Week 3 revision

Question 1

Falls result in a significant cost to the Australian community. To try and reduce this cost there is one question and two activities you can do to evaluate if the client in front of you maybe at high risk of falling. What are these?
A. Ask about falls history in the last 6 months; Watch them walk and turn, stand on one leg.
B. Ask about falls history in the last 12 months; Watch them walk and turn, stand on one leg
C. Ask about falls history in the last 12 months; Watch them walk and turn, go from sit to standing
D. Ask about falls history in the last 6 months; Watch them walk, go from sit to standing
E. Ask about falls history in the last 18 months; Assess their sit to stand with no hands and walking a few paces with a turn.

Answer 1

C. Ask about falls history in the last 12 months; Watch them walk and turn, go from sit to standing

Question 2

A fall in an older person frequently results in hospitalisation with or without a fracture. Which of the following is NOT true?
A. Approximately 50% of those who fracture their neck of femur do not return to their home
B. Trips and slips account for >50% of falls
C. Making home modifications is an effective intervention to reduce risks in all older people.
D. Dizziness and or fainting accounts for >70% of falls
E. People more often fall outside than inside the house.

Answer 2

D. Dizziness and or fainting accounts for >70% of falls

Question 3

Older people have an increased postural sway when they close their eyes. Why is postural sway with eyes closed an important factor to measure?
A. It will affect their driving ability
B. It will affect their ability to avoid pedestrians
C. It will increase their risk of falling in dark areas
D. They will need to get better glasses

Answer 3

C. It will increase their risk of falling in dark areas

Question 4

In the Quickscreen, near tandem stance means that the:
A. Weight is on the back foot more than the front foot
B. Great toe of the back foot touches the heel of front foot
C. Knees have to touch, but with one foot slightly in front of the other
D. Rear great toe is a set distance from the heel of the front foot
E. One foot is in front of the other – off set

Answer 4

D. Rear great toe is a set distance from the heel of the front foot

Question 5

6. Sarcopenia can be divided into primary and secondary sarcopenia. Primary sarcopenia is associated with
   A. Corticosteroid use
   B. Inadequate nutrition
   C. Immobilisation following surgery or a fracture
   D. Motor neuron disease
   E. Menopause

Answer 5

E. Menopause

Question 6

7. Rheumatoid arthritis:
   A. Has a number of different inflammatory pathways that leads to the same outcome
   B. Largely the result of environmental or dietary factors
   C. Can be cured with anti TNF medications
   D. Only affects the joints of the hand
   E. Does not affect the synovium

Answer 6

A. Has a number of different inflammatory pathways that leads to the same outcome.

Question 7

The management program for anyone who has OA of the hip should include:
A.	The use of a cane/walking stick
B.	NSAID 
C.	Chondroitin
D.	Self management strategies
E.	A total knee replacement

Answer 7

D. Self-management strategies

Question 8

Appropriate exercises for hip OA include
A.	Land based exercises
B.	Strength training
C.	Water based exercises
D.	A and B
E.	A, B and C

Answer 8

E. A, B and C

Question 9

To reduce your risk of developing OA you should:
A. Play football (any code)
B. Play netball
C. Go downhill skiing
D. Have a knee “tidy up” arthroscopy as soon as your knee gets sore
E. Keep strong and fit

Answer 9

E. Keep strong and fit

Question 10

What direction do the collagen fibres run in the middle/transitional zone?
A.	Vertically
B.	Horizontally
C.	Diagonally
D.	Mixture of horizontal and diagonal
E.	Chaotic

Answer 10

D. Mixture of horizontal and diagonal