Geriartric Exam

Question 1

geriatrics

Answer 1

older than 65

social security act of 1935

Question 2

medicare

Answer 2

social security act of 1965

Question 3

subset of old?

Answer 3

young old 65 75
middle old 75 85
old old 85 and older

Question 4

geriatric history

Answer 4

always look at meds
assess activites of daily living
look at depression
look for cognitive impairment
atypical presentation

Question 5

physical for geriatric

Answer 5

assess diet and fluid status
pulse and BP
HEENT

Question 6

kyphotic changes

Answer 6

decreased lung capacity

Question 7

depression

Answer 7

occurs alot in geriatrics

Question 8

atherosclerosis

Answer 8

hardening of arteries

Question 9

HTN new approach

Answer 9

allow geriatrics to have a higher BP to combat the normal progression of atherosclerosis

Question 10

orthostatics

Answer 10

common in geriatrics

Question 11

temporal arteritis

Answer 11

inflammation temporal a
headache
proximal muscle weakness

can hear bruit
-is emergency

Question 12

systolic murmur

Answer 12

1/3 of octogenarians have one
-don’t need to worry about them as much

only explore if they are showing symptoms

Question 13

focus of geriatrics

Answer 13

reducing nursing home
reduce hospitilization
quality vs. quantity of life
socio-economic issues

Question 14

with gait disturbances

Answer 14

neuro
cardiac
lab
phys/occ therapy

Question 15

get up and go test

Answer 15

to see how long to get out of chair and walk ten feet and sit down

Question 16

incontinence

Answer 16

people will isolate

types:
stress, urge, overflow, functional

Question 17

diabetes

Answer 17

polydipsia
polyuria
polyphagia

3 P’s of diabetes

Question 18

foley catheter

Answer 18

last resort

-infection and tripping hazard

Question 19

DIAPERS

Answer 19

things you evaluate for incontinent patients

drugs
infection
atrophic vaginitis
psych
endocrine
restricted mobility
stool impaction

Question 20

anticholinergic medication

Answer 20

tone down detrusor

can worsen dementia
-so not that good

Question 21

kegel exercises

Answer 21

for stress incontinence

-to build up muscles

Question 22

estrogens

Answer 22

for stress incontinence

Question 23

alpha-adrenergic agonists

Answer 23

for stress incontinence

however, are vasoconstrictor

Question 24

pessary

Answer 24

ring that supports uterus

-so no vaginal prolapse

Question 25

overflow incontinence

Answer 25

important for preservation of renal function

Question 26

Tx for prostate

Answer 26

finasteride

alpha-adrenergic antagonists

Question 27

constipation

Answer 27

decreased frequency bowel movements
less than 3 per week

result from meds, mechanical, neuro, systemic, dehydration, inactivity

Question 28

opiate induced constipation

Answer 28

need to use peristaltic stimulants

NOT bulk laxatives

Question 29

Tx for pressure sores

Answer 29

prevention

moist dressing

Question 30

geriatricians best known for

Answer 30

number of meds they discontinue, rather than how many they prescribe

risk vs. benefit ratio