Ch31 Practice Questions Pt.1 Flashcards

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1
Q

You have been asked to deliver a talk about the geriatric population to the new OEC class. Which of the following points would you emphasize in your presentation?

A) Assessment can be difficult because most individuals older than 70 suffer from dementia.

B) Many elderly individuals have a combination of different diseases in various stages.

C) Geriatric patients actually account for a small number of emergency medical calls and transports.

D) Dementia is an inevitable part of aging.

A

You have been asked to deliver a talk about the geriatric population to the new OEC class. Which of the following points would you emphasize in your presentation?
A) Assessment can be difficult because most individuals older than 70 suffer from dementia.
B) Many elderly individuals have a combination of different diseases in various stages.
C) Geriatric patients actually account for a small number of emergency medical calls and transports.
D) Dementia is an inevitable part of aging.

Ans: B

Complexity: Easy
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 719-721
Objective: 31-1
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2
Q

A new OEC technician asks you why the elderly are at higher risk for developing pneumonia than younger individuals. You inform him that the elderly are more susceptible to respiratory infections because of:

A) impaired swallowing of saliva.
B) decreased alveolar gas exchange.
C) a reduced cough reflex.
D) hardening of the major arteries.

A
A new OEC technician asks you why the elderly are at higher risk for developing pneumonia than younger individuals. You inform him that the elderly are more susceptible to respiratory infections because of: 
A) impaired swallowing of saliva.
B) decreased alveolar gas exchange.
C) a reduced cough reflex.
D) hardening of the major arteries.

Ans: C

Complexity: Easy
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 719 [Table 31-1]
Objective: 31-1
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3
Q

The son of an 88-year-old patient states that he told his mother to increase the amount of an antibiotic she was taking so she would “feel better faster.” This represents a problem because the elderly have:

A) decreased respiratory function.
B) an increased risk for stroke.
C) decreased liver and kidney function.
D) an increased risk for cancer.

A
The son of an 88-year-old patient states that he told his mother to increase the amount of an antibiotic she was taking so she would "feel better faster.” This represents a problem because the elderly have:
A) decreased respiratory function.
B) an increased risk for stroke.
C) decreased liver and kidney function.
D) an increased risk for cancer.

Ans: C

Complexity: Moderate
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 719 [Figure 31-1]
Objective: 31-1
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4
Q

By age 85, the brain of a typical geriatric patient can shrink by as much as 10 percent due to:

A) reduced use in learning.
B) a decrease in brain cell numbers.
C) reduced fluid volume.
D) stroke activity.

A
By age 85, the brain of a typical geriatric patient can shrink by as much as 10 percent due to:
A) reduced use in learning.
B) a decrease in brain cell numbers.
C) reduced fluid volume.
D) stroke activity.

Ans: B

Complexity: Easy
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 719
Objective: 31-1
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5
Q

In a typical geriatric patient, a reduction in cerebral blood flow can:

A) reduce the amount of glucose and oxygen that reaches the brain.

B) increase the patient’s pulse rate.

C) decrease the patient’s blood pressure.

D) increase the patient’s respiratory rate.

A

In a typical geriatric patient, a reduction in cerebral blood flow can:
A) reduce the amount of glucose and oxygen that reaches the brain.
B) increase the patient’s pulse rate.
C) decrease the patient’s blood pressure.
D) increase the patient’s respiratory rate.

Ans: A

Complexity: Easy
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 719-720
Objective: 31-3
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6
Q

Which of the following statements shows that an OEC technician has an accurate understanding of vital signs in relation to geriatric patients?

A) “The typical resting heart rate in geriatric patients is less than 60 beats per minute.”

B) “Fever tends to be more common and more severe in elderly patients.”

C) “There is no difference between the vital signs of a geriatric patient and those of a young adult.”

D) “Respiratory capacity is greatly reduced in geriatric patients.”

A

Which of the following statements shows that an OEC technician has an accurate understanding of vital signs in relation to geriatric patients?
A) “The typical resting heart rate in geriatric patients is less than 60 beats per minute.”
B) “Fever tends to be more common and more severe in elderly patients.”
C) “There is no difference between the vital signs of a geriatric patient and those of a young adult.”
D) “Respiratory capacity is greatly reduced in geriatric patients.”

Ans: D

Complexity: Easy 
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 720
Objective: 31-1
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7
Q

For many geriatric patients, food is less appealing because:

A) they engage in less physical activity.

B) they sleep more and eat less.

C) their sense of smell is reduced, and they have fewer taste buds.

D) they have less money for purchasing appealing food.

A

For many geriatric patients, food is less appealing because:
A) they engage in less physical activity.
B) they sleep more and eat less.
C) their sense of smell is reduced, and they have fewer taste buds.
D) they have less money for purchasing appealing food.

Ans: C

Complexity: Easy 
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 720
Objective: 31-3
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8
Q

The lung capacity in a healthy 90-year-old patient is ________ that of a 30-year-old patient.

A) equal to
B) three-quarters of
C) one-quarter of
D) half of

A
The lung capacity in a healthy 90-year-old patient is \_\_\_\_\_\_\_\_ that of a 30-year-old patient.
A) equal to
B) three-quarters of
C) one-quarter of
D) half of

Ans: D

Complexity: Easy 
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 720
Objective: 31-1
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9
Q

Some elderly patients have osteoporosis, a condition that results in:

A) decreased bone density.
B) decreased renal output.
C) decreased insulin production.
D) gall stone production.

A
Some elderly patients have osteoporosis, a condition that results in: 
A) decreased bone density.
B) decreased renal output.
C) decreased insulin production.
D) gall stone production.

Ans: A

Complexity: Easy 
Ahead: Physiological Changes of Aging
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 721
Objective: 31-1
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10
Q

For the same individual, on average, blood pressure at age 30 compared to blood pressure to age 70 will be:

A) higher.
B) lower.
C) the same.
D) unrelated.

A
For the same individual, on average, blood pressure at age 30 compared to blood pressure to age 70 will be:
A) higher.
B) lower.
C) the same.
D) unrelated.

Ans: B

Complexity: Moderate
Ahead: Common Geriatric Illnesses and Conditions
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 722
Objective: 31-3
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11
Q

In geriatric patients, strokes can be caused by a blockage or by:

A) a buildup of dopamine.
B) a buildup of epinephrine.
C) a rupture of a cerebral blood vessel.
D) trauma to the cortex.

A
In geriatric patients, strokes can be caused by a blockage or by:
A) a buildup of dopamine.
B) a buildup of epinephrine.
C) a rupture of a cerebral blood vessel.
D) trauma to the cortex.

Ans: C

Complexity: Easy 
Ahead: Common Geriatric Illnesses and Conditions
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 723
Objective: 31-5
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12
Q

Family members tell you that three hours ago, their 76-year-old mother suddenly became confused and had great difficulty speaking. However, within 15 minutes, she returned to normal. Based on this description, an OEC technician should be suspicious of:

A) a stroke.
B) dementia.
C) Alzheimer’s disease.
D) a transient ischemic attack.

A
Family members tell you that three hours ago, their 76-year-old mother suddenly became confused and had great difficulty speaking. However, within 15 minutes, she returned to normal. Based on this description, an OEC technician should be suspicious of:
A) a stroke.
B) dementia.
C) Alzheimer's disease.
D) a transient ischemic attack.

Ans: D

Complexity: Moderate
Ahead: Common Geriatric Illnesses and Conditions
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 723-724
Objective: 31-3
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13
Q

Which of these is a common cause of COPD?

A) Atherosclerosis
B) Chronic bronchitis
C) Eczema
D) Allergies

A
Which of these is a common cause of COPD?
A) Atherosclerosis
B) Chronic bronchitis
C) Eczema
D) Allergies

Ans: B

Complexity: Easy 
Ahead: Common Geriatric Illnesses and Conditions
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 724
Objective: 31-3
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14
Q

Over 60% of abdominal pain problems in geriatric patients require:

A) a trip to the emergency department.
B) a prescription for a narcotic drug.
C) surgical intervention.
D) evaluation for hernia.

A
Over 60% of abdominal pain problems in geriatric patients require:
A) a trip to the emergency department.
B) a prescription for a narcotic drug.
C) surgical intervention.
D) evaluation for hernia.

Ans: C

Complexity: Moderate
Ahead: Common Geriatric Illnesses and Conditions
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 724
Objective: 31-3
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15
Q

Many elderly patients participate in a practice called “polypharmacy,” which is the:

A) use of mail-order pharmacies.
B) simultaneous taking of multiple medications.
C) use of generic drugs.
D) use of designer drugs.

A

Many elderly patients participate in a practice called “polypharmacy,” which is the:
A) use of mail-order pharmacies.
B) simultaneous taking of multiple medications.
C) use of generic drugs.
D) use of designer drugs.

Ans: B

Complexity: Easy 
Ahead: Medication Use in the Elderly
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 725
Objective: 31-4
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16
Q

To identify all the drugs, prescriptions, herbal supplements, and over-the-counter drugs that a patient may be taking in combination, OEC technicians should use:

A) SAMPLE.
B) OPQRST.
C) DCAP-BTLS.
D) AEIOU.

A
To identify all the drugs, prescriptions, herbal supplements, and over-the-counter drugs that a patient may be taking in combination, OEC technicians should use:
A) SAMPLE.
B) OPQRST.
C) DCAP-BTLS.
D) AEIOU.

Ans: A

Complexity: Moderate
Ahead: Medication Use in the Elderly
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 725
Objective: 31-4
17
Q

The class of medications that is most commonly prescribed to elderly patients is:

A) gastrointestinal medications.
B) respiratory medications.
C) neurological medications.
D) cardiovascular medications.

A
The class of medications that is most commonly prescribed to elderly patients is:
A) gastrointestinal medications.
B) respiratory medications.
C) neurological medications.
D) cardiovascular medications.

Ans: D

Complexity: Moderate
Ahead: Medication Use in the Elderly
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 725
Objective: 31-4
18
Q

One group of drugs prescribed for geriatric patients is beta-blockers. This type of drug:

A) manages cardiac arrhythmias.
B) increases a patient’s pulse rate.
C) increases a patient’s cardiac preload.
D) thins a patient’s blood.

A

One group of drugs prescribed for geriatric patients is beta-blockers. This type of drug:
A) manages cardiac arrhythmias.
B) increases a patient’s pulse rate.
C) increases a patient’s cardiac preload.
D) thins a patient’s blood.

Ans: A

Complexity: Easy 
Ahead: Medication Use in the Elderly
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 725
Objective: 31-4
19
Q

Geriatric patients may also have a prescription for a diuretic such as HCTZ or Lasix. The role of this type of drug is to:

A) increase a patient’s heart rate.

B) increase a patient’s respiratory rate.

C) decrease the volume of fluid circulating in the cardiovascular system.

D) increase the preload of the atria.

A

Geriatric patients may also have a prescription for a diuretic such as HCTZ or Lasix. The role of this type of drug is to:
A) increase a patient’s heart rate.
B) increase a patient’s respiratory rate.
C) decrease the volume of fluid circulating in the cardiovascular system.
D) increase the preload of the atria.

Ans: C

Complexity: Easy 
Ahead: Medication Use in the Elderly
Subject: Chapter 31
Title: Geriatric Emergencies
Feedback: 725-726
Objective: 31-3