Ipapburke Geriatrics Test 1- Review 1

Front 1

drug of choice for hyperlipidemia

Back 1

statins

Hint 1

side effect is rhabdomyolysis

Front 2

how often do you check total serum cholesterol

Back 2

every 5 years

Hint 2

if CAD, DM, PAD, prior stroke….treat more often

Front 3

Most common cause of secondary htn in older indiviuals

Back 3

renovascular disease

Front 4

How often do you screen for breast cancer?

Back 4

annual cbe + mammogram through age 70

Hint 4

continue after age 70 if at least a 4 year life expectancy; discuss choices with patient

Front 5

When do you screen for colorectal cancer?

Back 5

age 50 if at average risk; colonoscopy every 10 years, or FOBT annually plus a flexsig every 5 years

Hint 5

stop screening around 75-80

Front 6

A yearly PSA test and DRE are recommended by the ACS to age 75 if…

Back 6

the have at least a 10 year life expectancy

Front 7

At what age should you begin total body examinations for skin cancer?

Back 7

40

Front 8

When do you screen for DM?

Back 8

every 3 years in patients over 45;…not recommended for patients 75-80 years old….after 65, screening does not prevent renal disease and blindness in those who are found to be diabetic

Front 9

Screening for thyroid disease is recommended yearly for asymptomatic women of what age?

Back 9

>/ to 50….order a TSH….free T4 should be ordered if abnormal TSH

Front 10

What are the two widely used screening test for dementia?

Back 10

mini mental state exam and mini-cog exam (score of 2 or less on mini cog = dementia)

Front 11

List the activities of daily living.

Back 11

bathing, dressing, eating, transferring, continence, toileting

Front 12

List the instrumental activities of daily living.

Back 12

transportation, shopping, cooking, use of telephone, managing money, taking medications, cleaning, laundry

Front 13

A brand new decline in an activity of daily living

Back 13

indicates disease process

Front 14

get up and go test measures

Back 14

balance, gait, strength

Hint 14

if you fail, you are at increased risk of falling

Front 15

Acute MI in elderly may present how?

Back 15

without chestpain, asymptomatic, SOB, pulmonary edema, CHF, caridiac rupture, and shock;

Front 16

This may be the presenting symptom after an MI in the elderly

Back 16

Delerium

Front 17

Most common cause of CHF in geriatric population

Back 17

prolonged systolic hypertension

Front 18

This is associated with acute rheumatic fever.

Back 18

mitral stenosis

Front 19

Most common valvular disorder in the elderly.

Back 19

mitral regurgitation

Front 20

What may happen if peritonitis in the elderly is left untreated?

Back 20

hypotension and cardiovascular collapse

Front 21

What is a complication of acute renal failure?

Back 21

hyperkalemia

Hint 21

make sure to monitor electrolytes

Front 22

How do people present with hyperkalemia

Back 22

fatigue, nausea, muscle twitching, slow, weak pulse

Hint 22

can be overlooked because these are also associated with aging

Front 23

For elderly patients, what is the initial therapy for osteoarthritis?

Back 23

acetaminophen…

Hint 23

in the younger population, we would give NSAIDs first

Front 24

For geriatrics with gout, what do we prescribe?

Back 24

NSAIDs or prednisone….indocin is given in younger patients, but is not well tolerated in elderly

Front 25

Precursor to squamous cell cancer

Back 25

actinic keratosis

Hint 25

scaly, rough, white, and adherent

Front 26

Treatments for BPH

Back 26

alpha-1 receptor blockers, 5-alpha reductase inhibitors, surgery

Front 27

most common cause of vitamin B-12 deficiency in elderly is…

Back 27

malabsorption due to…..

Hint 27

atrophic gastritis or hypochlorhydria

Front 28

If a person is in a state of delerium and you need to sedate them, what do you use?

Back 28

Haldol is 1st line, Ativan is second line

Front 29

The primary cause of permanent cognitive impairment among older patients

Back 29

Dementia

Front 30

Cortical dementias are characterized by

Back 30

prominent amnesia, aphasia, apraxia, and or agnosia

Front 31

Triad of symptoms for normal pressure hyudrocephalus

Back 31

early gait ataxia, urinary incontinence, later progression of cognitive changes (dementia)

Front 32

dementia ofter head trauma suggests

Back 32

subdural hematoma

Front 33

Most common drug used for the treatment of alzheimers

Back 33

Aricept

Front 34

Fluent (Wernicke's) aphasia

Back 34

words don't make sense when they speak

Front 35

Non-Fluent (Broca's) aphasia

Back 35

can't get the words out, but they understand

Front 36

Most common cause of aphasia

Back 36

left middle cerebral artery infarction

Front 37

Inability to perform previously learned motor acts in the presencej of motor strength

Back 37

apraxia

Front 38

an inability to recognize specific visual stimuli in the absence of visual impairment or aphasia

Back 38

agnosia

Front 39

Recommended medications for elderly with schizophrenia

Back 39

clozaril, risperdal, zyprexa

Front 40

Who is at the greatest risk for suicide?

Back 40

elderly males

Front 41

What class of medications do we treat primary depression with?

Back 41

SSRI's

Front 42

How do we treat secondary depression?

Back 42

TCA's

Front 43

What type of medications may dry the vagina increasing the risk of painful intercourse?

Back 43

antihistamines

Front 44

What types of pills reduce alertness and may blunt interest in sex?

Back 44

sleeping pills

Front 45

restless leg syndrome is thought to be related to

Back 45

dopamine dysfunction

Front 46

What are the symptoms associated with RLS, and what medication is given?

Back 46

aching, burning, cramping, tingling, or pain; Requip

Front 47

What is the best drug to use in the elderly for sleep disorders?

Back 47

ambien

Front 48

most common causes of execessive sleepiness

Back 48

OSA, PLM