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Geriatrics > Midterm > Flashcards

Midterm Flashcards

1
Q

T/F the majority of old people (past age 65) are senile.

A

false

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2
Q

T/F all five senses tend to decline in old age

A

true

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3
Q

T/F most old people have no interest in, or capacity for sexual relations

A

false

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4
Q

T/F lung capacity tends to decline in old age

A

true

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5
Q

T/F the majority of old people feel miserable most the time

A

false

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6
Q

T/F physical strength tends to decline in old age

A

true

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7
Q

T/F at least 1/10 of the aged are living in long stay institutions

A

false (>5% live in nursing homes)

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8
Q

T/F aged drivers have fewer accidents per person than drivers under age 65

A

true

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9
Q

T/F most older workers cannot work as effectively as younger workers

A

false

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10
Q

T/F about 80% of older adults are healthy enough to carry out their normal activities

A

true

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11
Q

T/F most old people are set in their ways and unable to change

A

false

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12
Q

T/F old people usually take longer to learn something new

A

true

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13
Q

T/F it is almost impossible for most old people to learn something new

A

false

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14
Q

T/F the reaction time of older people is usually slower than in younger people

A

true

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15
Q

T/F in general, most old people are pretty much alike

A

false

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16
Q

T/F the majority of old people are seldom bored

A

true

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17
Q

T/F the major of old people are socially isolated and lonely

A

false

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18
Q

T/F older workers have fewer accidents than younger workers

A

true

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19
Q

T/F over 15% of the US population are now age 65 or over

A

false

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20
Q

T/F most medical practitioners tend to give low priority to the aged

A

true

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21
Q

T/F the majority of old people have incomes below the poverty level

A

false

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22
Q

T/F the majority of old people are working or would like to have some kind of work to do

A

true

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23
Q

T/F older people tend to become more religious as they are

A

false

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24
Q

T/F the majority of old people are seldom irritated or angry

A

true

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25
Q

T/F the health and socioeconomic status of older people in the year 2020 will probably be about the same as now

A

false

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26
Q

T/F older peoples have more acute illnesses that persons under 65

A

false

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27
Q

T/F more older persons have chronic illnesses that limit their activity than younger persons

A

true

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28
Q

T/F a persons height tend to decline in old age

A

true

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29
Q

T/Folder workers have less absenteeism than younger workers

A

true

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30
Q

T/F the life expectancy of men at age 65 is about the same as womens

A

false

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31
Q

T/F medicare pays over half of the medical expenses for the aged

A

false

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32
Q

T/F social security benefits automatically increase with inflation

A

true

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33
Q

T/F the aged do not get their proportionate share (about 11%) of the nation’s income

A

false

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34
Q

T/F older persons have more injuries in the home than persons under 65

A

true

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35
Q

T/F the aged are more fearful of crime than persons under 65

A

true

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36
Q

T/F the life expectancy of blacks at age 65 is about the same as whites

A

false

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37
Q

T/F participation in voluntary organizations tends to decline among the health aged

A

false

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38
Q

T/F there are two widows for each widower among the aged

A

false

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39
Q

T/F there are proportionately more older persons in public office than in the total population

A

true

40
Q

T/F supplemental secure income guarantees a min income for needy aged

A

true

41
Q

T/F the proportion of blacks among aged is growing

A

true

42
Q

T/F about 3% more of the aged have incomes below the official poverty level than the rest of the population

A

false

43
Q

T/F when the last child leaves home, the majority of parents have serious problems adjusting their empty nest

A

false

44
Q

T/F the rate of poverty among aged blacks is about 3 X as high as aged whites

A

true

45
Q

T/F more of the aged vote than any other age group

A

false

46
Q

T/F the majority of aged live alone

A

false

47
Q

T/F older persons who reduce their activity tend to be happier than those who remain active

A

false

48
Q

T/F the proportion windowed is decreasing among the aged

A

true

49
Q

Acute confusion that usually has a rapid onset and may last a short period of time (several hours or days) and is temporary, lasting from a few hours to several weeks.

A

delirium

50
Q

Chronic confusion with a gradual loss in memory. Not curable, involved neurofibrillary tangles in the brain.

A

dementia

51
Q

The most common type of this pathology is Alzheimer’s Disease.

A

dementia

52
Q

What is the most common mental health concern in adults?

A

depression

53
Q

What percent of all depressions are fully reversed with treatment?

A

80%

54
Q

What is an example of the phrase “whatever is heart smart is brain smart”?

A

exercise

55
Q

What are some examples of “art smart”?

A

paint, draw, dance, piano

56
Q

How do you ask a patient if they are an alcoholic?

A

ask if they consume more than 6 beverages a day. if they say no they may actually give the amount that they do consume. shoot high in your question making them think that is the normal

57
Q

T/F medications are in the top five reasons for death in older adults

A

true

58
Q

How many visits to the hospital are due to substance abuse in older adults?

A

1/4

59
Q

What is the survival rate of an older patient who breaks their hip?

A

50/50

60
Q

What is the easier form of calcium to absorb?

A

calcium citrate

61
Q

What form of calcium should be taken with an acidic juice?

A

calcium carbonate

62
Q

What vitamin should be taken with a fatty food?

A

vitamin d

63
Q

When assessing an older patients ear rims for skin cancer, which gender would you more likely see cancer in?

A

males

64
Q

Glossitis and red tongue show what kind of vitamin deficiency?

A

B12

65
Q

How many people over the age of 60 have hypertension?

A

1 out of 2

66
Q

Why would an older person’s liver be palpable below the diaphragm?

A

gravity

67
Q

Get baseline bone mineral density test for osteoporosis prevention, what is the gold standard?

A

dexa scan of the hip

68
Q

What is the most important factor for osteoporosis and osteoarthritis?

A

physical activity

69
Q

What is the standard deviations below the mean of a young adult reference population?

A

2.5

70
Q

how many women over 75 are osteoporotic?

A

1/3

71
Q

what is the cost per year for osteoarthritis in the US?

A

10mil

72
Q

what is the leading cause of disability in older adults?

A

osteoarthritis

73
Q

Is weight loss in older adults safe?

A

no. it could lead to death

74
Q

what is added to the geriatric food pyramid and how much is suggested per day?

A

water, minimum of 6 cups not counting coffee

75
Q

how many grams of fiber is suggested per day?

A

30

76
Q

what is the importance of fish in a geriatric diet?

A

reduces the risk of stroke

77
Q

how many cenetarians are there currently and how many will there be in 2050?

A

100k, 1million by 2050

78
Q

how many people are retiring everyday?

A

10k

79
Q

geriatrics have slowing nerves and require how much sleep/day?

A

8 hours but may not get it all at once. naps are normal and somewhat encouraged

80
Q

what are two things that help with health status and cost nothing?

A

laughing and volunteering

81
Q

what is SPLATT used for?

A

to prevent future falls

82
Q

what does SPLATT stand for?

A

symptoms, previous, location, activity, trauma, time

83
Q

what are some examples of primary preventions for OA and OP?

A

counsel patients on diet and physical activity at ALL ages. maximize bone density in the third decade of life and slow the rate of bone loss after that

84
Q

what are some examples of secondary prevention for OA and OP?

A

screen patients (OP checklist-handout), identify all preventable risks, get baseline bone mineral desity test (Dexa scan of the hip *gold standard), and design a prevention plan suited to a patient’s risk factors

85
Q

what are some examples of tertiary prevention of OA and OP?

A

adjustments, fall prevention*, physical activity, monitor lifestyle and behaviors, healthy eating, and supplements

86
Q

what is one of the easiest ways to get calcium?

A

cows milk

87
Q

what is one of the easiest ways for those who are lactose or have a dairy allergy to get calcium?

A

almond milk

88
Q

what could call ALL 3 D’s (delirium, dementia, depression) have in common?

A

medication, dehydration and infection

89
Q

what are the top two meds that are dangerous in older adults?

A

blood sugar and blood thinning meds (think diabetes)

90
Q

how many hospital visits for old people involve medication issues?

A

1/4

91
Q

what common medication can become toxic because it is added in many other medications?

A

NSAIDS

92
Q

what race would you expect to have great use of facial expressions to show approval or disapproval during their chiro visit?

A

african american

93
Q

what race would you expect to lower their gaze to show respect?

A

arab, asian, or info-pakistani

94
Q

what kind of religion and sex would you expect to probably not want to be partnered with a male and would want to be modest?

A

practicing muslim or orthodox jewish female

95
Q

what % of americans are overweight or obese?

A

more than 60% (sad)

96
Q

what ethnicity and sex has the highest rates of obesity?

A

african american and mexican american women

97
Q

highest rate of low back pain is what race?

A

native american (68/1k)

Geriatrics (1 decks)

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