SPECONLEC_S1_L3 - P2-P13 Flashcards

1
Q

Global average life expectancy at 60 years

A

20 years

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2
Q

65-75 years:

A

“old geriatric population”

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3
Q

> 85 years:

A

○ aka “oldest old”

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4
Q

> 90 years:

A

nonagenarian

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5
Q

80s

A

Octogenarian

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6
Q

100s

A

Centenarian

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7
Q

↑ population =

A

↑ people with Sx

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8
Q

MUSCLE: The loss of muscle fibers and decrease fiber size in the elderly results in ___

A

loss of force per unit area

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9
Q

MUSCLE: Disproportionate loss of type ___ fibers

A

Disproportionate loss of type 2 fibers

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10
Q

T/F
Even if muscle fibers and fiber size decrease as we age, motor units are not affected

A

False (There’s also loss of motor units in aging)

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11
Q

attributable to an underlying disease; loss of both muscle and fat mass

A

Cachexia

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12
Q

loss of muscle mass and strength, increase in fat mass, and abdominal girth

A

Sarcopenia

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13
Q

part where the motor neuron meets the
muscle

A

motor unit

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14
Q

BONE: Insufficient load-bearing results to ___

A

Insufficient load-bearing -> demineralization

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15
Q

T/F: Changes in bone are affected by changes in excretory system, more significant in women after menopause

A

False (Affected by changes in endocrine system, more significant in women after menopause)

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16
Q

T/F: In Neurologic, there is a decrease in brain volume, frontal white matter loss, and decreased cerebral blood flow

A

False (Decreased brain volume, frontal **grey **matter loss, decreased cerebral bloodflow)

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17
Q

NEUROLOGIC CHANGES: Lens aging may lead to ___

A

cataracts

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18
Q

AGE-RELATED HEARING LOSS: INTRINSIC VS. EXTRINSIC
1. Noise exposure
2. Cochlear aging
3. Genetics
4. Ototoxic drugs

A
  1. Extrinsic
  2. Intrinsic
  3. Intrinsic
  4. Extrinsic
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19
Q

NEUROLOGIC CHANGES: Decline in vision due to ______

A

retinal aging

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20
Q

MHR decreases how many bpm per decade after age _ years

A

6-10 bpm per decade, 25 years

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21
Q

VO2max decreases how many percent per decade after age _ years

A

5-15%, 25 years

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22
Q

VO2max is the _

A

maximum oxygen consumption

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23
Q

↑ VO2max = _ endurance

A

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24
Q

↓ VO2max = ↓ endurance → _ fatigue

A

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25
t or f there is increased arterial compliance among the geriatric
f, decreased
26
Arteries are not complying since they're more _ → (increase/decrease) in BP
stiff, increase
27
s the pressure exerted by the blood to the blood vessel
BP
28
Rush of blood into the blood vessel will cause the blood vessels to ___
blood vessels dilate to accommodate which avoids ↑ BP
29
If the arteries don't accommodate in older pts, there's _ in BP
increase
30
why is there increased SBP?
d/t loss of patency of arteries resulting in increased pressure in the arteries
31
there will also be ventricular _ with impaired _ for cardiovascular changes among the geria
left, hypertrophy, filling
32
there is also Decreased _ in the cardiovascular
beta-adrenergic receptor stimulation response
33
t or f there is an increase in SA node automaticity in cardiovascular among geriatric patients
f, decreased SA node automaticity
34
what node can produce its own action potential to stimulate the heart
SA node
35
Predicts 60 beats per minute
SA node
36
it's not easy to excite the heart for geria since _ is decreased
beta-adrenergic
37
Decreased myocytes lead to
muscle weakness
38
t or f Exercise-induced adaptations are increased among the elderly
f, Exercise-induced adaptations are not as available to elderly
39
t or f there will also be increased sensitivity to catecholamines & impaired vasodilative responses
f, Decreased sensitivity to catecholamines & impaired vasoconstrictive responses
40
Impaired vasoconstrictive responses: seen in the
LE
41
LE vessels need to contract continuously for _ for the blood to circulate back to the heart
venous return
42
When the venous return is impaired & there is less blood pumping back to the heart, this results to _
hypotension
43
_ can be worn by the patient to facilitate in venous return which will lessen the chances of hypotensive episodes
Compressive stockings
44
IN pulmonary changes among geria, there will be Impaired _ and _ mismatch
pulmonary gas exchange, V/Q
45
t or f Loss of elastic recoil and lung stiffening for geria pts
t
46
t or f decreased lung compliance and increased thoracic wall mobility for geria pts
f, Increased lung compliance and decreased thoracic wall mobility
47
t or f there is also Decreased strength of respiratory muscles
t
48
pulmonary changes Leads to increase in _ and _
residual volume, Functional Residual Capacity
49
is the air thats left thats not part of the gas exchange
residual capacity
50
for GI, there will be appetite and energy intake
decreased
51
Decreased appetite and energy intake leads to _
malnutrition
52
Smell and taste sensation may
decreased
53
Smell and taste sensation may decrease which leads to _
loss of enjoyment from eating
54
there is also gastric compliance
decreased
55
Decreased gastric compliance leads to _ and _
early satiety and prolonged postprandial satiety
56
decreased gastric compliance means _
Decreased ability of the stomach to expand
57
Early satiety meaning
gets full fast
58
Postprandial meaning
fullness after eating
59
decreased production of stomach acid
Hypochlorhydria
60
Hypochlorhydria can lead to _ in _
bacterial overgrowth, Small intestine
61
There is a normal gut microbiome in the _ _ _
mouth, stomach, and intestines
62
There is a _ in the mouth, stomach, and intestines
normal gut microbiome
63
t or f When there is an imbalance/overgrowth in this microbiome, this will result in different kinds of diseases dt overgrowth
t
64
Hypochlorhydria can also lead to impaired absorption of _ _ _ _ _
vit. B12, calcium, iron, zinc, folic acid
65
for the GI tract, there is also in cholecystokinin and _
inc, leptin
66
Increase in cholecystokinin and leptin will lead to
suppressed appetite
67
GENITOURINARY: in renal mass
decrease
68
GENITOURINARY: in RBF
dec
69
decreased RBF will lead to _
decrease in GFR (glomerular filtration rate)
70
Impaired water balance for genitoruinary t or f
t
71
Impaired water balance leads to _
water loss
72
there is also urinanry incontinence for aging pts t or f
t
73
for endocrine there is hormone secretion and tissue responsiveness
dec
74
what hormones will be decreased
Decreased testosterone, hGH, insulin-like growth factor (anabolic hormones)
75
Decreased testosterone, hGH, insulin-like growth factor (anabolic hormones) leads to _
impaired muscle fiber protein synthesis
76
impaired muscle fiber protein synthesis can lead to _
sarcopenia
77
endocrine: glucose tolerance
dec
78
endocrine: estrogen
dec
79
Decreased estrogen will lead to _ and _
collagen loss & thinning of skin
80
Bone loss leads to _ and _
osteopenia & osteoporosis
81
bone loss is prone to menopausal women t or f
t
82
skin changes are caused by _ and _
Caused by normal aging and environmental factors
83
there will be thinning of _
epidermis
84
SKIN: cell replacement
dec
85
for the skin, immune response and wound healing never changes t or f
f, Impaired immune response and wound healing
86
moisture content, elasticity, blood supply, sensory sensitivity
dec
87
Decreased moisture content, elasticity, blood supply, sensory sensitivity will be more prone to wounds t or f
t
88
risk of skin disorders and injury
increase