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GERIATRICS > MT MO'S > Flashcards

MT MO'S Flashcards

1
Q

Your elderly patient complains of slight dizziness after performing Valsalva’s maneuver, this is most likely due to?

A. There may have been a drop in blood pressure
B. Peripheral nerve entrapment
C. Hypoxia
D. Hypercapnia

A

A. There may have been a drop in blood pressure

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2
Q

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

A. Embolism
B. Hemorrhage
C. Heart attack
D. Spinal canal stenosis

A

B. Hemorrhage

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3
Q

According to lecture, decrease in hydrochloric and gastric acid secretion may lead to a deficiency of?

A. Vit A
B. Vit E
C. Vit B-12
D. Vit K

A

Vit B12

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4
Q

Changes affecting the stria vascular is define this type of presbycusis

A. Neural
B. Cochlear
C. Metabolic
D. Sensory

A

B. Cochlear

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5
Q

The most significant changes associated with presbycusis occur in the?

A. outer ear
B. inner ear
C. middle ear
D. tympanic membrane

A

B. Inner Ear

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6
Q

Demographers define “baby boomers” as those born between:

A. 1950 and 1960
B. 1946 and 1964
C. 1964 and 1974
D. 1934 and 1955

A

B 1946 and 1964

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7
Q

Cataracts are pathologic; however, almost every one, upon reaching the age of ___ has some evidence of lens opacification

A. 45
B. 65
C. 55
D. 75

A

B. 65

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8
Q

The normal hearing range occurs between

A. 5 Hz and 25 MHz
B. 10 Hz and 50 Hz
C. 20 Hz and 20 KHz
D. 5 Hz and 25 KHz

A

C. 20 Hz and 20 KHz

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9
Q

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

A. 30
B. 50
C. 40
D. 60

A

A. 30

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10
Q

Which one of the following would be most characteristic of the reproduction system in a geriatric?

A. Increase in seminiferous tubules
B. Increase in production of oocytes
C. Proliferation of stromal and glandular tissue
D. Increase in vaginal elasticity

A

C. Proliferation of stromal and glandular tissue

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11
Q

The inability to taste ___ and ___ are altered in the elderly. PICK TWO

A. Sweet
B. Bitter
C. Sour
D. Salty

A

A. sweet

D. salty

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12
Q

Which of the following statements about these minerals is not true as it pertains to the elderly?

A. There is a decrease in ability to absorb calcium
B. There is an increase in sodium conserving ability
C. There is decreased ability to absorb iron
D. Phosphorus level are unchanged

A

B. There is an increase in sodium conserving ability

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13
Q

A slight elevation of serum creatinin could signify

A. Reduced pancreas function
B. Reduced gal bladder function
C. Reduced renal function
D. Considered a normal age related finding

A

C. Reduced renal function

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14
Q

The functional performance of an organ in the elderly person depends on 2 principal factors. They are:

A. Age of the geriatric patient and rate of deterioration
B. Level of performance needed to perform ADLs and age of patient
C. Age of geriatric patient and how that patient adapts to external stresses
D. Rate of deterioration and level of performance

A

B. Level of performance needed to perform ADLs and age of patient

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15
Q

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

A. Telomeres
B. Gamete
C. DHEA
D. Teratoma

A

A. Telomeres

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16
Q

Low level serum level of ___ and/or ___ may be a sign of undernutrition. PICK TWO

A. Calcium
B. Albumin
C. Iron
D. Potassium

A

B. Albumin

C. Iron

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17
Q

Liver disease, Paget’s disease and blastic mets will show elevated serum levels of?

A. BUM
B. Alkaline phosphatase
C. PSA
D. Hemoglobin and hematocrit

A

B. Alkaline phosphatase

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18
Q

Various blocks on ECG, pyuria and bacteria may be observed in asymptomatic seniors?

A. True
B. False

A

A. True

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19
Q

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

A. Physical examination
B. Pain assessment
C. Functional status measures
D. Review of systems

A

C. Functional status measures

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20
Q

You observe an AAA on lumbosacral x-ray; your treatment plan would be to refer and to order a/an?

A. MRI
B. Diagnostic ultrasound
C. CT
D. PET

A

B. Diagnostic ultrasound

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21
Q

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

A. True
B. False

A

A. True

22
Q

What is to be considered the default cause of confusion in the elderly until proven otherwise?

A. Psychosis
B. Delirium
C. Depression
D. Electrolyte imbalance

A

B. Delirium

23
Q

Which of the following choices would not be a characteristic of delirium

A. Clouding of consciousness
B. Develops over a short course
C. Up-regulated sympathetic tone
D. Has a steady non-fluctuating course

A

D. Has a steady non-fluctuating course

24
Q

A recent study has revealed that there is a correlation between gait speed and morbidity and mortality

A. True
B. False

A

A. True

25
Q

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

A. 10, six
B. 5, six
C. 10, twelve
D. 5, twelve

A

D. 5, twelve

26
Q

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

A. 1000, 2000
B. 10, 100
C. 20, 20,000
D. 50, 500

A

A. 1000, 2000

27
Q

What is the diagnostic criterion for urinary incontinence?

A. Loss of urine continence at anytime within one month
B. Loss of urine continences 6 separate days within one year
C. Loss of urine continences 12 separate days within one year
D. Loss of urine continences at any time during the night

A

B. Loss of urine continences 6 separate days within one year

28
Q

What makes a free radical a free radical?

A. It has an unpaired electron in it’s outer shell
B. It carries trans bonds
C. It is classified as radioactive isotope
D. It has an unstable nucleus

A

A. It has an unpaired electron in it’s outer shell

29
Q

Which of the following does not decline with advancing age?

A. Hematocrit
B. Glucose tolerance
C. Degree of turgor
D. Albumin and creatinin

A

A. Hematocrit

30
Q

Decline of CoQ-10 in mitochondria is associated with?

A. DNA/RNA damage
B. Loss of energy
C. Reduced transaminase production
D. Gene mutation

A

B. Loss of energy

31
Q

In human there appears to be a direct correlation between shortening telomere length and ___ aging.

A. Mitochondria
B. Germ cell
C. Endocrine gland
D. Vascular

A

D. Vascular

32
Q

Apoptosis is programmed cell death without the influence of

A. Mitogens
B. Telomeres
C. Inflammation
D. Antigens

A

C. Inflammation

33
Q

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

A. Pro-inflammatory cytokines
B. Mutagens
C. Hystocytes
D. Lipid peroxidase

A

A. Pro-inflammatory cytokines

34
Q

Advanced glycation end products develop when a reducing sugar bonds with a protein causing elimination of a?

A. Monounsaturated bond
B. Water molecules
C. HDL cholesterol
D. Protein bridge

A

B. Water molecule

35
Q

Which of the following choices is NOT considered to be a component of “geriatric syndrome”

A. Instability
B. Impecunity
C. Iatrogenesis
D. Isolation

A

A. Instability

36
Q

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

A. Adjustment
B. Blood work
C. Physical/ chiropractic exam
D. History

A

D. History

37
Q

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

A. Dorsum surface of wrist
B. Chest or abdomen
C. Valor surface of wrist
D. Dorsum surface of hand

A

B. Chest or abdomen

38
Q

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

A. Lung cancer
B. Pulmonary hypertension
C. Atelectasis
D. Bronchitis

A

C. Atelectasis

39
Q

What is the definition of “dyspareunia”

A. Pain with sexual intercourse
B. Loss of appetite
C. Pain with urination
D. A loss for words

A

A. Pain with sexual intercourse

40
Q

A senior patient with an irregular pulse

A. Should be referred to a cardiologist
B. Should be referred to a vascular surgeon
C. Should have a Doppler ultrasound
D. Seldom needs other treatment than chiropractic care

A

C. Should have a Doppler ultrasound

41
Q

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

A. Diabetes
B. Cancer
C. Heart disease
D. Stroke

A

C. Heart disease

42
Q

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

A. B-vitamins
B. Glucose
C. Creatinin
D. CoQ-10

A

D. CoQ-10

43
Q

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

A. Loss of superficial reflexes
B. Reduced ability to differentiated colours
C. Diminution or absence of deep tendon reflexes
D. Increased incidence of pill rolling tremors

A

D. Increased incidence of pill rolling tremors

44
Q

The expression “brown bagging it” refers to?

A. Assessing the nutritional state of a senior patient
B. Arranging for “meals on wheels”
C. Addressing polypharmacy
D. Providing guaiac test

A

C. Addressing polypharmacy

45
Q

The “get up and go” test is not designed to evaluate

A. Leg mobility
B. Gait speed
C. Risk for falling
D. Antalgia

A

D. Antalgia

46
Q

Which one of the following choices is most characteristic of Alzheimers?

A. Insidious onset
B. Stepwise deterioration
C. Short fluctuating course
D. Often physically ill

A

C. Short fluctuating course

47
Q

A score of 8-11 points on the mini nutritional assessment reflects:

A. normal nutrition
B. Malnutrition
C. Risk of malnutrition
D. Malabsorption problem

A

C. Risk of malnutrition

48
Q

You hear bruits’ in the carotid arteries of a 74-year-old male patient who has come to you with a complaint of neck pain. What should your care plan entail?

A. Adjust the cervical spine and monitor
B. Refer to an orthopedic surgeon
C. Order a Doppler Ultrasound and refer to his PCP
D. Refer to a rheumatologist

A

C. Order a Doppler Ultrasound and refer to PCP

49
Q

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

A. true
B. false

A

A. True

50
Q

Gait assessment of a 72 year old female will most likely reveal

A. Waddling, narrow-based, decreased arm swing
B. Waddling, wider-based smaller-stepped, increased arm swing
C. Short steps, shuffling feet, stooped trunk
D. Short steps, slightly flexed knees, increase arm swing

A

C. Short steps, shuffling feet, stooped trunk

51
Q

Select the most accurate statement regarding memory and the aging process.

A. Deterioration shouldn’t be evident until 7-years old
B. Problem solving skills deteriorating with age
C. Recent memory deteriorated before remote
D. Decline of ability to perceive spatial relationships and abstract reasoning

A

C. Recent memory deteriorated before remote

52
Q

Under normal circumstances, deterioration of intellectual function should not be evident until a person reaches the age of ___ unless the person has a disease of the CNS or a disease affecting it.

A. 60
B. 50
C. 80
D. 70

A

D. 70

GERIATRICS (4 decks)

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