MT

Question 1

The dementia is caused by loss of neurons and gleosis of the tectum and tegmentum of the mid brain. Signs and symptoms include rigidity of the neck and trunk muscles, gait disturbances and Ophtalmoplegia

Answer 1

Supranuclear Palsey

Question 2

Age affects the neurological system in a as much that a geriatric patient may have a ___ without initially demonstrating any neurological symptoms

Answer 2

Hemorrhage

Question 3

Changes affect the stria vascularis define this type of presbycusis

Answer 3

Metabolic

Question 4

Which of the following is not characteristically associated with dementia but is associated with delerium?

Answer 4

Clouding of consciousness

Question 5

In an effort to improve your senior patients overall wellbeing you recommend some aerobic exercises. The patient complains that his heart beats hard and fast and that recovery at rest takes long. The mechanism for this slow recovery is likely to be from:

Answer 5

Reduced Beta adrenergic response

Question 6

Demographers define “baby boomers” as those born between:

Answer 6

1946-1964

Question 7

A deformity of this protein, that stabilizes neuron microtubules, has been implicated in Alzheimer’s Disease

Answer 7

Tau

Question 8

The normal hearing range occurs between:

Answer 8

20 Hz and 10 kHz

Question 9

What is the diagnostic criterion for urinary incontinence

Answer 9

Loss of urine continence 6 separate days within one year

Question 10

What makes a free radical a free radical?

Answer 10

It has an unpaired electron in its outer shell

Question 11

Which of the following does not decline with advancing age?

Answer 11

Hematocrit

Question 12

Decline of CoQ-10 in mitochondria is associated with:

Answer 12

Loss of energy

Question 13

In humans there appears to be a direct correlation between shortening telomere length and ____ aging

Answer 13

Vascular

Question 14

Apoptosis is programmed cell death without the influence of

Answer 14

Inflammation

Question 15

As we age there appears to be an increase in the appearance of autoimmune disease. One theory of aging postulates that increasing quantities of ___ is the culprit.

Answer 15

Proinflammatory cytokines

Question 16

Advanced glycation end products develop when a reducing sugar bonds with a protein causing the elimination of a ___.

Answer 16

Water molecule

Question 17

Balance and mobility problems and an increased risk of motor vehicle accidents are related to?

Answer 17

Loss of attentional visual field

Question 18

According to Dr. Librone the most important aspect of patient care is the?

Answer 18

History

Question 19

Where should skin turgor be checked when assessing your patient for dehydration?

Answer 19

Chest or abdomen

Question 20

In the absence of pulmonary dx and heart dx, crackles discerned during auscultation of a senior patient, would make you suspicious of?

Answer 20

Atelectasis

Question 21

A chronic progressive sub-cortical encephalopathy. White matter infarction associated with long standing hypertension:

Answer 21

Binswanger Dx

Question 22

A senior patient with an irregular pulse?

Answer 22

Seldom needs other treatment than chiropractic care

Question 23

In lecture I told a story of a patient, complaining of rib pain, that I had to send to the hospital with pneumonia. What was the worrisome symptom that caused me to order chest films?

Answer 23

Orthopnea

Question 24

Frontal and temporal lobe atrophy, fibrillary deposits in the cytoplasm, impoverished mental function, lack of insight, and impairment of language would be most characteristic of this dementia.

Answer 24

Pick’s Dx

Question 25

Geriatric patients often have an atypical presentation to a disease process. As such, delirium might be the presenting sign of a patient who simply has a bad UTI. T or F?

Answer 25

True

Question 26

The ability to taste ___ and ____ are altered in the elderly:

Answer 26

Sweet and Salty

Question 27

The default diagnosis of a patient who is known to be confused is ___ until another diagnosis can be found.

Answer 27

Delirium

Question 28

A slight elevation of serum creatinin could signify?

Answer 28

REduced renal function

Question 29

As part of your evaluation of a patient with suspected dementia, clock drawing and three item recall should be employed because they have an 80% degree of reliability in evaluating cognitive status. T / F

Answer 29

True

Question 30

The terminal end of the chromosome which determines replication is called:

Answer 30

Telomere

Question 31

Low serum levels of ___ and/or ___ may be a sign of undernutrition:

Answer 31

Albumin

Iron

Question 32

Altered color perception, sensitivity to glare and loss of contrast sensitivity are associated with this form of a visual impairment.

Answer 32

Cataract

Question 33

A form of brain plaquing called Lew Bodies is a cause of dementia. This type of plaquing is also seen in what other disease that affects the elderly?

Answer 33

Parkinson Disease

Question 34

Developing normative data, making a diagnosis and reviewing treatment progress is a process that describes :

Answer 34

Functional status measures

Question 35

You observe carotid atherosclerotic plaquing on a cervical xray; your treatment plan would be to refer and to order a/an?

Answer 35

Doppler ultrasound

Question 36

According to lecture, unilateral ankle edema may be a consequence of sciatic radiculopathy

Answer 36

True

Question 37

As discussed in lecture, which one of the following supplements, beside Vitamin D and Calcium, do I recommend to my patients who have osteoporosis?

Answer 37

Vitamin K

Question 38

Reduced visual acuity, central scotoma and distorted wavy vision are associated with this form of visual impairment:

Answer 38

Macular degeneration

Question 39

Reactive oxygen metabolites are theorized to cause sensorial hearing loss by?

Answer 39

mtDNA deletions

Question 40

What is the criterion, for unexplained weight loss, which would warrant further evaluation for occult neoplasm? Loss of ____ percent body weight within ___ months or less:

Answer 40

5; 12

Question 41

Inability to hear ___ or ____ hertz in either ear with the audioscope set at 40 decibels characterizes a person as having poor hearing:

Answer 41

1000, 2000

Question 42

According to lecture, statin drugs are known to deplete cells of:

Answer 42

CoQ-10

Question 43

Which one of the following is not considered a neurological change associated with aging?

Answer 43

Pill rolling tremors

Question 44

What are normal neurological changes associated with aging?

Answer 44

Loss of superficial reflexes
Reduced ability to differentiate colors
Diminution or absence of deep tendon reflexes

Question 45

The expression “Brown Bagging It” refers to?

Answer 45

Addressing Polypharmacy

Question 46

The “get-up-and-go” test is designed to evaluate

Answer 46

Risk for falling

Question 47

Stage 3 Alzheimer’s is considered pre-clinical and may actually begin as early as 35 YOA…T/F

Answer 47

True

Question 48

A score of 8-11 points on the Mini Nutritional Assessment reflects?

Answer 48

Risk of Malnutrition

Question 49

You hear bruits in the carotid arteries of a 74-yr-old male patient who has chief complaint of neck pain. What should your care plan entail?

Answer 49

Order a Doppler ultrasound and refer to his PCP

Question 50

As part of our functional status measures we need to predict the outcome of our care: T/F

Answer 50

True

Question 51

According to the new classification, stage 3 Alzheimers is?

Answer 51

Subclinical