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GERIATRICS > Middy Ones > Flashcards

Middy Ones Flashcards

1
Q

Changes affecting the stria vascular is defines this type of presbycusis?

A

Sensorineural

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2
Q

The most significant changes in presbycusis occur in the?

A

High frequency sounds

Cochlea

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3
Q

Demographers define “baby boomers” as those born between?

A

1946-1964

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4
Q

Cataracts are pathologic however almost every one upon reaching the age of __ has some evidence of opacification?

A

65

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5
Q

Life expectancy in the USA as listed by the national vital statistics report for both sexes and all races according to class lecture?

A 
USA- 78.1
white females- 81
black females- 76.9
white males- 76
black male- 70
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6
Q

A form of brain placing called lewy bodies is found in this disease that affects the elderly?

A

Parkinsons

Lewy body dementia

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7
Q

The process of becoming old is termed “senility”

True or false

A

True

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8
Q

The normal hearing range occurs between?

A

20Hz - 20KHz

Start to lose it around 50

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9
Q

The 1% rule simply states that most organ systems seem to lose function at roughly one percent a year, beginning around the age?

A

30

other studies less dramatic saying not til 70

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10
Q

The functional performance of an organ in the elderly person depends on 2 principle factors, they are:

A

Rate of deterioration

Level of performance needed

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11
Q

Amyloid plaques of unknown origin, are associated with this form of dementia?

A

Alzheimers

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12
Q

Several theories have been mentioned as to why human bodies age: Match the name of the theory with its brief history :

Hayflicks

A

Short telomeres, cell divide stops after 50 gene doublings

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13
Q

Several theories have been mentioned as to why human bodies age: Match the name of the theory with its brief history :

Age of onset

A

Within the genome a specific gene that causes onset of aging, aging gene outworks anti-aging gene

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14
Q

Several theories have been mentioned as to why human bodies age: Match the name of the theory with its brief history :

Neuroendocrine Theory

A

Changes in gene activity under control of endocrine glands of neurological systems lead to diseases of the immune system

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15
Q

Lewy body dementia is the second most common form of dementia and is more aggressive than alzheimers

True or false

A

True

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16
Q

As a normal part of aging process, blood vessels show?

A

Decreased elasticity and increased fatty deposits

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17
Q

In the average adult muscle mass represents about 43% of body weight. In the elderly this is reduced to an average of?

A

30%

18
Q

The terminal end of a chromosome, which determines replication is called?

A

Telomere

19
Q

Disability increases with age about ___% of geriatrics confined at home?

A

20%

20
Q

How much more is the cost of healthcare for the elderly compared to the general population?

A

Cost for 65 year old is 2.5x that of the general population

21
Q

Medicare will only pay for a nursing home stay when this condition is met?

A

3 day hospital stay

22
Q

What is the number one cause of death both male and female elderly?

A

heart disease

23
Q

Dementia is defined as a “Mental disturbance” marked by illusions, hallucinations, short unsystematized delusion, cerebral excitement, physical restlessness and incoherence, usually of short term duration?

True or false

A

False

delerium

24
Q

Which of the following do not decline with advancing age?

A

Red cell survival

Lung capacity

25
Q

The physical, psychological and socioeconomic triad of patient assessment determine the patients…

A

Inborn capacity to function

26
Q

This is characterized by recent memory loss and is usually associated with a thiamin deficiency?

A

Korsakoff psychosis

27
Q

What is the most important lifestyle recommendation you can offer a patient with osteoporosis to delay or prevent disability?

A

Exercise

28
Q

Stepwise deterioration in cognitive function is associated with what form of dementia?

A

Multi-infarct

29
Q

Which of the following is considered not to be a possible preventer of Alzheimers?

A

Previous head injury
Strokes
Being female
Low educational level

30
Q

The major feature that distinguishes delirium from dementia and other causes of impaired cognitive function is a clouding of the state of consciousness evidenced by the patients difficulty in sustaining attention a sensory misconception or fragmented thought.

True or false

A

True

31
Q

Dementia and delirium and depression cannot exist in the same person at the same time?

True or false

A

True

32
Q

A part of your evaluation of a patient with suspected dementia, clock drawing and three item recall should be employed because than have an 80% degree of reliability in evaluating cognitive status

true or false

A

True

33
Q

“Masked depression” is used when symptoms of depression are in common with symptoms associated with?

A

Flat affect/ chronic fatigue syndrome

34
Q

Of all the various named dementia’s which has the highest degree of incidence?

A

Alzheimers/ Primary Degenerative Dementia

35
Q

Prescription drugs such as narcotics and anti-hypertensives can be a major cause of acute as well as chronic impairment of cognitive function in the older patient?

True or false

A

True

36
Q

MCI- Mild cognitive impair aka isolated memory impair aka incipient dementia

A

Benign Senescent Forgetfulness

37
Q

Station drugs are known to delete the cells of?

A

Liver/Heart CoQ-10

38
Q

CT scan establishes the diagnosis of Alzheimer’s Disease?

True or False

A

False- definitive diagnosis can only be made through autopsy

39
Q

Gait assessment of a 73 year old female would most likely reveal?

A

Waddling from muscle weakness, canal stenosis causing forward stooped, slower shortened strides

40
Q

The ability to accommodate for focus on visual targets from distance to near because of inflexible crystalline lens and ciliary muscles necessitating the use of bifocals develops around the age of?

A

42 & 45

GERIATRICS (4 decks)

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