RPA geriatrics

Question 1

biggest risk factor for falls

Answer 1

dementia/falls in the past

then stroke and parkinson’s

Question 2

most likely precipitating factor for delirium in older people

Answer 2

infection

Question 3

what is the best predictor of conversion of mild cognitive impairment to dementia

Answer 3

standardised tests of memory

Question 4

treatment for progression of mild cognitive impairment to Alzheimer’s disease

Answer 4

none of the above

Question 5

effects o cholinesterase inhibitors

Answer 5

modest improvement in cognitive tests (maybe9-12 months)
but no reduction in rate of RACF admissions
no evidence for improvement of QoL

Question 6

frontal temporal dementia pathology

Answer 6

tau - primary progressive aphasia non fluent (70% tau, 30% TDP 43)
TDP-43 - primary progressive aphasia - (100% TDP-43)

(half half)

Question 7

overactive bladder management

Answer 7

bladder training +/- pelvic floor exercises
Oxybutynin 2.5mg nocte (Starting dose)/oxytrol patch
Solifenacin, darfenacin