Middy Ones Flashcards
Changes affecting the stria vascular is defines this type of presbycusis?
Sensorineural
The most significant changes in presbycusis occur in the?
High frequency sounds
Cochlea
Demographers define “baby boomers” as those born between?
1946-1964
Cataracts are pathologic however almost every one upon reaching the age of __ has some evidence of opacification?
65
Life expectancy in the USA as listed by the national vital statistics report for both sexes and all races according to class lecture?
USA- 78.1 white females- 81 black females- 76.9 white males- 76 black male- 70
A form of brain placing called lewy bodies is found in this disease that affects the elderly?
Parkinsons
Lewy body dementia
The process of becoming old is termed “senility”
True or false
True
The normal hearing range occurs between?
20Hz - 20KHz
Start to lose it around 50
The 1% rule simply states that most organ systems seem to lose function at roughly one percent a year, beginning around the age?
30
other studies less dramatic saying not til 70
The functional performance of an organ in the elderly person depends on 2 principle factors, they are:
Rate of deterioration
Level of performance needed
Amyloid plaques of unknown origin, are associated with this form of dementia?
Alzheimers
Several theories have been mentioned as to why human bodies age: Match the name of the theory with its brief history :
Hayflicks
Short telomeres, cell divide stops after 50 gene doublings
Several theories have been mentioned as to why human bodies age: Match the name of the theory with its brief history :
Age of onset
Within the genome a specific gene that causes onset of aging, aging gene outworks anti-aging gene
Several theories have been mentioned as to why human bodies age: Match the name of the theory with its brief history :
Neuroendocrine Theory
Changes in gene activity under control of endocrine glands of neurological systems lead to diseases of the immune system
Lewy body dementia is the second most common form of dementia and is more aggressive than alzheimers
True or false
True
As a normal part of aging process, blood vessels show?
Decreased elasticity and increased fatty deposits
In the average adult muscle mass represents about 43% of body weight. In the elderly this is reduced to an average of?
30%
The terminal end of a chromosome, which determines replication is called?
Telomere
Disability increases with age about ___% of geriatrics confined at home?
20%
How much more is the cost of healthcare for the elderly compared to the general population?
Cost for 65 year old is 2.5x that of the general population
Medicare will only pay for a nursing home stay when this condition is met?
3 day hospital stay
What is the number one cause of death both male and female elderly?
heart disease
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
False
delerium
Which of the following do not decline with advancing age?
Red cell survival
Lung capacity
The physical, psychological and socioeconomic triad of patient assessment determine the patients…
Inborn capacity to function
This is characterized by recent memory loss and is usually associated with a thiamin deficiency?
Korsakoff psychosis
What is the most important lifestyle recommendation you can offer a patient with osteoporosis to delay or prevent disability?
Exercise
Stepwise deterioration in cognitive function is associated with what form of dementia?
Multi-infarct
Which of the following is considered not to be a possible preventer of Alzheimers?
Previous head injury
Strokes
Being female
Low educational level
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
True
Dementia and delirium and depression cannot exist in the same person at the same time?
True or false
True
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
True
“Masked depression” is used when symptoms of depression are in common with symptoms associated with?
Flat affect/ chronic fatigue syndrome
Of all the various named dementia’s which has the highest degree of incidence?
Alzheimers/ Primary Degenerative Dementia
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
True
MCI- Mild cognitive impair aka isolated memory impair aka incipient dementia
Benign Senescent Forgetfulness
Station drugs are known to delete the cells of?
Liver/Heart CoQ-10
CT scan establishes the diagnosis of Alzheimer’s Disease?
True or False
False- definitive diagnosis can only be made through autopsy
Gait assessment of a 73 year old female would most likely reveal?
Waddling from muscle weakness, canal stenosis causing forward stooped, slower shortened strides
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?
42 & 45
