THE GERIATRIC AND APHAKIC PATIENT (2.0)

Question 1

What segment style is typically recommended for the binocular aphakic patient?
A. Executive
B. Ultex A
C. 22 x 9 “B”, ribbon segment
D. Y ounger

Answer 1

C. 22 x 9 “B”, ribbon segment

Question 2

What bifocal segment style is recommended for the monocular
aphakic patient?
A. Kryptok
B. Ultex A
C. Flat-top 16 x 9
D. Executive

Answer 2

C. Flat-top 16 x 9

Question 3

Which of the following is not recommended for the aphakic prescription?
A. Use flatter base curves on the lens
B. Use a pink #1 coat on the lens
C. Use a longer vertex distance
D. Use jumbo nose pads
E. Knife edge the lenses
F. Use a combination frame

Answer 3

C. Use a longer vertex distance

Question 4

Spectacle correction of aphakia usually produces what change in retinal image size?
A. 1⁄4 to 1/3 decrease
B. 1⁄2 increase
C. 1⁄4 to 1/3 increase
D. None of the above

Answer 4

C. 1⁄4 to 1/3 increase

Question 5

The reduction of the magnification by a contact lens in aphakia depends upon

A. The refractive state prior to cataract extraction
B. Error of the phakic eye
C. The visual acuity prior to cataract extraction
D. The near point of convergence prior to extraction
E. Both A and B are correct

Answer 5

E. Both A and B are correct

A. The refractive state prior to cataract extraction
B. Error of the phakic eye

Question 6

Contact lens correction of aphakia produces what change in retinal image size?

A. 5-10% decrease
B. 5-10% increase
C. 20-30% increase 
D. 20-30% decrease 
E. None of the above

Answer 6

B. 5-10% increase

Question 7

Why are passive exercises prescribed for the elderly?

A. To retain mobility of parts
B. To aid circulation
C. To prevent atrophy
D. All of the above

Answer 7

D. All of the above

Question 8

Locomotion (moving about generally) is necessary for the elderly because of improvement of 
A. Circulation
B. Muscle tone
C. Digestion and elimination
D. A, B, and C

Answer 8

D. A, B, and C

A. Circulation
B. Muscle tone
C. Digestion and elimination

Question 9

Muscles not extended have a tendency to shorten.
A. True
B. False

Answer 9

A. True

Question 10

Passive exercise is given to
A. Prevent muscle atrophy
B. Prevent crippling or permanent bending of a limb
C. Help the patient recover the use of a hand, or arm, or leg
D. A, B, and C

Answer 10

D. A, B, and C

A. Prevent muscle atrophy
B. Prevent crippling or permanent bending of a limb
C. Help the patient recover the use of a hand, or arm, or leg

Question 11

Exercise done by someone for the patient when the patient can not initiate the motion himself is referred to as passive exercise.

A. True
B. False

Answer 11

A. True

Question 12

Resistive exercise refers to motion performed against gravity or pressure; for example, motion in water.
A. True
B. False

Answer 12

A. True

Question 13

Active exercise refers to exercise willed and performed by the patient, and indicates getting out of bed and walking.
A. True
B. False

Answer 13

A. True

Question 14

Functional rehabilitation is restoring to the patient the ability of self-care.’
A. True
B. False

Answer 14

A. True

Question 15

A primary function of rehabilitation of the aged is to teach the patient to
A. Accept what he cannot change
B. Uses the ability left him
C. Live with permanent disabilities
D. All of the above

Answer 15

D. All of the above

Question 16

Social rehabilitation is restoring the ability of the patient to become part of a group.
A. True
B. False

Answer 16

A. True

Question 17

Vocational rehabilitation is restoring the ability of the patient to hold a paying job.
A. True
B. False

Answer 17

A. True

Question 18

Rehabilitation refers to the restoration of an individual to the fullest

A. Physical usefulness of which he is capable
B. Mental usefulness of which he is capable
C. Social usefulness of which he is capable
D. All of the above

Answer 18

D. All of the above

A. Physical usefulness of which he is capable
B. Mental usefulness of which he is capable
C. Social usefulness of which he is capable

Question 19

Why has geriatric nursing become more important in the last few years?
A. Because of the greater social awareness
B. Because of the rapid increase in old people
C. Because it is profitable financially

Answer 19

B. Because of the rapid increase in old people

Question 20

The qualities of a good nursing home are

A. Fireproof building
B. Trained personnel
C. Special geriartric equipment
D. Recreational facilities
E. Atmosphere of hope, love, humor 
F. All of the above

Answer 20

F. All of the above

A. Fireproof building
B. Trained personnel
C. Special geriartric equipment
D. Recreational facilities
E. Atmosphere of hope, love, humor

Question 21

Color sensitivity decreases with advanced age (elderly). A. True
B. False

Answer 21

A. True

Question 22

The elderly require twice the illumination of that needed by
young people.

A. True
B. False

Answer 22

A. True

Question 23

The Hudson-Stahli line, seen in the corneae of the elderly is found in the
A. Lower part of the cornea and has a blue appearance
B. Lower part of the cornea and has a yellow-green
appearance
C. Upper part of the cornea and has a blue appearance
D. Upper part of the cornea and has a yellow-green
appearance

Answer 23

B. Lower part of the cornea and has a yellow-green

appearance

Question 24

Dermochalasis typically affects

A. Youth and males primarily
B. Middle age and females
C. Elderly, especially females
D. None of the above

Answer 24

C. Elderly, especially females