Geriatrics

Question 1

Adults over age 65 purchase over ______% of all prescription medications

Question 2

T/F: Half of older people take at least one unnecessary drug

Question 3

How many medications does the average adult take? How many does the average nursing home resident take?

Question 4

Which of the following is not a characteristic of polypharmacy in older adults?
A) use of medications for no apparent reason
B) use of duplicate medications
C) concurrent use of interacting medications
D) use of inappropriate dosage
E) use of unnecessary vitamins
F) use of contraindicated medications
G) use of drug therapy to treat adverse drug reactions

Question 5

Please list for each of these medication absorption factors if they increase / decrease with aging
- gastric acid:
- stomach emptying:
- gastric motility:

Question 6

Which of the following medications are not most commonly overprescribed?
- Diuretics
- Laxatives
- Antibiotics
- BP meds

Question 7

what is a common side effect of NSAIDS?

Question 8

what is a common side effect of opioids?

Question 9

what is a common side effect of barbiturates, antihypertensives?

Question 10

_______% of people over age 65 reported at least one fall in a year

Question 11

What is the leading cause of death or hospitalization from injury in older adults?

Question 12

What is the 6th vital sign? (Bickley does not like this)

Question 13

Cut-off for community ambulation is _________m/s

Question 14

T/F: Incontinence increases your fall risk

Question 15

Which of the following outcomes is not correlated with gait speed?
- Strength decreases
- Re-hospitalization
- ADL performance
- Number of medications
- Depressive symptoms
- History of multiple falls

Question 16

What are 3 examples of interventions for fall prevention?

Question 17

What is the cut-off for fall risk for the TUG? Greater that ________s indicated high risk of falls in community dwelling adults

Question 18

What is the cut-off for fall risk for the 5xSTS?

Question 19

What is the cut-off for fall risk for the BERG?

Question 20

What is a disability?

Question 21

What percent of persons age 65 and over have any disability?

Question 22

T/F: Ambulation is a type of disability

Question 23

Which 2 populations is Medicare for?

Question 24

What 3 populations are Medicaid for?

Question 25

What type of outcome measure is the Sharpened Romberg, Berg Balance Scale, Functional Reach Test, and the 4 square step test?

Question 26

What type of outcome measure is the 5xSTS, 30s STS, TUG, and 10mWT?

Question 27

What type of outcome measure is the 6MWT and 2 min step test?

Question 28

Someone that is not safe to go home, has moderate complexity of medical needs, a high prior level of function, and would benefit from 3 hours of therapy per day (PT, OT, SP) should be referred to which type of rehab setting?

Question 29

Someone that is unable to participate in 3 hours of PT per day, has moderate functional prognosis, and variable level of function should be referred to which type of rehab setting?

Question 30

Someone that has high prior level of function, stable complexity of medical needs, and is able to travel through the community to a facility should be referred to which type of rehab setting?

Question 31

Someone that has limited ambulation for the community, is safe to go home, and has good functional prognosis should be referred to which type of rehab?

Question 32

Someone that has a high complexity of medical needs, poorer prognosis, and less need for skilled therapy should be referred to which type of rehab?

Question 33

Which type of care is best suited for patients with chronic and serious illnesses that have a lot of pain and suffering? They will also receive psychological, social, and spiritual problems addressed here.

Question 34

__________ care is end of life care for terminal illnesses (6 months or less to live), that aims to manage pain and other symptoms.

Question 35

What are advanced care directives?

Question 36

DNR definition

Question 37

MOLST / POLST definition

Question 38

power of attorney definition

Question 39

Adults lose as much as ______% of their strength between age 60-90 years old

Question 40

How many days/week should geriatrics be performing aerobic activity?

Question 41

How many days/week should geriatrics be performing strength training?

Question 42

How many days/week should geriatrics be performing flexibility training?

Question 43

How many days/week should geriatrics be performing balance training?