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Pediatrics/Geriatrics > Geriatrics > Flashcards

Geriatrics Flashcards

1
Q

T or F: depression is a normal part of aging

A

FALSE

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2
Q

what are the 2 questions as part of the PHQ-9?

A

Little interest or pleasure in doing things?

feeling down, depressed, hopeless?

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3
Q

Hospice is used when life expectancy is < _____

A

6 months

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4
Q

Palliative care is used when life expectancy is < ____

A

18 months

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5
Q

T or F: clinician judgment tends to underestimate survival time

A

FALSE - overestimation is common due to long-standing clinician/patient relationships

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6
Q

SPIKES mnemonic stands for:

A 
S - set up interview
P - patient's PERCEPTION of disease
I - Invitation to discuss info
K - KNOWLEDGE
E - address emotions
S - Summarize/strategy for future
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7
Q

What are ADLs, and some examples

A

Activities of daily living

-eating, dressing, toileting

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8
Q

Transportation, shopping, cooking, managing money, taking meds are examples of what

A

Instrumental ADLS (IADLs)

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9
Q

AADLs are what? and what are some examples?

A

Advances ADLs

- golf, fishing, playing cards

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10
Q

You are assessing your patient’s functional status, and the Get up and Go test time was 14 seconds. What does this mean?

A

need further assessment for function - refer to PT/OT

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11
Q

your patient scores 8 seconds on the get up and go test. What does this mean?

A

normal functional status

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12
Q

what is the most important prevention for functional decline

A

Physical activity/ exercise

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13
Q

screening for cognitive impairment is controversial; you should only screen when?

A

if concerns are raised by family or patient themselves

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14
Q

T or F: frequent falls in the elderly can be due to vision impairment

A

True

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15
Q

Should you obtain a weight of elderly patients at every visit?

A

yes

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16
Q

Which type of diet should frail elderly be on? DASH, mediterannean?

A

NONE - no restrictive diets

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17
Q

what are the 2 most common vitamin deficiencies in elderly?

A

Vit B12 and Vitamin D

18
Q

if there are no other comorbidities, what is the safe amount of alcohol for elderly to consume per day?

A

1 drink per day considered safe

19
Q

what is the most common cause for triggering misuse of alcohol or other drugs

A

Stress

20
Q

what is a common comorbidity with alcoholism in elderly?

A

depression

21
Q

The CAGE and AUDIT scores are good for screening alcoholism, but the test more specific to the elderly is the _____

A

SMAST-G score

2 or more positive answers yields a drinking problem

22
Q

T or F: it is useless to suggest treatment for alcoholism in the elderly, because it is not effective

A

FALSE - better effectiveness compared to younger population!

23
Q

Because STI’s are increasing in the elderly, you need to screen your patients 65 and older now.

A

FALSE - not necessary to resume PAP testing regardless of sexual activity at this age.

24
Q

you screen elderly patients for diabetes who have what other 2 comorbidities?

A

HTN and hyperlipidemia

25
Q

A1c goal for elderly?

A

<8

26
Q

How do you screen for AAA, and in what population?

A

screen with abdominal US

-screen man aged 65+ who has ever smoked

27
Q

when to stop breast cancer screening (mammogram)

A

age 75

28
Q

when to stop colorectal screening

A

75-85

29
Q

Do NOT screen for colorectal cancer if life expectancy < ____

A

5 years

30
Q

there are no screening for which 2 types of cancers in elderly

A

ovarian or pancreatic

31
Q

How are the elderly immunized against pneumococcal?

A

PCV-13 (Prevnar) once at age 65

PPSV-23 (Pneumovax) given 6-12 months later

32
Q

which herpes zoster vaccine is preferred, Zostavax or shingrix?

A

Shingrix - more side effects but works better

33
Q

How is shingrix administered?

A

2 doses 2-6 months apart, starting at age 50

34
Q

Hepatitis ____ vaccine is recommended after age 65`

A

C

35
Q

What is the term used to describe conditions coexisting in the context of an index disease?

A

Comorbidity

36
Q

What is the term used to describe multiple chronic conditions that collectively have an adverse effect on health status

A

Multimorbidity

37
Q

Changes in ____________ affect duration effect and blood levels of medication

A

Kidney function

38
Q

use of multiple medications can lead to ______ and ______

A

interactions and side effects

39
Q

what is Beer’s criteria?

A

a list of medications to avoid in the elderly population

40
Q

the definition of atypical presentation of illness is:

A

presentation of a disease state that is missing traditional core features of the illness

Pediatrics/Geriatrics (2 decks)

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