Geriatric Assessment Flashcards
High-dose flu vaccines are recommended for adults over:
- A) 50 years old
- B) 60 years old
- C) 65 years old
- D) 70 years old
D) 65 years old
Which of the following is a tool used to assess cognitive decline?**
A) MoCA
B) Snellen chart
C) BMI calculation
D) Timed Up and Go
Answer: A) MoCA
What does the Mini-Cog test assess?
A) Mobility
B) Cognitive function
C) Hearing
D) Nutritional status
Answer: B) Cognitive function
Which tool is commonly used for early detection of dementia?
A) Montreal Cognitive Assessment (MoCA)
B) Timed Up and Go
C) Snellen chart
D) Whisper test
Answer: A) Montreal Cognitive Assessment (MoCA)
What is a primary purpose of cognitive assessment in older adults?
A) Detect early cognitive decline
B) Improve mobility
C) Check for hearing issues
D) Assess weight loss
Answer: A) Detect early cognitive decline
What is a primary purpose of the Medicare Annual Wellness Visit (AWV)?
A) To conduct a full physical exam
B) To update preventive care plans
C) To check blood glucose levels
D) To prescribe medications
Answer: B) To update preventive care plans
Which of the following is included in a Medicare AWV?
A) A complete physical exam
B) A risk assessment
C) Only a vision test
D) A hearing test
Answer: B) A risk assessment
Which section of the Medicare AWV includes assessing ADLs and IADLs?
A) History section
B) Physical examination
C) Assessment section
D) Counseling section
Answer: C) Assessment section
What is required before an older adult can receive their first Medicare Annual Wellness Visit (AWV)?
A) At least 6 months on Medicare Part B
B) 12 months or more on Medicare Part B
C) A history of chronic disease
D) The patient must be over 75
Answer: B) 12 months or more on Medicare Part B
Which of the following is NOT typically included in a Medicare Annual Wellness Visit (AWV)?
A) Cognitive function screening
B) Fall risk assessment
C) Blood work
D) Advanced directives discussion
Answer: C) Blood work
What does Medicare Part B cover in relation to the Annual Wellness Visit?
A) Full physical examination
B) Diagnostic testing
C) Risk assessments and preventive care plans
D) Only prescription medications
Answer: C) Risk assessments and preventive care plans
Which of the following should be included in the history section of a Medicare AWV?
A) Family history of diseases
B) Full physical examination
C) Cognitive testing
D) TUG test
Answer: A) Family history of diseases
A key component of the assessment section of the Medicare AWV is:
A) Measuring BMI and blood pressure
B) Ordering diagnostic tests
C) Advanced directives
D) Assessing patient’s exercise routine
Answer: A) Measuring BMI and blood pressure
What should be discussed in the orders and counseling section of the Medicare AWV?
A) Current medications
B) Surgical history
C) Preventive screenings and referrals
D) Past immunizations
Answer: C) Preventive screenings and referrals
What is the purpose of the cognitive assessment in the Medicare AWV?
A) Identify patients with hypertension
B) Check for early signs of cognitive decline
C) Measure BMI
D) Diagnose hearing loss
Answer: B) Check for early signs of cognitive decline
Which is a valid reason to delay or defer a Medicare AWV?
A) The patient is under 65
B) The patient has been on Medicare Part B for less than 12 months
C) The patient has had a recent fall
D) The patient does not take medications
Answer: B) The patient has been on Medicare Part B for less than 12 months
Which section of the Medicare AWV involves creating a personalized prevention plan for the next 5 to 10 years?
A) History
B) Assessment
C) Orders and counseling
D) Physical examination
Answer: C) Orders
and counseling
What is a major goal of the Medicare AWV?
A) To prescribe new medications
B) To manage chronic disease
C) To prevent the development of new diseases
D) To perform diagnostic procedures
Answer: C) To prevent the development of new diseases
The subsequent Medicare AWV after the initial visit focuses on:**
A) Performing a new physical exam
B) Re-assessing the patient’s risk factors and updating preventive plans
C) Conducting lab tests
D) Referring patients to specialists
Answer: B) Re-assessing the patient’s risk factors and updating preventive plans
Which of the following sections is NOT part of the Medicare AWV?
A) Health risk assessment
B) Weight management plan
C) Medication management
D) Surgical history
Answer: D) Surgical history
Which of the following questions is part of the fall risk assessment in the Medicare AWV?**
A) How many cigarettes do you smoke per day?
B) Have you fallen in the past year?
C) Do you have a family history of cancer?
D) How long do you exercise daily?
Answer: B) Have you fallen in the past year?
A complete list of what must be included in a Medicare AWV?
A) Medical and surgical history
B) Current medications and supplements
C) Exercise preferences
D) Patient’s surgical interventions
Answer: B) Current medications and supplements
The demographic data section of the Medicare AWV is used to collect:
A) Patient’s address and contact details
B) Socioeconomic status
C) Patient’s self-assessment of their health
D) History of falls
Answer: C) Patient’s self-assessment of their health
What is the benefit of the Medicare Annual Wellness Visit (AWV) for healthcare providers?
A) It is a quick method for diagnosing chronic diseases
B) It helps in early identification and prevention of health issues
C) It provides reimbursement only for diagnostic tests
D) It involves no administrative work
Answer: B) It helps in early identification and prevention of health issues
A patient with moderate dementia scores poorly on the Mini-Cog. What should you assess next?
A) Advanced directives
B) Cognitive function using MoCA
C) Physical activity levels
D) Nutritional status
Answer: B) Cognitive function using MoCA
Which cognitive assessment tool is known for evaluating memory, attention, and visual-spatial abilities in older adults?
A) PHQ-9
B) TUG test
C) Mini-Cog
D) Montreal Cognitive Assessment (MoCA)
Answer: D) Montreal Cognitive Assessment (MoCA)
Which of the following is a required element of the Medicare Annual Wellness Visit (AWV)?
A) Conducting an invasive physical exam
B) Screening for cognitive impairment
C) Prescribing new medications
D) Recommending surgery
Answer: B) Screening for cognitive impairment
Which of the following is a typical cognitive function test for older adults?**
A) Gait speed measurement
B) PHQ-9
C) Whisper test
D) Mini-Cog
Answer: D) Mini-Cog
Which of the following is a component of the assessment section of a Medicare Annual Wellness Visit?
A) Detailed physical examination
B) Cognitive assessment and fall risk evaluation
C) Prescription of new medications
D) Scheduling surgical procedures
Answer: B) Cognitive assessment and fall risk evaluation
Which of the following is an essential component of the Medicare Annual Wellness Visit (AWV)?**
A) Comprehensive metabolic panel
B) Cardiopulmonary stress testing
C) Health risk assessment and personalized prevention plan
D) Immediate surgery referrals
Answer: C) Health risk assessment and personalized prevention plan
- What is primary prevention in older adults?
A) Managing an existing illness
B) Preventing the onset of illness
C) Diagnosing an illness
D) Screening for early-stage cancer
B) Preventing the onset of illness
Secondary prevention refers to:
A) Preventing the onset of disease
B) Treating established disease
C) Detecting disease early through screening
D) Providing rehabilitation for chronic diseases
C) Detecting disease early through screening
- What is an example of tertiary prevention?
A) Exercise counseling
B) Mammography screening
C) Adjusting medication for heart failure
D) Administering a flu shot
C) Adjusting medication for heart failure
- The USPSTF gives a grade of B for mammography screening in women aged:
A) 50 to 74
B) 40 to 49
C) 75 to 85
D) Over 85
A) 50 to 74
- Breast cancer screening is recommended every:
A) Year
B) 2 years
C) 3 years
D) 5 years
B) 2 years
Colonoscopy** is recommended every:
A) Year
B) 3 years
C) 5 years
D) 10 years
D) 10 years
Cervical cancer screening is recommended to stop after the age of:
A) 50
B) 55
C) 65
D) 75
C) 65
- Adequate cervical cancer screening means three consecutive negative cytology results in the past:
A) 5 years
B) 7 years
C) 9 years
D) 10 years
D) 10 years
- The USPSTF recommends that men over 50 should decide whether to screen for prostate cancer based on:
A) Personal preference and physician’s recommendation
B) PSA levels only
C) Risk factors like smoking
D) Family history
A) Personal preference and physician’s recommendation
-
Lung cancer screening with low-dose CT scans is recommended for adults aged:
A) 45 to 65
B) 50 to 80
C) 55 to 75
D) 60 to 85
B) 50 to 80
- Lung cancer screening should be stopped if the patient has not smoked for:
A) 5 years
B) 10 years
C) 15 years
D) 20 years
C) 15 years
A pack-year history is calculated by:
A) Number of years smoked multiplied by cigarettes per day
B) Cigarettes per day divided by number of years smoked
C) Number of packs per day multiplied by years smoked
D) Years smoked minus packs per day
C) Number of packs per day multiplied by years smoked
- Exercise counseling for older adults should include which activity to promote balance?
A) Cycling
B) Running
C) Swimming
D) Tai chi
D) Tai chi
- Smoking cessation should be discussed with older adults:
A) Only if they have COPD
B) At every visit
C) Once a year
D) Only when they express interest
B) At every visit
- Which immunization is given annually to older adults?
A) Tdap
B) Pneumococcal vaccine
C) Shingles vaccine
D) Flu shot
D) Flu shot
- The pneumococcal vaccine schedule for adults 65 and older includes:
A) One dose of Prevnar followed by PNEUMOVAX
B) Two doses of Prevnar
C) A single dose of PNEUMOVAX
D) Annual Prevnar doses
A) One dose of Prevnar followed by PNEUMOVAX
- Chemoprophylaxis with aspirin is recommended for older adults with a 10-year risk of:
A) 5% or more
B) 7% or more
C) 10% or more
D) 15% or more
C) 10% or more
- According to the USPSTF, vitamin D supplementation of less than 400 IU is:
A) Recommended
B) Optional
C) Not recommended
D) Encouraged
C) Not recommended
- The ideal BMI for older adults is between:
A) 18 and 24
B) 25 and 29
C) 30 and 35
D) 20 and 25
B) 25 and 29
Older adults with a BMI over 30 should:
A) Begin aggressive weight loss
B) Receive counseling and behavior intervention
C) Avoid weight loss efforts
D) Focus on caloric increase
B) Receive counseling and behavior intervention
Vitamin D supplementation of 800 IU or more is recommended for older adults to prevent:
A) Osteoporosis
B) Cardiovascular disease
C) Hip and non-vertebral fractures
D) Skin conditions
Answer: C) Hip and non-vertebral fractures
- The USPSTF recommendation for aspirin use in older adults aged 60-69 with a 10% or greater cardiovascular risk is:
A) Grade A – Strongly recommended
B) Grade B – Moderately recommended
C) Grade C – Clinician’s judgment based on the individual
D) Grade D – Not recommended
Answer: C) Grade C – Clinician’s judgment based on the individual
