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13 Cards in this Set
- Front
- Back
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Always consider medication side effects! Classically, metformin can yield what SE?
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lactic acidosis!
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Regarding medications and the GI tract, what decreases?
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hepatic oxidative metabolism drops 25% or more in old age
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True or False:
Adverse drug reactions are not the same as allergies! |
TRUE!
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Gustatory function (taste sensation) depends on both taste and olfactory input. Which decreases more - taste or olfactory function?
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There is a larger drop in olfactory function. Up to 40%! Even in the healthy elder.
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What is xerostomia?
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Xerostomia is dry mouth, a common drug side effect. Especially in anticholinergic drugs and diuretics.
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Which of the following is FALSE about normal aging?
A. There is decreased upper esophageal sphincter pressure B. Decreased amplitude of secondary peristalsis C. Decreased lower esophageal sphincter pressure |
FALSE IS
C. Decreased lower esophageal sphincter pressure THERE IS NO CHANGE in LES pressure! |
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True or False:
Aspiration pneumonia remains as common as before you put in the PEG (percutaneous endoscopic gastrostomy) |
TRUE, because aspiration pneumonia is caused by regurg from stomach up thru esophagus and into oropharynx and that isn’t changed by putting in a PEG.
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True or False:
With any neurodegenerative dzs , it is not advised to have a PEG. |
TRUE
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Which of the following is FALSE about PEG (percutaneous endscopic gastrostomy)?
A. Studies have shown there is NO improvement in function, nutrition, or subjective health status B. There is a 50% 1 year mortality with users C. There is reduced aspiration pneumonia D. There is no improvement in physical function for users |
C. There is reduced aspiration pneumonia
THIS IS FALSE because aspiration pneumonia is caused by regurg from stomach up thru esophagus and into oropharynx and that isn’t changed by putting in a PEG. |
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Which of the following is TRUE about the aging stomach?
A. There is no change in perception of distention B. The stomach does not empty more slowly C. There is no aging effect on acid or pepsin secreting cells D. There is no diminished mucosal capacity to reist damage |
TRUE C. There is no aging effect on acid or pepsin secreting cells
All the rest are exactly opposite. |
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To treat diarrhea in older folks, the preferred med is [ lomotil / loperamide ].
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loperamide
limit antibiotics in general, consider probiotics |
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What condition might this be?
Typically acute LLQ pain, bloody diarrhea, history of atherosclerotic disease May be subtle, anorexia, need to probe details Occlusion of IMA or branches, venous obstruction or low blood flow states (CHF) Splenic flexure vulnerable (watershed zone) Pale mucosa (by scope) Thumbprint sign (barium enema) A. Diverticular dz B. Colonic angiodysplasia C. Ischemic colitis D. Inflammatory bowel dz |
C. Ischemic colitis
DON’T FORGET THIS DZ- THIS IS A SNEAKY DZ THAT CAN EASILY KILL YOUR PATIENT BECAUSE IF YOU WAIT FOR MANIFESTING CONDITIONS SUPER PARTICULAR TO THIS, COLON CAN BE NECROTIC ALREADY! |
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Screening for colorectal cancers is recommended until at least age ____ but conisder longer if life expectancy will be greater than _____ years.
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screening recommended until at least AGE 70 , but perhaps longer if life expectancy is >10 YEARS
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