Exam 1: Other

Question 1

WHO elderly

Answer 1

65-75

Question 2

WHO old

Answer 2

76-90

Question 3

WHO very old

Answer 3

901+

Question 4

NM is what rank in the nation for poverty

Answer 4

3

Question 5

What fraction of NM lives in rural areas

Answer 5

2/3

Question 6

What increase in elderly in NM for 2025

Answer 6

21%

Question 7

what percentage of office visits in US are for elderly

Answer 7

31%

Question 8

what is the silver tsunami

Answer 8

there is an impending massive increase in number of elderly with no infrastructure/social services to support it

Question 9

ADLs include

Answer 9

personal care, continence, mobility, feeding

Question 10

IADLs include

Answer 10

shopping, finances, phone, driving, cooking

Question 11

IADLs stands for

Answer 11

instrumental activities of daily living

Question 12

most falls occur where

Answer 12

at home

Question 13

capacity definition

Answer 13

the patient’s ability to make an informed medical decision

Question 14

who can determine capacity

Answer 14

healthcare provider

Question 15

what happens if healthcare provider suspects no capacity

Answer 15

legal proceedings to determine competency

Question 16

competency definition

Answer 16

legal degree of mental soundness to make decisions

Question 17

who can determine competency

Answer 17

a court

Question 18

capacity refers to an

Answer 18

ability

Question 19

competence refers to a

Answer 19

property

Question 20

capacity is a matter of

Answer 20

degrees

Question 21

competence is a matter of

Answer 21

all or nothing

Question 22

what are components of assessment for fall risk

Answer 22

get up and go test, vision screening, orthostatics, cataracts, gait/balance, med review, home environment

Question 23

components of comprehensive geriatric assessment

Answer 23

other providers, functional status/falls, med review, depression, weight loss/malnutrition, hearing/vision, cognition, incontinence

Question 24

what rank of cause of death is cancer in US

Answer 24

2nd

Question 25

what is SLUMS used for

Answer 25

cognitive assessment

Question 26

biggest risk predictor for geriatric surgery

Answer 26

frailty

Question 27

components of FRAIL scale

Answer 27

Fatigue, resistance (climb 1 flight of stairs), ambulation (> 1 block), illnesses (greater than 5), loss of weight (>5%)

Question 28

FRAIL scale scoring

Answer 28

1-2 prefrail, >3 frail

Question 29

4 interventions shown to improve frailty

Answer 29

exercise, caloric/protein support, vitamin D, reduce polypharmacy with BEERs

Question 30

CAGE questionnaire

Answer 30

to assess ETOH use

Question 31

cardiac risk screening

Answer 31

MACE

Question 32

criteria to determine need for cardiac workup

Answer 32

METS greater or equal 4, no further workup

Question 33

play strenuous sports

Answer 33

METS>10

Question 34

moderate exertion

Answer 34

METS>4

Question 35

light housework, climb a flight of stairs

Answer 35

METS=4

Question 36

ADLS, walk a block

Answer 36

METS<4

Question 37

Ideal A1C prior to surgery for DM

Answer 37

7

Question 38

causes of delayed healing in elderly

Answer 38

vitamin D and B deficiencies, decreased immune system