Principles of Geriatric Medicine Flashcards

1
Q

Human aging is characterized by progressive constriction of the homeostatic reserve of every organ system.

A

Homeostenosis

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2
Q

When is homeostenosis evident

A

3rd decade

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3
Q

Time-consuming even when it is tailored to the problem

A

evaluation

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4
Q

old age

A

65-75 y/o

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5
Q

oldest old

A

> 85 y/o

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6
Q

middle old

A

75-85 y/o

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7
Q

nonagenarian

A

> 90 y/o

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8
Q

Gerontology

A

the scientific study of aging

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9
Q

functions of the msk system

A

limb movement
structural support
protection of the tissue

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10
Q

age- and disease-related loss of adaptation

A

frailty

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11
Q

symptoms of frailty

A

unintentional weight loss of at least 10 lbs over the year
self-reported exhaustion
weakness
slow walking speed
low physical activity

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12
Q

major cause of morbidity in older population

A

falls

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13
Q

common fractures in the older population

A

forearm, hip, and pelvis

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14
Q

risk factors for falls

A

age
physical impairments
cognitive impairments
previous falls
medications
comorbid conditions
chronic pain and arthritis
poor functional status

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15
Q

degenerative disease of the entire joint

A

Osteoarthritis

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16
Q

low bone density among older adults

A

osteopenia and osteoarthritis

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17
Q

bone mineral density score of pts w osteopenia

A

-1.0-(-2.5)

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18
Q

risk factors for osteopenia and osteoporosis

A

increasing age
FHx
Glucocorticoid therapy
smoking

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19
Q

in what population is low density common

A

elderly women

20
Q

A leading cause of acute neurologic admissions to hospitals and death worldwide

A

stroke

21
Q

most common type of stroke

A

ischemic stroke

22
Q

risk factors of stroke

A

TIA
HTN
Hyperlipidemia
Heart Disease
Diabetes

23
Q

Poorer outcome associated with increasing age

A

Traumatic Brain Injury (TBI)

24
Q

common causes of TBI

A

falls
MVA

25
Q

risk factors

A

physical and cognitive impairment
multiple conditions and medications

26
Q

age-related brain atrophy that presents with increased subdural space and tearing of bridging veins

A

subdural hematoma

27
Q

the patient’s daily function
because of executive cognitive
dysfunction, memory
impairment, and mood,
personality, and behavioral
changes

A

dementia

28
Q

dementia is commonly equated with

A

alzheimer’s disease

29
Q

An acute neurocognitive
disorder that is transient and
usually reversible

A

delirium

30
Q

in what population does delirium commonly occur?

A

elder with mental status impairments

31
Q

causes of reversible dementia

A

SDH
np Hydrocephalus
depression
hormonal imbalances
drug and alcohol abuse
vitamin deficiency

32
Q

causes of irreversible dementia

A

alzheimer’s
parkinson’s
huntington’s
AIDS
after repeated neurovascular insults
severe or repetitive TBI

33
Q

Disturbance in attention and awareness that develops over a short period of time

A

Delirium

34
Q

A clinical diagnosis used to designate an early, cognitive dysfunction in one or
more cognitive domains that is not age-related.

A

mild cognitive impairment

35
Q

mild cognitive impairment is an identifiable pre-cursor to

A

alzheimer’s

36
Q

hallmark signs of np Hydrocephalus

A

dementia
gait disturbance
urinary incontinence
ventriculomegaly
normal CSF pressures

37
Q

most important clinical sign of np Hydrocephalus

A

ataxia

38
Q

gait pattern of pts c hydrocephalus

A

magnetic gait

39
Q

causes of np Hydrocephalus

A

may be idiopathic, previous meningitis, or subarachnoid hemorrhage

40
Q

A progressive neurodegenerative disease present in up to 2% of
people older than 60 years

A

Parkinson’s disease

41
Q

manifestations of Parkinson’s disease

A

ataxia
bradykinesia
tremor
cog wheel rigidity

42
Q

characteristics of parkinsonian gait

A

small, shuffling steps s arm swing

43
Q

cancer is more prevalent among what age group

A

> 65 y/o

44
Q

types of cancer that contribute to mortality

A

Prostate
Bladder
Colorectal
Pancreas
Stomach
Lung
Uterus

45
Q

the use of multiple drugs by a pt

A

polypharmacy

46
Q
A