Geriatrics Flashcards

1
Q

Most important risk factor for development of delirium?

A

Underlying dementia

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2
Q

Is urinary incontinence a NML component of aging?

A

No

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3
Q

What are 2 NML changes to urinary tract seen in aging?

A

Increased residual volume; Decreased bladder capacity

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4
Q

2 etiologies of urge incontinence?

A

Detrusor overactivity, Cystitis

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5
Q

3 etiologies of overflow incontinence?

A

Bladder outlet obstruction, Neurogenic defect, Detrusor underactivity

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6
Q

NML residual volume?

A

< 100 mL

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7
Q

DOC for stress incontinence that fails pelvic muscle strengthening?

A

Oxybutynin

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8
Q

MOA of Oxybutynin in treatment of stress incontinence?

A

Anticholinergic

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9
Q

Best treatment for urge incontinence?

A

Bladder training

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10
Q

Most common drug responsible for drug-induced overflow incontinence?

A

Anti-cholinergics

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11
Q

Best treatment for overflow incontinence?

A

Chronic catheterization

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12
Q

Description of Stage 2 pressure ulcer?

A

Extends partially through dermis; Has not progressed to fascia

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13
Q

3 indications for systemic ABX in patients with pressure ulcers?

A

Osteomyelitis, Cellulitis, Sepsis

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14
Q

Next step of workup for patients with suspected vertebral osteomyelitis?

A

MRI

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15
Q

Which catheter-associated UTIs should be treated?

A

Symptomatic

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16
Q

Which 3 groups of patients with asymptomatic bacteriuria should be treated?

A

Pregnant females, Renal transplant, HX of GU surgery

17
Q

Recommended therapy for males with ED who are currently on NTG?

A

Intraurethral alprostadil

18
Q

MOA of sildenafil?

A

PDE-5 inhibitor

19
Q

Treatment of choice for females with dyspareunia due to atrophic vaginitis with HX of breast CA?

A

Topical estrogen

20
Q

What change does testosterone therapy have on CBC?

A

Polycythemia

21
Q

Which test needs to be performed before beginning testosterone therapy, and every 3 months afterward?

A

TSA … Testosterone may worsen symptoms of BPH