/grays

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

What is the top cause of ED?

A

Vascular changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What age do menstrual periods stop?

A

45-52 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is BPH?

A

Benign prostate hyperplasia; proliferation of epithelial and stromal tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When does BPH start?

A

3rd decade

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Symptoms of BPH

A

hesistancy, dribbling, incomplete emptying

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is sarcopenia?

A

loss of lean body mass and strength with aging

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Benign forgetfulness

A

difficulty recalling names of people or objects or certain details of specific events

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What can delirium in the elderly be a clue for?

A

Infection or problems with medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are normal CNS findings in elderly, that would be abnormal in young people?

A

changes in hearing, vision, extraocular movements and pupillary size, shape, reactivity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is the difference between a benign tremor and parkisonian tumor?

A

Benign tremors are slightly faster and disappear at rest; are not associated with muscle rigidity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Where do older adults frequently lose some or all vibratory sense?

A

feet and ankles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What type of hearing do most elderly lose?

A

high tone discrimination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

What is the hyperthyroidism symptom triad in pts 50+?

A

fatigue, weight loss, and tachycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What are characteristics of geriatric syndromes?

A

multifactorial origin, typically older/frail adults, precipitated by acute event, episodic, followed by functional decline (collection of symptoms and signs common in older adults not necessarily related to a specific disease)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What are examples of geriatric syndromes?

A

delirium, cognitive impairment, falls, dizziness, depression, urinary incontinence, functional impairments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are ADLs?

A

Activities of Daily Living (bathing, dressing, toileting, transferring, continence, feeding)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What are IADLs?

A

Instrumental Activities of Daily Living (Using the telephone, shopping, preparing food, housekeeping, laundry, transportation, taking medicine, managing money

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What are clinical clues to alcohol use disorders in older adults?

A

Memory loss, cognitive impariment, depression, anxiety, neglect of hygiene/appearance, poor appetitie, nutritional deficits, sleep disruption, HTN refractory to therapy, blood sugar control problems, seizures, impaired balance and gait, fails, recurrent balance and gait, falls, recurrent gastritis and esophagitis, difficulty managing warfarin dosing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What does CAGE stand for?

A

Cutting down, Annoyance when criticized, Guilty feelings, Eye openers

34
Q

What are the exercise recommendations for elderly?

A

Moderate intensity exercise for 10-30 minutes per day or 150 minutes per week

35
Q

What are 4 important vaccines for elderly?

A

Influenza
Pneumonia
Zoster
Tetanus/diptheria

36
Q

What are the 8 components of 10-minute geriatric screener?

A

vision, hearing, leg mobility, urinary incontinence, nutrition/weight loss, memory, depression, physical disability

37
Q

What is commonly seen with BP?

A

SBP and peripheral vascular resistance increase, whereas DBP decreases

38
Q

What is orthostatic hypotension defined as?

A

Drop in SBP of >20mmHg or

Drop in DBP of >10mmHg

39
Q

What does respiratory rate > or equal to 25 mean?

A

Lower respiratory infection (also heart failure or COPD)

40
Q

What is asteatosis?

A

dry, flaky, rough, and itchy skin

41
Q

What are pseudoscars?

A

white depigmented patches on extensor surface of hands and forearms

42
Q

What is actinic purpura?

A

well demarcated vividly purple macules or patches

43
Q

What is a raised yellowish lesion that feels greasy and velvety or warty?

A

seborrheic keratoses

44
Q

Why do pressure sores develop in bed ridden patients?

A

obliteration of arteriolar and capillary blood flow to skin or from shear forces during movement across sheets or when lifted upright incorrectly

45
Q

What is senile ptosis?

A

weakening of levator palpebrae

46
Q

What is a benign whitish ring around the limbus of the eye?

A

arcus senilis

47
Q

What is the leading cause of blindness?

A

cataracts

48
Q

What does increased anteroposterior diamter, purse-lipped breathing, dyspnea with talking or minimal exertion suggest?

A

COPD

49
Q

What problems have carotid bruits?

A

aortic stenosis and carotid stenosis

50
Q

What is sustained PMI associated with? What is diffuse PMI associated with?

A

Sustained- LVH

diffuse PMI- heart failure

51
Q

A systolic crescendo-descrecendo murmur in second right intercostal space means…

A

aortic sclerosis or aortic stenosis

52
Q

What has systolic crescendo-descrecendo murmur with delayed pulses when comparing brachial and radial pulses?

A

aortic stenosis

53
Q

A harsh holosystolic murmur at apex suggests _______

A

mitral regurgitation

54
Q

A abdominal aorta width of greater or equal to 3cm or pulsatile mass denotes ________

A

abdominal aortic aneurysm

55
Q

What may bluish swellings on the labia be?

A

varicosities

56
Q

A prolapse of fleshy erythematous mucosal tissue at the urethral meatus is

A

caruncles

57
Q

Restriction of Mobility of the cervix indicates

A

inflammation, malignancy, or surgical adhesion

58
Q

What is the timed “get up and go” test? What is it for?

A

ask patient to get up from chair, walk 10 feet, turn, and return to chair; to check gait and balance (risk of falling); should be able to complete in 10 seconds

59
Q

Evidence of flexed posture, tremor, rigidity, bradykinesia, micrographia, shuffling gait, and difficulty rising from chair indicate ________

A

Parkinson’s

60
Q

What is a basal cell carcinoma?

A

translucent nodule that eventually spreads and leaves a depressed center with a firm elevated border

61
Q

What is squamous cell carcinoma?

A

Firm reddish lesion often emerging in a sun-exposed area

62
Q

What are actinic lentigines?

A

liver spots

63
Q

What is the ankle-branchial index used to assess?

A

PAD

64
Q

What does macular degeneration cause?

A

poor central vision and blindness

65
Q

What does the patient say when testing for tactile fremitus?

A

ninety-nine or one-one-one

66
Q

When is fremitus decreased or absent?

A

COPD, obstructed bronchus, pleural changes from effusion, fibrosis, air (pneumothorax), or an infiltrating tumor

67
Q

When does asymetric decreased fremitus occur?

A

unilateral pleural effusion, pneumothorax, neoplasm due to decreased transmission of low frequency sounds

68
Q

When does asymmetric increased fremitus occur?

A

unilateral pneumonia from increased transmission through consolidated tissue

69
Q

When percussing lungs, when do you hear dullness?

A

with fluid or solid tissue replacing air (i.e. lobar pneumonia, pleural effusion, hemothorax, empyema, fibrous tissue or tumor)

70
Q

When percussing lungs, when do you hear generalized hyper resonance?

A

overinflated lungs of COPD or asthma

71
Q

When percussing lungs, when do you hear unilateral hyper resonance?

A

large pneumothorax, possibly large air-filled bulla in the lung

72
Q

Tympany in the abdomen when percussing equals?

A

gas in GI tract, if with protruberant abdomen though, then possible intestinal obstruction

73
Q

Dullness when percussing the abdomen equals?

A

fluid or feces; also pregnant uterus, ovarian tumor, distended bladder, or large liver/spleen

74
Q

What is the problem if there is dullness in both flanks?

A

possible ascites

75
Q

What is consolidation?

A

When the alveoli fill with fluid or blood cells

76
Q

What conditions have consolidation?

A

pneumonia, pulmonary edema, or pulmonary hemorrhage

77
Q

What is the percussion note with consolidation?

A

dull

78
Q

What is tactile fremitus and transmitted voice sounds like with consolidation?

A

increased tactile fremitus over involved area, with bronchophony, egophony, and whispered pectroliquy

79
Q

What does Weber test test for?

A

Lateralization between ears

80
Q

What is Rinne test for?

A

Compare air conduction and bone conduction

81
Q

What should the normal result be for Rinne?

A

Air conduction > bone conduction

Clinical Assessment III- Bates Flashcards (14 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions