MFE

Question 1

What is the purpose of a power of attorney?

Answer 1

Make decisions on a patient’s behalf after they do not have capacity to do so.

Question 2

What is the purpose of an advance care plan?

Answer 2

Patients can make decisions about their care prior to losing capacity.

Question 3

Which opioid can reduce seizure threshold for elderly patients?

Answer 3

tramadol

Question 4

What is a side effect of amitriptyline?

Answer 4

constipation

Question 5

Which patients cannot tolerate morphine in the elderly?

Answer 5

renal failure

Question 6

What is pseudo-dementia?

Answer 6

Cognitive defects in elderly people with depression (can often present with lack of care, weight loss).

Question 7

Which drug should be avoided in treating a UTI?

Answer 7

trimethoprim

Question 8

What drug can be used to treat hypotension and what the MOA?

Answer 8

fludrocortisone (mineralocorticosteroid = increases salt in the body and increases bp)

Question 9

Which loop diuretic can reduce bp significantly and cause dry mouth?

Answer 9

furosemide

Question 10

Who is frontotemporal dementia common in?

Answer 10

<65 years

Question 11

What antipsychotic should be avoided in those with parkinson’s?

Answer 11

haloperidol

Question 12

When is a tremor for PD worse?

Answer 12

at rest

Question 13

What test is always abnormal in delirium regardless of the cause?

Answer 13

EEG