Geriatric Medicine Flashcards
Weber & Rinne in normal hearing?
Weber(neg) = equal on both sides Rinne(pos) = AC > BC
Weber & Rinne in conductive hearing loss?
Weber(pos) = side that is blocked Rinne(neg) = AC < BC
Weber & Rinne in sensorineural hearing loss?
Weber(pos) = side that is broken Rinne(Positive) = AC > BC
Eye flashes, floaters, “curtain coming down over eyes”
dx?
Retina detachment
bilateral central vision loss
dx?
age-related macular degeneration
b/l painless loss of peripheral vision
dx?
open-angle glaucoma
mechanism of Timolol for treatment of glaucoma
decreases aqueous production and IOP
mechanism of acetazolamide or dorzolamide for treatment of glaucoma
decrease aqueous production
mechanism of bimatoprost for treatment of glaucoma
increase aqueous outflow(1st line tx)
mechanism of pilocarpine for treatment of glaucoma
increase aqueous outflow
mechanism of brimonidine for treatment of glaucoma
decrease aqueous production and increase outflow
Aphasia vs apraxia vs agnosia vs executive function impairment?
Aphasia: loss of ability to speak/understanding of speech
Apraxia: diff carrying out actions, impaired motor or sensory
Agnosia: failure to identify objects
Impaired executive function: ability to initiate, monitor, plan and organize behavior
What changes in older ppl to cause them to metabolize drugs differently?
decrease water(increase concentration of water soluble drugs), increase fat(longer 1/2 life of fat sol dugs), decrease albumin(limits protein binding of drugs = higher drug concentration)
T/F USPTFS recommends Ca & vitamin D for postmenopausal women to prevent osteoporosis.
FALSE. National Osteoporosis Foundation recommends it but not USPTFS
MCC of urinary incontinence in women is…
Urge incontinence
