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GERIATRICS > Gery Final Anno > Flashcards

Gery Final Anno Flashcards

1
Q

A written instruction for

a. Advanced health care…
b. Agent
c. Living will
d. Children

A

A. Advanced health care

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2
Q

This is the 5 th cause of death in person older than 65 years of age.

a. O..
b. Myocardial infarction
c. Accidents like falls
d. Pneuro..

A

C. Accident like falls

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3
Q

Which one of the following is not associated with the neuronal control of micturition.

a. Spinothalamic tract
b. Rostral pontine
c. Periaquaductal grey d. Dorsal columns
e. Vestibulopineal tract

A

E. Vestibulopineal tract

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4
Q

Which one of the following choices is not typically considered a major effect of aging on the cardiovascular system?

a. Increased vascular stiffness
b. Accentuated responsiveness to B-adrenergin stimuli
c. Increased risk for atrial fibrillation
d. increased myocardial stiffness

A

b. Accentuated responsiveness to B-adrenergin stimuli

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5
Q

You, as a chiropractor, may be able to help your patient resolve his/her problem with incontinence, if the source of the problem is wholly or partially caused by periphery nerve interference. According to the text, in this cae you would look for possible subluxation in the following segmental areas of the spine.

a. T11 thru L2, and L5, S1
b. L1 thru L5, and S1 thru S3
c. T9 thru L1, and L5 thru S2
d. T11 thru L2, and S2 thru…

A

D. T11 thru L2, and S2 thru…

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6
Q

Between the ages 50 and 70 we lose 50% of our muscle mass per decade only to accelerate to 30% per decade after the age of 70

a. True
b. False

A

b. False

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7
Q

Which of the following peripheral nerves controls contraction of the pelvic flexors?

a. Nervi Erigenetes
b. Pudendal nerve
c. Hypogastric..
d. Sacral plexus

A

b. Pudendal nerve

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8
Q

Which of the following is not considered to be a predisposing factor for depression for Elderly?

a. Enviornmental
b. Biological
c. Physical
d. Social

A

a. Environmental

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9
Q

“Urge Incontinence” is a term applied to a variety of lower genitourinary or neurological disorders. This presents with symptoms of an “over-active” bladder. Which is indicated when there is

a. A need to void more frequently than every 5 to 6 hours
b. A need to void more frequently than every 4 hours
c. A need to void more frequently than every 2 hours
d. A need to void on a frequency of more than once every hour

A

c. A need to void more frequently than every 2 hours

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10
Q

According to the text, “Nocturia” is defined as

a. A need to void at least 2 or possibly more times during usual sleeping hours
b. A need to void at least 3 or possibly more times during usual sleeping hours
c. A need to void at least 4 or possibly more times during usual sleeping hours
d. Wetting the bed clothes while sleeping.

A

a. A need to void at least 2 or possibly more times during usual sleeping hours

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11
Q

Which type of incontinence would cauda equine syndrome most likely present with? (choose two)

a. Functional
b. Transitory
c. Overflow
d. Urge

A

c. Overflow

d. Urge

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12
Q

A patient who is either unable or due to lack of motivation is unwilling to get to a toilet in time defines?

a. Functional AKA Psuedoincontinence
b. Mixed incontinence c. Urge incontinence d. Stress incontinence

A

a. Functional AKA Psuedoincontinence

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13
Q

Approximately 300cc of urine is necessary for the brain to begin to sense urinary bladder fullness. At what amount will the bladder have reached its capacity to hold ruine?

a. 300cc
b. 400cc
c. 500cc
d. 600cc

A

d. 600cc

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14
Q

Middle aged women with symptoms of indigestion of a persistent nature should be evaluated for possible myocardial infarction.

a. True
b. False

A

a. True

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15
Q

A 59 yr-old female presents with proximal joint pain, back pain and stiffness along with vague myofascial pain, fatigue, malaise, and headache and scalp tenderness. Which one of the following choices would be least valuable in the proper workup your new patient?

a. Superficial temporal artery biopsy
b. Rheumatoid panel
c. Serum ESR and CRP
d. MRI

A

d. MRI

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16
Q

What is the correct procedure for assessing Orthostatic Hypotension? The patients positioning in order Would be?

a. standing for 1-3 minutes, sitting for 1 minute, then lying supine for 1 minute
b. Lying supine, standing for 1-3 minutes, sitting 1 minute
c. Sitting, standing 1-3 minutes
d. Lying supine, sitting for 1 minute, standing 1-3 minutes

A

d. Lying supine, sitting for 1 minute, standing 1-3 minutes

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17
Q

The “gold standard” for assessing Osteoporosis is?

a. X-ray
b. MRI
c. Ultrasound
d. Dexa-scan

A

d. Dexa-scan

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18
Q

You notice narrowed stance and waddling gait in a 65 yr-old female who comes to you, with back pain. This gait may be the result of _______ and may portend _____.

a. Loss of brain white matter, Dementia
b. Altered proprioception, Falling
c. Weight gain, IVOC
d. Herniated disc, Spinal canal stenosis

A

a. Loss of brain white matter, Dementia

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19
Q 
Symptoms of fatigue, weakness, pain all over, anxiety and insomnia represents?
A. Musculoskeletal symptoms
B. Neurological symptoms
C. Constitutional symptoms
D. Cardiopulmonary symptoms
A

c. Constitutional symptoms

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20
Q

Athromatous involvement in the coronary arteries was noted to begin at what age in a study of Korean War casualities?

a. 10s
b. 20s
c. 30s
d. 40s

A

b. 20s

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21
Q

According to lecture a characteristic presentation in patients with central canal stenosis is..

a. Shuffling gait
b. Waddling gait
c. Flexed posture
d. Antalgic gait

A

c. flexed posture

22
Q

Which of the following is not considered a syptom of high blood pressure?

a. Anxiety
b. Throbbing headache
c. Giddiness
d. Dyspnea

A

a. Anxiety

23
Q

You notice carotid atherosclerosis plaquing on your patients cervical x- rays. The imaging of choice for further evaluation would be?

a. MRI
b. Bone scan
c. Doppler ultrasound
d. PET scan

A

c. Doppler Ultrasound

24
Q

this test was shown to be a good indicator of patients at increased risk for hospitalization or mortality within the year.

a. Get up and go test
b. Standing balance test
c. Visual acuity test
d. Six minute walk test

A

d. six minute walk test

25
Q

Reperfusion therapy with intravenous recombinant tissure-type plasminogen activator is used in the treatment of?

a. Myocardial infarction
b. Ischemic stroke
c. Atrial fibrillations d. Hemorrhagic stroke

A

b. Ischemic stroke

26
Q

Which one of the following symptoms of depression would be least likely to manifest in the geriatric patient?

a. Apathy and withdrawal
b. Feelings of guilt
c. Loss of self esteem
d. Somatic complaints

A

b. Feelings of guilt

27
Q

Which one of the following choices can cause both ischemic and hemorrhagic stroke?

a. Hypotension
b. Arteriovenous malformation
c. Atrial fibrillations
d. Cocaine abuse

A

d. Cocaine abuse

28
Q

As a geriatric falls, the failure to provide instant mid-fall corrections is usually due to?

a. Muscle weakness
b. LMN lesions
c. Anatomical short leg creating an unbalance stance or stride
d. The use of bifocal or trifocal eye glasses

A

a. Muscle weakness

29
Q

According to the CDC which group is most at risk for developing hypertensions?

a. White Americans
b. Asian Americans
c. African Americans
d. Mexican Americans

A

c. African americans

30
Q

Optimal blood pressure is considered to be less than 120mmHg systolic and less than 80mmHg diastolic in the adult non-geriatric population.

a. True
b. False

A

a. true

31
Q

The mneumonir “PULSE” is to help the clinician to remember symptoms that are associated with women and their variant presentation of?

a. Stroke
b. Myocardial infarction
c. Incontinence
d. Dementia

A

b. Myocardial infarction

32
Q

As defined by the required text, “Isolated Systolic Hypertension” is when?

a. Systolic pressure is between 140 and 160 mmHg and diastolic falls between 90 and 95 mmHg
b. Systolic pressure is 140mmHg and diastolic pressure is 95 mmHg
c. Systolic pressure is greater than 160 mmHg and diastolic pressure less than 110 mmHg
d. Systolic pressure is 180 mmHg or greater with a diastolic pressure less than 110 mmHg

A

c. Systolic pressure is greater than 160 mmHg and diastolic pressure less than 110 mmHg

33
Q

An easy stroke assessment that you can do in your office would include all but which of the following?

a. smoking
b. sticking out the tongue
c. raising your legs
d, raising the arms above the head
e. speaking a coherent sentence

A

c. raising your legs

34
Q

what was the rational that led me to send my patient complaining of “pulled pec muscles” to the emergency department with the strong suspicion that he was having a myocardial infarction?

a. His blood pressure was elevated
b. His radial pulse was irregular
c. Fibrillations were discerned during auscultation
d. I could not reproduce his complaint

A

d. I could not reproduce his complaint

35
Q

Between the ages of 50-70 we lose 15% of our muscle mass per decade, then it accelerates to 30% per decade after age 70.

a. True
b . False

A

a. True

36
Q

Many times atherosclerosis can interfere with taking an accurate blood pressure reading. what maneuver can be utilized to account for this interference?

a. Trendelenburg’s maneuver on the lower extremity
b. A swingart’s maneuver by taking simultaneous bilateral pressure readings on the arms and comparing the difference.
c. An Osler maneuver to, to determine if a radial pulse can palpated with the cuff inflated
d. The Elsnagak maneuver which is to check for patients facial pallor..minutes of heavy exercise.

A

c. An Osler maneuver to, to determine if a radial pulse can palpated with the cuff inflated

37
Q

Hypertension is generally asymptomatic: however, as the systolic pressure reaches ____mmHg and the diastolic reaches _____ mmHg, symptoms may begin to develop.

a. 145/95
b. 160/103
c. 179/110
d. 155/97

A

c. 179/110

38
Q

This sugar is most influent most influential in causing vascular atherosclerotic?

a. Fructose
b. Galactose
c. Sucrose
d. Glucose

A

a. Fructose

39
Q

symptoms of high headedness, nonspecific, dizziness, vertigo diplopic, drop attack, forgetfulness , amnesia attacks, syncope, seizures or episodes of drowsiness, can signal?

a. A pending heart attack
b. High blood pressure
c. An
d. a UMNL

A

c. An

..aneurysm?

40
Q

According to lecture, this creates a large discrepancy between systole and diastole

a. arterial wall stiffness caused by atherosclerotic plaquing
b. High blood pressure
c. Varicose veins
d. Left ventricular hypertrophy

A

a. arterial wall stiffness caused by atherosclerotic plaquing

41
Q

pain at the levels of T2 and or T3 may be correlative with myocardial infarction.

a. True
b. False

A

A. true

42
Q

What is the imaging of choice to evaluate a 75 yr old male who presents to your office with a complaint of neck pain, headache, dizziness and vomiting following a motor vehicle accident three hours ago?

a. MRI of the neck
b. CT of the brain
c. X-ray of the neck - i disagree, if 3 hours ago look at X-rays for atlantoaxial stability or ligamentous involvement
d. Bone scan

A

b. CT of the brain

43
Q

ymptoms of depression manifest as physical illness?

a. Sundowning
b. Subsyndromal depression
c. Cyclothymic depression
d. Masked depression

A

d. masked depression

44
Q

I told a story where poor instructions on my part led to my sister taking the wrong supplement. My sister was supposed to be taking Vitamin K for her osteoporosis. she was taking _____ in error?

a. Magnesium
b. Glucosamine sulfate
c. CoQ-10
d. Potassium

A

d. Potassium

45
Q

A 72 yr old patient presents with a recent history of dizziness, vertigo, nausea and vomiting. These signs and symptoms consistent with.. involving this artery?

a. vertebrobasilar
b. Carotid
c. middle meningeal
d. middle cerebellar

A

A. Vertebrobasilar

46
Q

According to the text, what test should be performed on an elderly patient with a history of having fallen one time in the last three months?

a. Six minute walk test
b. Get-up and go test
c. Mini mental status exam
d. Heel to shin test

A

b. Get up and go test

47
Q

Beside the neurological consequences of low vitamin B12 there may be cardiovascular consequence as well because B12 deficiency is also associated with elevated levels of?

a. Homocystine
b. Gangliosides
c. Glutamic acid dehydrogenase
d. Hexosaminidase

A

a. Homocystine

48
Q

Paroxysms of prickling pain and Causalgia would most likely be associated with this type of pain?

a. Renal colic pain
b. Myofascial pain
c. Postoperative pain
d. Nerve pain

A

d. Nerve pain

49
Q

According to lecture, a peer reviewed journal recommended vitamin K for?(Choose 2)

a. Osteoporosis
b. Atherosclerosis
c. Muscle cramps
d. Chronic fatigue

A

a. Osteoporosis

b. Atherosclerosis

50
Q

A loss blood and a shift in blood from the legs to the thorax as a result of reconditioning?

a. Orthostatic hypotension
b. Angina pectoris
c. Pseudohypertension
d. Reflex diuresis

A

d. reflex diuresis

GERIATRICS (4 decks)

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