geri rehab Flashcards

1
Q

which aging theory says that cells and tissues have parts that wear out –> aging

A

wear and tear theory

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2
Q

what model of aging is accumulation of damag

A

stochastic model

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3
Q

what model of aging says that aging is due to intrinsic timing

A

programmed model of aging

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4
Q

aging is changes in adaptability to ___

A

stressors

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5
Q

when does it become disease instead of aging

A

when it changes a person’s ability to function

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6
Q

what is lipofuscin

A

a waste product that accumulates in the brain and heart since birth

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7
Q

which is the only organ that doesn’t decrease in size as we age?

A

prostate

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8
Q

what impacts wound healing in aging?

A

fewer mast cells and macrophages

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9
Q

which aspect of muscle performance is most impacted by aging?

A

power

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10
Q

which fiber type is most affected with aging?

A

type II (fast twitch)

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11
Q

polymyalgia rheumatica

A

over 50, relapsing, systemic disease of pain, weakness, and stiffness in proximal muscle groups

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12
Q

older adults use ____ processing for spatial tasks, but need to use ____ processing in novel environments (find thins difficult)

A
egocentric = self to object
allocentric = encode relationships of objects to each other
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13
Q

why are elderly more prone to hypERthermia?

A

decreased sweat production

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14
Q

presbyopia

A

ability to change focus from far to near declines

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15
Q

far vision is easier because…

A

it is achieved by muscle relaxation

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16
Q

glaucoma

A

loss in peripheral vision

increase in intra-ocular pressure

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17
Q

macular degeneration

A

loss of central vision

18
Q

cataract

A

increase density of lens –> blurring

19
Q

diabetic retinopathy

A

leaking blood, blocks vision

20
Q

how does poor vision impact gait in the elderly?

A

more time in DL stance

don’t pick up feet as high on stairs (AP stability better than M/L)

21
Q

presbycusis

A

sensorineural hearing loss

22
Q

atrophic gastritis

A

chronic inflammation of the lining of the stomach that results in poor absorption of B12 and pernicious anemia
will have no pain
need B12 shots

23
Q

decreased kidney function in the aging affects drugs by….

A

decreasing metabolism, last longer in the body

24
Q

how does aging increase OH?

A

baroreceptors become less sensitive, don’t react as quickly

25
Q

which type of intelligence is affected by aging?

A

fluid intelligence

26
Q

symptoms of normal pressure hydrocephelus

A

dementia
slows-shuffling gait
urinary incontinence

27
Q

postprandial hypotension

A

low BP after you eat

28
Q

Berg is good for CVA but not as good for PD T/F

A

true

29
Q

good questioniaire for fear of falling

A

ABC fear of falls scale

30
Q

which muscles are important to strengthen to improve balance in the elderly?

A

DF, quads, hip flexors

31
Q

frailty is

A
3 or more
-unintentional weight loss
-self-reported exhaustion
weaknes
slow walking speed
low physical activity
32
Q

what is the most common type of dementia

A

alzheimer’s

33
Q

dementia is at least 3 spheres of mental activity

A
language
memory
visuospatial skills
emotion
cognitive
34
Q

primary difference between dementia and delirium

A

acute onset of delirium

and level of consciousness is altered by delirium

35
Q

apraxia

A

impaired ability to do previously learned motor activities despite intact motor function

36
Q

which type of dementia has prominent hallucinations?

A

dementia w/ Lewy bodies

37
Q

what two is mixed dementia

A

is vascular dementia and AD

38
Q

frontotemporal dementias

A

degeneration pattern of the frontal lobe

39
Q

which type of dementia causes fluctuations in cognition

A

dementia with lewy bodies

40
Q

medical management of AD

A

acetylcholinesterase inhibitors

41
Q

most common neurocognitive test, and what is its downfall

A

mini mental

doesn’t do executive function (add clock drawing test)

42
Q

what organ is most responsible for drugs staying in the system of elderly the longer?

A

the kidneys