Geriatrics

Question 1

Delirium?

Answer 1

Acute
Fluctuating
Altered level of consicousness
Disorganized thought
Inattention

Question 2

How many meds increases falls?

Answer 2

4

Question 3

Osteoporosis DEXA score

Answer 3

T

Question 4

Osteopenia DEXA score

Answer 4

T-2.5

Question 5

Drug to treat muscle pain from peripheral artery disease?

Answer 5

Pentoxifylline

Question 6

SPIKES

Answer 6

Setting, perception (what do you know), invitation (can I share some news), knowledge (tell whats going on), Empathy, summarize

Question 7

Normal score for animal naming test, abnormal result?

Answer 7

18, 12 is abnormal

Question 8

How to score clock drawing?

Answer 8

1 point for each quadrant except 4, which has 4 points. Each quadrant should have 3 numbers. On the line? In the quadrant clockwise. Not a good test for determining severity of dementia.

Question 9

MMSE scoring

Answer 9

30 is perfect. 27-30 is normal.

20-27

Question 10

Causes of incontinence

Answer 10

Dementia, Infection, atrophic vaginitis, pharm, psychological, excessive fluid intake, restricted mobility, stool impaction

Question 11

What are the first two opioid side effects to resolve?

Answer 11

Nausea and sedation

Question 12

Which opioid side effect doesn’t resolve?

Answer 12

Constipation

Question 13

When to start asking about falls?

Answer 13

65, earlier if risk factors.

Question 14

Definition of dementia?

Answer 14

Memory loss and loss of daily function

Question 15

Drugs to treat dementia

Answer 15

Donepezil (cholinesterase inhibitor) aka aricept

Memantine - NMDA receptor antagonist

Question 16

Risk factors for dementia

Answer 16

Family history, depression ,age, hyperlipidemia, lower education, seen in women.

Question 17

Mild cognitive impairment vs dementia

Answer 17

Doesn’t impair function

Question 18

Rome criteria for IBS

Answer 18

Better with defecation, change in stool frequency, change in stool composition.