General

Question 1

Which approach should be applied when assessing an elderly patient?

Answer 1

Comprehensive Geriatric Assessment (CGA)

Question 2

What are the four sections of the CGA?

Answer 2

Medical
Functional
Psychological
Social/environmental

Question 3

What is included in the medical section of the CGA?

Answer 3

Problem list
Co-morbidities + severity
Medication review
Nutritional status

Question 4

What is included in the functional section of the CGA?

Answer 4

Basic ADLs
Extended ADLs
Activity/exercise status
Gait and balance

Question 5

What is included in the psychological section of the CGA?

Answer 5

Mental status/cognitive function

Mood/depression testing

Question 6

What is included in the social/environmental section of the CGA?

Answer 6

Informal needs + assets
Social circle
Care eligibility + resources
Safety

Question 7

What are the frailty syndromes that should be included in the problem list?

Answer 7

Poor mobility (off legs)
Falls
Confusion
Continence issues
Polypharmacy

Question 8

How might an MI present differently in an elderly patient?

Answer 8

No chest pain in 1/3

May present with collapse, delirium, dizziness, SOB

Question 9

How might sepsis present differently in an elderly patient?

Answer 9

BP may drop early (less reserve, antihypertensives)
Temperature may be reduced
Tachycardia may be absent
Delirium may be prominent feature