Geriatric psychiatry

Question 1

what % of seniors are living in a nursing home?

Answer 1

5%

Question 2

what % of seniors may require a stay in nursing home at some point in their lives?

Answer 2

35%

Question 3

how does general power of attorney differ from durable power of attorney?

Answer 3

• general: very lax guidelines

- durable: Designation of decision maker should you become impaired (for health care decisions, not so much financial)

Question 4

if personality changes, psychosis, or mania occurs late in life for the first time, should suspect ______________, even if memory loss is not prominent

Answer 4

neurocognitive disorder

Question 5

is prevalence of depression higher or lower in geriatric patients, compared to younger patients?

Answer 5

lower

Question 6

late life major depression is more likely to present with _________________

Answer 6

somatic complaints

Question 7

in geriatric patients cognition may be blunted with ________

Answer 7

major depression (aka pseudo dementia)

Question 8

depression relapse rates are ___________ (higher / lower) in patients who have episodes later in life

Answer 8

higher

Question 9

venlafaxine has what major side effect?

Answer 9

HTN

Question 10

what are the side effects of doxepin?

Answer 10

prolonged QT

Question 11

what is the major side effect of duloxetine?

Answer 11

bleeding

Question 12

what is the major side effect of paroxetine?

Answer 12

long half life

Question 13

what is the most common late life anxiety disorder?

Answer 13

phobia

Question 14

what medication should be cautioned for late life anxiety disorders in geriatric patients?

Answer 14

benzos (should be avoided in general)