Geriatrics Final

Front 1

Contraindicated meds for ESRD include

Back 1

OTC NSAIDS

Front 2

During exercise, a patient with ESRD may experience muscle cramping due to ____ imbalance

Back 2

Ca

Front 3

Normal range for glucose-fasting

Back 3

70-100

Front 4

Safe glucose range for exercise

Back 4

100-250

Front 5

Why should pts under radiation therapy avoid swimming pools?

Back 5

The could get exposed to bacteria and develop infections; plus chlorine may irritate radiated skin

Front 6

T or F

With age and disease, residual lung volume increases

Back 6

T

Front 7

A pt with emphysema would present problems with

Back 7

exhalation

Front 8

Angina and infarction impair function by decreasing

Back 8

max cardiac output and oxygen consumption

Front 9

Low HR during maximal exercise

Back 9

Sick sinus syndrome

Front 10

Max HR ___________ with age

Back 10

declines

Front 11

Balance between myocardial oxygen demand and supply

Back 11

Ischemic threshold

Front 12

What can be used to identify the ischemic threshold?

Back 12

ETT

Front 13

Is US contraindicated in pts with pacemakers?

Back 13

No, but cannot be used over the thoracic area

Front 14

FITTE formula

Back 14

frequency, intensity, time, type, enjoyment

Front 15

Layer of the epidermis that is the major barrier to the environment and prevents penetration of substances

Back 15

stratum corneum

Front 16

Thickest of the epidermal layers

Back 16

stratum spinosum

Front 17

Layer of the epidermis that continuously produces new cells

Back 17

basal layer/stratum germinativum

Front 18

Layer of the epidermis that contains melanocytes

Back 18

basal layer/stratum germinativum

Front 19

Contains collagen and elastic fibers

Back 19

dermis

Front 20

Allows skin to dissipate both pressure and shear forces

Back 20

subcutaneous layer

Front 21

ABCD method

Back 21

asymmetry
border
color
diameter

Front 22

With diabetic ulcers, pulses and temperature are generally

Back 22

normal

Front 23

Moderate to heavy exudates are related to what kind of ulcers?

Back 23

venous

Front 24

Absence of edema and regular shape are related to what kind of ulcers?

Back 24

arterial

Front 25

This type of dressing may present a barrier to keratinocyte migration

Back 25

Impregnated gauze dressing

Front 26

This type of dressing is permeable to vapor, oxygen and CO2, but impermeable to bacteria and water

Back 26

semipermeable film

Front 27

Can semipermeable films be used in highly exudating wounds?

Back 27

nope

Front 28

T or F

Sheet hydrogels are highly effective as bacteria barriers

Back 28

F

Front 29

They are generally reserved for granulating or slough-covered partial and full thickness wounds

Back 29

Semipermeable foam dressing

Front 30

Dressings that are non-adherent and biocompatible

Back 30

Alginates

Front 31

The shingles rash forms blisters that typically scab over in _____ days and clears up within _______ weeks

Back 31

7-10

2-4

Front 32

Sxs of shingles can include

Back 32

Rash
Fever
Headache
Chills
Upset stomach
Pain, itching or tingling before rash develops
Loss of vision if eyes are affected

Front 33

Likeliness of developing shingles increases if

Back 33

-Older than 60
-Chickenpox before age 1
-Weakened immune system

Front 34

With RA of the spine and extremities, rule out

Back 34

possibility of atlanto-occipital subluxation

Front 35

For Fibromyalgia pts: Avoid

Back 35

eccentric and high-intensity exercise

Front 36

Thalamic and Weber's syndromes correspond to what area of stroke damage?

Back 36

central area

Front 37

Carr and Shepherd’s Approach

Back 37

1 Analyze the Task
2. Practice the Missing Component
3. Practice the Task as a Whole
4. Transference of Training

Front 38

How is Medicare part A financed?

Back 38

Largely through Social Security taxes

Front 39

Which type of Medicare pays for inpatient services?

Back 39

Part A

Front 40

How is Medicare Part B financed?

Back 40

through federal taxes and monthly premiums from the subscribers

Front 41

Pays 80%, secondary insurance pays 20% or out of pocket

Back 41

Medicare Part B

Front 42

Medicare + Choice options include:

Back 42

coordinated care plans (HMOs, PPOs and similar arrangements). Now called Medicare Advantage Programs.

Front 43

Medicare Part D covers

Back 43

drugs

Front 44

What happens if the patient does not sign the advance beneficiary notice?

Back 44

the patient is not liable for payment of the denied service.

Front 45

The assessment instrument that will be used in the skilled nursing facility prospective payment system. The payment system involves using the information on the MDS to classify residents into a resource utilization group (RUGs III) to determine payment for the facility.

Back 45

The Minimum Data Set (MDS)

Front 46

Home health agencies are on what type of payment system?

Back 46

prospective

Front 47

ICD-9 codes are related to

Back 47

diagnosis

Front 48

CPT codes relate to

Back 48

physical therapy intervention

Front 49

OASIS stands for

Back 49

Outcome and Assessment Information Set

Front 50

Use a prospective payment system which uses the Functional Independence Measure (FIM).

Back 50

Inpatient Rehabilitation or Rehabilitation Hospitals

Front 51

Stark III laws are related to

Back 51

anti-kickback laws

Front 52

Hoehn and Yahr stage characterized by minimal or no functional impairment and unilateral involvement only

Back 52

1

Front 53

Hoehn and Yahr stage characterized by mild to moderate disability

Back 53

3

Front 54

Relaxation exercises for PD are best on what position?

Back 54

supine

Front 55

Three Major Types of Strokes

Back 55

● Cerebral thrombosis
● Cerebral emboli
● Cerebral hemorrhage

Front 56

What muscles should be exercised in post-polio pts?

Back 56

the ones that weren't affected

Front 57

disorder of bone remodeling characterized by increased bone resorption and increased formation.

Back 57

Paget's disease

Front 58

preclude to osteoporosis

Back 58

osteopenia

Front 59

Normal bone mineral density

Back 59

more than -1

Front 60

ADR

Back 60

additional documentation required

Front 61

Pts. go to inpatient therapy if they can handle

Back 61

3 or more hrs of therapy/day