Stewart Flashcards

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1
Q

list some changes that occur in normal aging

A

physiologic rythms, circadian pattern of body temp, plasma cortisol, sleep diminish , decreased variability, homeostenosis

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2
Q

what happens to muscle mass and bone mass in normal aging

A

decreases

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3
Q

what happens to osteoarthritis with aging

A

increases

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4
Q

what happens with DHEA and nocturnal growth hormone in aging

A

decrease

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5
Q

t/f brain size and loss of neurons decreases in aging

A

yes

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6
Q

an old person loses eye elasticity and can not accomidate for near vision. what should you tell him

A

this is a normal part of aging

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7
Q

is hearing loss normal

A

yes

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8
Q

is smell loss normal in aging

A

yes

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9
Q

a person realizes they are less thirsty is this normal

A

yes

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10
Q

why do old people get constipation

A

colonic contractions are less effective

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11
Q

what happens to liver in aging

A

liver size and blood flow through the liver decrease

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12
Q

what happens to CYP3A activity in aging

A

it reduces acitivty

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13
Q

what happens to lungs during aging

A

decreased lung mass and airway cilliary action which increases risk of lung infections

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14
Q

what are the 6 components of a comprehensive geriatric exam

A
data gathering
team discussion
development of treatment plan 
implementation of treatment plan
monitoring with revision
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15
Q

do you do a comprehensive geriatric assesment on allolder people

A

no , you do them on frail older people

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16
Q

what is the leading cause of morbidity and mortality among older adults

A

falls

17
Q

what is a good way to assess for fall risk

A

get up and go test to assess for fall risk

18
Q

who has the highest risk of suicide

A

it is highest risk as people age and it is highest in men over 65. older white men and american indian men and any man with a firearms

19
Q

is hearing loss normal

A

yes, 80% will lose hearing

20
Q

should there be routine hearing screening

A

no

21
Q

if there is no worry of impairment should cognitive screen take place

A

no

22
Q

is urinary incontinence normal

A

no