Exam 1

Question 1

T or F: As a person ages, their fat mass shifts more towards the abdomen.

Answer 1

True!

Question 2

Which class of drugs will most likely cause extrapyramidal symptoms such as dystonias?
A. Antihistamines
B. Opioids
C. Antipsychotics
D. NSAIDS

Answer 2

C. Antipsychotics

Question 3

T or F: People who reach the age of 65 can be expected to reach the age of 90..

Answer 3

False! They are expected to live 19 more years - 84

Question 4

Avoiding disease and disability while maintaining high physical and cognitive function with sustained engagement in social and productive activities describes which of the following?
A. Optimal Aging
B. Functional Aging
C. Fun Aging
D. Successful Aging

Answer 4

D. Successful Aging

Question 5

An older adult is taking 7 medications a day. 2 of the medications are to treat the side effects of other medications. This is a sign of _____.

Answer 5

Polypharmacy

Question 6

A person who requires help with ADLs and IADLs is operating in _____ on the slippery slope of aging.

Answer 6

Frailty

Question 7

T or F: Frailty can be reversed.

Answer 7

True!

Question 8

What are 3 examination areas that need special attention in the older adult?

Answer 8

Home Assessment, Fall hx/risk, and Support System

Question 9

Which of the following is a common type of infection in older adults?
A. Common cold
B. Flu
C. Sepsis
D. UTI

Answer 9

D. UTI

Question 10

T or F: An older adult should perform flexibility exercises for 30 seconds each at least 2x per week.

Answer 10

False; want to hold for at least 60 seconds and do them 4x per week

Question 11

Which of the following exercises is safe and progressive for an adult with osteoporosis?
A. Standing, pick up small weights from the floor to place them on an overhead shelf focusing on weight shifting
B. Supine, hooklying exercise performing abdominal curl-ups with cervical flexion
C. Seated, reaching exercises to pick up small weights from the floor and place them by rotating the spine to set them onto the table beside them.
D. Standing, 1/4 squats with hip hinge with dumbbells in each hand focusing on gradual overload principles

Answer 11

D; hip hinge does not involve flexion and is progressive

Question 12

As individuals age, reaction times and fall risk increase due to physiologic muscle changes with noted preferential fiber loss, specifically _____ fiber loss.

Answer 12

Type II aka Fast twitch

Question 13

Which of the following normal age-related changes increases fall risk in older adults?
A. Decreased cytokine production
B. Increased brain weight
C. Increased neurotransmitter production
D. Decreased conduction velocity

Answer 13

D. nerve conduction decreased due to demyelination

Question 14

Which of the following assessments is best to assess abdominal strength in an older adult with osteoporosis?
A. Prone, front plank
B. Supine, abdominal hollow
C. Sidelying, bunkie test
D. Supine, partial sit up

Answer 14

B. Supine abdominal hollow

Question 15

What types of exercise/what considerations for adults with osteoporosis?

Answer 15

Closed kinetic chain; loading exercises; high intensity strength training
AVOID flexion

Question 16

What are some quick tests to perform to examine posture and screen for vertebral fractures?

Answer 16

Plumb line; wall-occiput distance

Question 17

What is the actual name of the 2 question depression screening test?

Answer 17

Patient Health Questionnaire - 2 (PHQ-2)

Question 18

T or F: Spinal stenosis is a normal part of aging.

Answer 18

False; it’s pathological arthritis in the spinal canal

Question 19

All of the causes for OA are yet to be understood. Cellular senescence, bone remodeling, osteophyte formation, ligament laxity, muscle weakness and synovitis play a role in creating an inflammatory event. As a result we xan imply symptomatic arthritis _____ a normal part of aging and imaging findings ____ equate pain.

Answer 19

IS NOT; DO NOT