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MISC > GERIA > Flashcards

GERIA Flashcards

1
Q

Maximum survival potential
a. Life span
b. Life expectancy
c. Mortality Rate
d. Life sentence

A

a. Life span

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2
Q

A person whose present age is at 80 years old may be categorized as
a. Young elderly
b. Old elderly
c. Old old
d. Frail

A

b. Old elderly

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3
Q

Branch of medicine that deals with the illness ofthe elderly
a. Gerontology
b. Aegism
c. Geriatrics
d. Senesence

A

c. Geriatrics

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4
Q

Which age group pertains to frail
a. 65-80
b. 70-75
c. 75-84
d. 85-90

A

d. 85-90

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4
Q

All of the following are criteria for frailty, except:
a. Unexpected weight loss
b. Isolated weakness
c. Decreased physical activity
d. Self reported exhaustion
e. None of these

A

b. Isolated weakness

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4
Q

Which among the following statements describes cachexia and sarcopenia correctly?
a. Sarcopenia is loss of muscle and strength accompanied by increase in fat mass while cachexia is weight loss resulting in both loss in muscle and fat mass
b. Cachexia is loss of muscle and strength accompanied by increase in fat mass while sarcopenia is weight loss resulting in both loss in muscle and fat mass
c. Sarcopenia is loss of muscle and strength accompanied by decrease in fat mass while cachexia is weight loss resulting in loss in muscle mass and increase in fat mass
d.Sarcopenia is loss of muscle and strength accompanied by decrease in fat mass while cachexia is weight loss resulting in increase in muscle and increase in fat mass

A

a. Sarcopenia is loss of muscle and strength accompanied by increase in fat mass while cachexia is weight loss resulting in both loss in muscle and fat mass

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5
Q

Which of the following is not a component of senile posture?
a. Forward head
b. Increased thoracic lordosis
c. Flattened lumbar curve
d. Hip and knee flexion
e. No exception

A

b. Increased thoracic lordosis

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6
Q

A Bone mass density of -1.0 - -2.4 SD is classified as
a. Osteopenia
b. Osteoporosis
c. Normal
d. Severe osteoporosis

A

a. Osteopenia

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7
Q

Which of the following femoral fractures in elderly is at risk for avascular necrosis
a. Femoral neck fractures
b. Intertrochanteric
c. Subtrochanteric
d. Femoral shaft fractures

A

a. Femoral neck fractures

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8
Q

Which of the following is the treatment of choice for elderly who suffers from femoral neck fractures?
a. THA more than ORIF
b. ORIF more than THA
c. Both are treatment of choice
d. Neither are treatment of choice

A

a. THA more than ORIF

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9
Q

What is the main cause of fractures among elderly
a. Failure of calcium absorption
b. Sports injuries
c. Falls
d. All of these

A

c. Falls

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10
Q

True regarding OA in the elderly, except:
a. Decreased water or fluid content in the cartilage that leads to joint immobilization
b. Most commonly involved are non-weight bearing joints
c. Joint replacements is at risk for loosening
d. Aerobic conditioning is part of the management
e. No exception

A

b. Most commonly involved are non-weight bearing joints

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11
Q

The following are changes in gait, except:
a. Decreased speed
b. Decreased arm swing
c. Limited pelvic rotation
d. Decrease double limb support

A

d. Decrease double limb support

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12
Q

The changing of natural hair color to a lighter one among elderly is due to:
a. Decreased collagen
b. Decreased melanin
c. Decreased production of sweat
d. All of these
e. None of these

A

b. Decreased melanin

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13
Q

Which cardiovascular changes does not occur among elderly?
a. Decreased resting heart rate
b. Decreased arterial compliance
c. Decreased baroreceptor activity
d. None of these

A

a. Decreased resting heart rate

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14
Q

Which medication could increase the risk of osteoporosis?
a. NSAIDS
b. Biphosphonates
c. Corticosteroids
d. All of these

A

c. Corticosteroids

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15
Q

Which pulmonary condition may result from decreased coughing mechanism
a. Aspiration
b. Pneumonia
c. Tuberculosis
d. Both A and B

A

b. Pneumonia

16
Q

Decreased baroreceptor sensitivity may lead to ___.
a. Anemia
b. Hypertension
c. Orthostatic hypotension
d. Left ventricular hypertrophy

A

c. Orthostatic hypotension

17
Q

Which of the following may contribute for the decrease appetite among elderly
a. Hypochloridria
b. decrease gastric compliance
c. Decreased smell and taste
d. All of these

A

c. Decreased smell and taste

18
Q

Which of the following describes hypochlorydria?
a. Decrease stomach acid production from bacterial overgrowth
b. Impaired nutrient absorption due to overproduction of enzyme
c. Decrease gastric compliance due to loss of smell
d. None of these

A

d. None of these

19
Q

Benign prostatic hyperplasia more commonly occurs with
a. Men over 60 years old
b. Men before 60 years old
c. Women beyond 60 years old
d. Women before 60 years old

A

a. Men over 60 years old

20
Q

True regarding type I Diabetes, except:
a. It is also known as juvenile diabetes
b. There is decrease in glucose tolerance due to increase sensitivity of tissues to the metabolic effects of insulin
c. insulin dependent type
d. is a chronic condition

A

b. There is decrease in glucose tolerance due to increase sensitivity of tissues to the metabolic effects of insulin

21
Q

this type of DM is non insulin dependent?
a. Dm type I
b. DM type II
c. DM type III
d. A and C

A

b. DM type II

22
Q

This term describes small drops of urine being ejected when the bladder could not empty efficiently
a.Incontinence
b.Hypochlorydria
c.Dribbling
d.Voiding

A

c.Dribbling

23
Q

This condition may result from decline testosterone levels in men during elderly.
a.Menopause
b.Andropause
c.Estrogenopause
d.Testeropause

A

b.Andropause

24
Q

True regarding benign prostatic hyperplasia, except:
a.Usually develops under hormonal and more frequently neoplastic influence
b.Urine stream may be interrupt or weak
c.Also known as benign prostatic hypertrophy or benign prostatic obstruction
d.May lead to increased urgency for urinating

A

a.Usually develops under hormonal and more frequently neoplastic influence

25
Q

All of the following are genitourinary changes among elderly, except:
a.Decrease glomerular filtration rate
b.Less capability to concentrate urine
c.Development of incontinence secondary to detrusor over or underactivity
d.Decrease renal flow and blood mass

A

d.Decrease renal flow and blood mass

26
Q

Hyponatremia and Hyperkalemia may sometimes occur among elderly due to ___.
a.Increase sodium in the blood
b.Inability to retain water in the blood stream
c.Hormonal changes
d. Prescription of various drugs

A

d. Prescription of various drugs

27
Q

Which of the following describes Sundowning behavior
a.Agitation during late afternoon
b.Confusion during late afternoon
c.Sleepiness during late afternoon
d.Agitation during early morning

A

b.Confusion during late afternoon

28
Q

A 72 year old patient is walking on atreadmill in the therapy department while vital signs and pulse oximetry are being monitored. It is noted that pt’s arterial oxygen saturation drops from 95-97%. in this case, it would be best to:
a.Place a 100% O2 mask on the patient for the remainder of exercise session
b.Place a 40% O2 mask on the patient for the remainder of exercise session
c.Place 2L of O2 by nasal cannula on the patient for the remainder of session
d.Not use supplemental O2

A

d.Not use supplemental O2

29
Q

Which memory might be stable in elderly patients?
a.Episodic memory
b.Semantic memory
c.Procedural memory
d.A and C
e.B and C

A

e. B and C

30
Q

A group of symptoms that affect patient’s daily function because of cognitive dysfunction, memory impairment mood, personality and behavior changes
a.Dementia
b.Delirium
c.Hallucination
d.Illusion

A

a.Dementia

31
Q

Which of the following statements is incorrect regarding Delirium?
a.It is a chronic neurodegenerative disorder
b.Transient and usually reversible
c.Causes disturbance in attention and awareness
d.All are correct

A

a.It is a chronic neurodegenerative disorder

32
Q

Most common type of stroke among elderly
a.Hemorrhagic
b.Ischemic
c.Stroke in evolution
d.Brainstem stroke

A

b.Ischemic

33
Q

This is due to stiffness of basilar membrane, distortion of perceived sound
a.Presbycusis
b.Presbyopia
c.Conductive hearing loss
d.Sensorineural hearing loss

A

c.Conductive hearing loss

34
Q

This is prescribing new medications to treat symptoms that are as a result of an unrecognized adverse drug reactions of an existing therapy
a.Polypharmacy
b.Prescribing cascades
c.Adverse drug reactions
d.None of these

A

b.Prescribing cascades

35
Q

The following are risk factors for falls, except:
a.Psychoactive medications
b.Poor functional status
c.Gait dysfunction
d.Previous falls
e.None of these

A

e.None of these

36
Q

Progeria of childhood?
a.Hutchinson’s Gilford Syndrome
b.Weber’s syndrome
c.Werner’s syndrome
d.None of these

A

a.Hutchinson’s Gilford Syndrome

37
Q

In cancer, the prevalence rate ____ with age
a.Increase
b.Declines
c.Improves
d.Worsen

A

a.Increase

38
Q

The negative effects of disuse and immobilization include which of the following
a.Loss of bone mass more in the lower extremity than in the upper extremity
b.Loss of bone mass more in the upper extremity than in the lower extremity
c.Increased bone loss
d.Loss of abdominal mass

A

c.Increased bone loss

MISC (6 decks)

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