Geriatrics

Question 1

EP guidelines, who are high risk individuals that may warrant tighter BP control (aim < 120 systolic)?

Answer 1

Age >= 75
Clinical/subclinical CVD
CKD (GFR 20-59, protein < 1g/d, non diabetic nephropathy)
10 year global CV risk >= 15%

SPRINT trial excluded diabetes and prior CVA.

Question 2

How do you categorize stages of dementia?

Answer 2

Mild - MMSE 20-30 or 1 IADL
Moderate - MMSE 13-20 OR 2 IADL or 1 ADL
Severe - MMSE 0-12 OR 2 ADL
Endstage

Question 3

What are the 5 cognitive domains?

Answer 3

Executive function
Language
Visuospatial
Personality
Memory

Question 4

What has been shown to improve cognition and delay cognitive decline in healthy and MCI patients?

Answer 4

Cognitive training +/- social engagement.
Diet only improves in healthy, but not MCI patients.

Other things have inconsistent evidence (exercise, diet in MCI)