Exam #1 Flashcards

1
Q

The most common chronic disease among older people in the US is…

A

Hypertension

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2
Q

The country with the highest percentage of its population age 65 and over is…

A

Japan

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3
Q

What state has the most 65 year olds?

A

Florida

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4
Q

With regards to the poverty rate among older people, which of the following is true?

A

Women have higher poverty rates than men

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5
Q

According to the US census, _____ adults are grandparents.

A

1 in 4

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6
Q

What proportion of older adults were hospitalized in 2007?

A

1/3

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7
Q

Which advocacy group for the elderly was founded by Maggie Kuhn in 1970?

A

Grey Panthers

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8
Q

In collectivist societies, which role is a grandparent most likely to hold?

A

Reservoir of family wisdom

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9
Q
Common geriatric syndrome that may be caused or exacerbated by medications and be observed as ADRs include all of the following except: 
A. Cognitive impairment 
B. Gait instability and falls
C. Urinary incontinence 
D. Schizophrenia
A

D. Schizophrenia

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10
Q

A criteria established by the American geriatric society that looks at adverse drug events in older adults is called the

A

BEERS criteria

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11
Q

Drugs that exhibit water solubility are referred to as

A

Hydrophilicity

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12
Q

Which of the following factors influences drug metabolism in the elderly?

A

Reduction in hepatic blood flow

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13
Q

Peter Doolittles TED talk focused mainly on what type of memory?

A

Working

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14
Q

Drug dose adjustments are typically based on…

A

Lipophilicity

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15
Q

The major physiological changes that occur with aging are the following

A

Reduction in body water & kidney function & liver func
Increase in body fat

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16
Q

What in the body influences drug metabolism?

A

Organs mass, microsomal enzyme activity, and blood flow

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17
Q

What drug is most abused by seniors?

A

Alcohol

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18
Q

Drugs associated with greater sensitivity and harm in older people are antipsychotics, hypnotic, diuretics and non-steriodal anti-inflammatory drugs

A

True

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19
Q

Which of the following can be considered main adverse effects of drugs commonly use in the older adult population

A

Renal failure, gastrointestinal bleeding, constipation

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20
Q

If a black man is alive at age 65, what is the most likely outcome?

A

His life expectancy is similar to whites

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21
Q

Most older people have savings to take care of living in a long term care facility for how long?

A

1 year

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22
Q

The most common condition among older people in the USA is

A

Arthritis

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23
Q

Since 1980, the divorce rate of older people has:

A

Remained relatively low

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24
Q

With regard to living situation, older adults are more likely to stay put in:

A

The agricultural heartland

25
Q

The major source of income for those over 65 years old is

A

Social Security

26
Q

Individuals are eligible for medicare at age:

A

65

27
Q

What type of care is likely to increase dramatically in those over 85?

A

Home care, medicare, long term care.

28
Q

What is Diana Nyad’s sport?

A

Long distance swimming

29
Q

Advice from 90 year olds to medical students included the following:

A

Answer their questions, take more time, look at your patients versus typing

30
Q

Most of the data and statistics from the publication “An Aging Nation” is derived from what source?

A

United states census

31
Q

When a grandparent raises a grandchild, which of the following poses a significant challenge to the role?

A

Personal health problems, limited income, and social stigma of the parents problem

32
Q

Adults who must care for their own children plus the aging parents are referred to as:

A

The sandwich generation

33
Q

Which type of activity specifically helps the brain produce new neurons?

A

Aerobic exercise

34
Q

Which ethnic group tends to have the closest family relationships?

A

Hispanics

35
Q

Which of the following visual skills does NOT tend to decrease with aging?

A

Distance vision

36
Q

Sleep problems can affect anyone, and typically can include all expect:

A

Increased REM sleep

37
Q

The ability to carry out purposeful motor activities is defined as:

A

Praxis

38
Q

Cognitive impairment is caused by these 3 primary factors?

A

Disease, Disuse, Aging

39
Q

How many types of medication-related problems (MRP) are there?

A

6 types

40
Q

Drug distribution is dependent on which factors?

A

Hydrophilicity, Lipophilicity, and plasma protein binding

41
Q

What percent of body fat increased as we grow older?

A

45%

42
Q

Which of following is the most predictable pharmacokentic change in older adults?

A

Renal excretion

43
Q

The ability to synthesize_______ in the skin by sunlight decreases with aging

A

Vitamin D

44
Q

Which state had the greatest increase in proportion of older people from 2000 to 2010?

A

Alaska

45
Q

The Baby Boomer Generation is those individuals born between the years…

A

1946-1964

46
Q

In the USA, which ethnic has the shortest life expectancy?

A

Native American

47
Q

One American will turn 65 every _____ for the next 18 years

A

8 seconds

48
Q

The fastest-growing segment of the population consists of individuals who are

A

50-65 years of age

49
Q

Cognitive behavioral therapy has been shown to work well for older people who are experiencing

A

Sleep disorders

50
Q

Which of the following would be an example of sleep restriction?

A

Getting out of bed if not asleep in one half hour

51
Q

Which of the following problems can most likely be life-threatening?

A

Obstructive sleep apnea

52
Q

Which of the following about anosmia is true?

A

Anosmia often goes undetected in older people

53
Q

Drug distribution in the body includes each of the following except?

A

Malformation

54
Q

Delirium is a transient physiological reaction generally caused by

A

Acute medical conditions

55
Q

Compared to younger people, older people do better in real-life tasks involving which type of memory tasks?

A

Prospective

56
Q

Age-related changes in the gastrointestinal tract include all of the following except

A

Decreased gastric pH

57
Q

Which of the following statements about Mild Cognitive Impairment is true?

A

About 40% of those with MCI will eventually get dementia such as AD

58
Q

Which of the following statements about intelligence is accurate?

A

Crystallized intelligence is less affected by aging than fluid intelligence is