Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
78 Cards in this Set
- Front
- Back
|
ABRUPT CESSATION OF SMOKING- WHAT CANCER
|
LUNG
|
|
|
INCIDENCE OF HYPOTHYROIDISM IN RELATION TO AGE
|
INCREASES WITH AGE
|
|
|
SIGNS AND SYMPTOMS OF HYPOTHYROIDISM
|
DRY SKIN, ALOPECIA, DIMISHED REFLEXES, COLD INTOLERANCE, DECREASE IN MAXIMAL HEART RATE, ARTHRITIC COMPLAINTS, CONSTIPATION, AMS, DEPRESSION, CHF, HTN, ELEVATED LIPIDS
|
|
|
WHEN DO YOU SCREEN FOR HYPOTHYROIDISM IN ELDERLY
|
ROUTINELY
|
|
|
DIFFERENCE IN STARTING TREATMENT FOR HYPOTHYROIDISM IN ELDERLY
|
MUST START AT VERY LOW DOSE AND INCREASE SLOWLY OVER SEVERAL WEEKS
|
|
|
BEFORE INCREASING THE DOSE OF SYNTHROID, WHAT SHOULD BE DONE?
|
CHECK TSH LEVEL AFTER DOSE IS STABLE AT T5 MCG DAILY FOR 4-5 WEEKS BEFORE INCREASING DOSE
|
|
|
WHAT DOES HYPERTHYROIDISM IN THE ELDERLY USUALLY IMITATE?
|
DISEASE FROM NON ENDOCRINE ORGANS SUCH AS HEART AND BRAIN
|
|
|
WHAT ARE THE DIFFERENCES IN APPEARANCE OF A HYPERTHYROID ELDERLY PERSON THAN FROM A YOUNGER PERSON/
|
CLASSIC EYE FINDINGS ARE LESS COMMON; TREMORS MAY BE HARD TO DIFFERENTIATE BETWEEN BENIGN ESSENTIAL TREMOR THAT IS FOUND IN SOME ELDERLY
|
|
|
WHAT TYPE OF HYPERTHYROIDISM OCCURS MOST FREQUENTLY IN THE ELDERLY?
|
MULTINODULAR GOITER
|
|
|
WHY DOES AMIODARON INDUCE HYPOTHYROIDISM?
|
IT CONTAINS IODINE AND RESULTS IN IODINE EXCESS
|
|
|
WHICH HYPERTHYROID CONDITION- MN GOITER OR GRAVES- SLOWLY PROGRESSES? WHAT IS THE RESULT?
|
MULTINODULAR GOITER PROGRESSES SLOWLY AND THE RESULT IS LONGER DURATION OF SYMPTOMS THAT MAY PUT GREATER STRESS ON HEART---INCREASING ARRYHTHMIAS
|
|
|
EVEN WHEN A FIB IS PRESENT, A PATIENT MAY HAVE A HR OF < ______ PER MINUTE
|
100
|
|
|
DIFFERENT SYMPTOMSOF HYPERTHYROIDISM THAT MAY BE SEEN IN ELDERLY
|
SWEATING DECREASED IN ELDERLY, INCREASED WEIGHT LOSS, DIARRHEA NOT COMMON
|
|
|
IF A HYPERTHYROIDISM IS ASYMPTOMATIC, WHAT IS IT CALLED?
|
MASKED HYPERTHYROIDISM
|
|
|
WHAT IS APATHETIC HYPERTHYROIDISM?
|
USUAL HYPERKINETIC STATE IS REPLACED BY DEPRESSED, WITHDRAWN, AND UNANIMATED APPEARANCE
|
|
|
HYPERTHROIDISM SOMETIMES MAY PRESENT AS THIS (AMS)
|
DELIRIUM
|
|
|
TREATMENT FOR HYPERTHYROIDISM
|
RADIOACTIVE IODINE WITH OR WITHOUT ANTITHYROID DRUGS APPROPRIATE FOR GRAVES
|
|
|
GENERAL CORRELATION BETWEEN FEVER AND ELDERLY
|
MAY BE BLUNTED OR ABSENT IN SMALL, BUT INSIGNIFICANT NUMBER OF ELDERLY PERSONS WITH SYSTEMIC INFECTIONS
|
|
|
EXPLAIN HOW PRESENCE/ABSENCE OF FEVER CORRELATES WITH MORTALITY
|
BETTWE PROGNOSIS IF FEVER IS PRESENT; WORSE IF HYPOTHERMIC OR AFEBRILE
|
|
|
WHAT MEDICATIONS MAY AFFECT A PT’S TEMP WHO HAS AN INFECTION?
|
TYLENOL
|
|
|
IMPORTANCE OF NECK STIFFNESS AS A SIGN IN ELDERLY
|
IT IS AN UNRELIABLE SIGN OF MENINGITIS IN THE ELDERLY B/C ALSO SEEN IN CHRONIC DISEASES INCLUDING CERVICAL ARTHRITIS AND PARKINSON’S
|
|
|
PRESENTATION OF UROSEPSIS IN ELDERLY
|
DELIRIUM (AMS CHANGES), HYPO OR NORMOTHERMIA, NEW ONSET OF INCONTINENCE, AND LOWWBC COUNT
|
|
|
PRESENTATION OF PNEUMONIA IN ELDERLY
|
AFEBRILE OFTEN TIMES, MAY BE SEVERE BUT NOT APPEAR ILL (MISSED OFTEN0
|
|
|
PRESENTATION OF INTRAABDOMINAL INFECTIONS IN ELDERLY
|
HIGHEST MORBIDITY AND MORTALITY FOR APPENDICITIS B/C OF ATYPICAL PRESENTATION AND LESSENED IMMUNITY
|
|
|
HOW ARE SEVERE LIFE THREATENING INFECTIONS TREATED
|
IN HOSPITAL WITH IV ANTIBIOTICS
|
|
|
REFERENCE FOR ANTIMICROBIAL THERAPY
|
SANFORD GUIDE TO ANTIMICROBIAL TEHRAPY
|
|
|
HOW HAVE NURSING HOMES INCREASED THEIR ABILITY TO MANAGE COMPLEX PATIENTS?
|
THEY NOW WILL USE IV ANTIBIOTICS FOR MODERATELY SEVERE INFECTIONS TO CONSERVE RESOURCES AND AVOID HOSPITALIZATION OF RESIDENTS
|
|
|
OCCASIONALLY, SEVERE LIFE THREATENING INFECTIONS ARE NOT TREATED. EXPLAIN.
|
THEY ARE ALLOWED TO RUN THEIR COURSE AND CAUSE THE DEATH OF A PATIENT (COMPETENT PROVIDER AND FAMILY MEMBERS MAKE DECISION)
|
|
|
WHAT IS FREQUENTLY FOUND AT SURGERY IN APPENDICITIS?
|
BOWEL PERFORATION (PERITONITIS) AND GANGRENE
|
|
|
WHERE DOES PAIN BEGIN IN ELDERLY WITH APPENDICITIS?
|
IN THE RIGHT LOWER QUADRANT
|
|
|
DEGREE OF PAIN IN APPENDICITIS
|
MILD TO MODERATE IN INTENSITY; SEVERE PAIN NOT LIKELY UNTIL PERFORATION
|
|
|
IN SOME CASES, THESE MAY BE THE ONLY SYMPTOMS OF APPENDICITIS IN ELDERLY
|
LOW GRADE FEVER AND GENERALIZED ABDOMINAL PAIN
|
|
|
TWO CAUSES OF PERITONITIS
|
DIVERTICULOSIS AND APPENDICITIS
|
|
|
SYMPTOMS IN PERITONITIS
|
GENERALIZED ABDOMINAL TENDERNESS AND RIGIDITY; BOWEL SOUNDS ABSENT DUE TO ILEUS; HYPOTENSION AND CV COLLAPSE IF UNTREATED
|
|
|
PRESENTATION OF PEPTIC ULCER DISEASE
|
BLEEDING AND PERFORATION MAY BE PRESENT, BUT CLASSIC EVIDENCE OF PERFORATION (SUDDEN PAIN AND RIGIDITY) MAY NOT OCCUR
|
|
|
DIFFERENT SYMPTOM IN CROHN’S FROM YOUNG
|
DECREASED PREVALENCE OF A PALPABLE ABDOMINAL MASS; LESS SMALL BOWEL DISEASE
|
|
|
PRESENTATION OF ACUTE CHOLECYSTITIS
|
ABDOMINAL TENDERNESS AND PERITONEAL INFLAMMATION ABSENT IN 50%, NORMOTHERMIA AND NORMAL WBC IN MANY
|
|
|
THESE ARE OFTEN FOUND AT TIME OF SURGERY FOR ACUTE CHOLECYSTITIS
|
GANGRENE AND PERFORATION
|
|
|
PRESENTATION OF DIVERTICULOSIS
|
LEFT LOWER QUADRANT PAIN AND FEVER
|
|
|
PRESENTATION OF MESENTERIC ISCHEMIA
|
PAIN AFTER EATING, RECTAL PASSAGE OF BLOOD AND MUCOUS, CIRCULATORY COLLAPSE
|
|
|
PRESENTATION OF BOWEL OBSTRUCTION
|
+/- VOMITING, DIFFUSE ABDOMINAL PAIN, BLOATING, TYMPANY ON PERCUSSION
|
|
|
THIS IS NEVER A NORMAL EVENT IN THE AGING PROCESS
|
URINARY INCONTINENCE
|
|
|
CAUSES OF URINARY INCONTINENCE
|
PREGNANCY/CHILDBIRTH, PULM DISEASE WITH COUGH, OBESITY, UTI, NEUROLOGIC D/O, AND COGNITIVE/FUNCTIONAL IMPAIRMENT
|
|
|
WHAT IS TRANSIENT URINARY INCONTINENCE CAUSED BY?
|
FACTORS OUTSIDE THE URINARY TRACT
|
|
|
WHAT DOES DIAPPERS STAND FOR?
|
DELIRIUM, INFECTION, ATROPHIC VAGINITIS/URETHRITIS, PHARMACOLOGIC THERAPY, PSYCHOLOGICAL, EXCESS FLUID OUTPUT, RESTRICTED MOBILITY, AND STOOL IMPACTION
|
|
|
4 TYPES OF INCONTINENCE
|
TRANSIENT, URGE, STRESS, AND OVERFLOW
|
|
|
WHAT IS STRESS INCONTINENCE CAUSED BY?
|
INCREASED ABDOMINAL PRESSURE
|
|
|
WHAT IS OVERFLOW INCONTINENCE CAUSED BY?
|
DUE TO BLADDER OUTLET OBSTRUCTION OR IMPAIRED DETRUSOR CONTRACTILITY
|
|
|
WHEN SHOULD THE USE OF ABSORBENT PADS BE CONSIDERED?
|
ONLY WHEN ALL OTHER TREATMENTS HAVE BEEN TRIED
|
|
|
MEDICATIONS THAT CONTRIBUTE TO ACUTE RENAL FAILURE
|
AMINOGLYCOSIDE ANTIBIOTICS, NSAIDS, AND ACE INHIBITORS
|
|
|
WHAT TEST SHOULD BE ORDERED SHORTLY AFTER INITIATING ACE I THERAPY IN ELDERLY?
|
RENAL FUNCTION TESTS
|
|
|
XOMPLICATION OF ACUTE RENAL FAILURE
|
HYPERKALEMIA
|
|
|
THIS IS THINNING AND FISSURING OF ARTICULAR CARTILAGE THAT OCCURS WITH AGING
|
OSTEOARTHRITIS
|
|
|
WHAT IS INITIAL THERAPY FOR OA?
|
TYLENOL 1000 MG OR LESS , 4 TIMES DAILY
|
|
|
WHAT IS THE RISK WHEN NSAIDS ARE USED FOR OA?
|
GI BLEED
|
|
|
MORE COMMON GOUT INVOLVEMENT IN ELDERLY
|
POLYARTICULAR AND UPPER EXTREMITY INVOLVEMENT
|
|
|
THIS MEDICATION USED FOR GOUT IS NOT WELL TOLERATED IN ELDERLY? WHAT IS THE ALTERNATIVE?
|
INDOCIN NOT WELL TOLERATED SO USE ANOTHER NSAID OR PREDNISONE
|
|
|
THIS IS CONSIDERED A SOCIOBIOLOGICAL EVENT MARKING A WOMEN’S ENTRY INTO A NEW LIFE PHASE
|
MENOPAUSE
|
|
|
AGE WHEN PERIMENOPAUSE STARTS IN MOST WOMEN
|
45-55
|
|
|
WHAT IS THE CRITERIA TO SAY SOMEONE HAS BEEN THROUGH MENOPAUSE?
|
CESSATION OF MENSES FOR 12 MONTHS AND LOW SERUM ESTRADIOL LEVEL (OTHER SIGNS OF HOT FLASHES, ETC MAY ALSO BE PRESENT)
|
|
|
THESE ARE CAUSES OF IRRITABILITY, SLEEPLESSNESS, AND DEPRESSION THAT MAY ADVERSELY AFFECT SEXUAL INTEREST IN MENOPAUSAL WOMEN
|
SEVERE DECREASE IN ESTROGEN AND PROGESTERONE ASSOCIATED WITH CESSATION OF OVARIAN FUNCTION
|
|
|
WHAT CAN INADEQUATE VAGINAL LUBRICATION CAUSE?
|
DYSPAREUNIA (PAINFUL INTERCOURSE) AND VULVOVAGINITIS (INFLAMMATION OF VULVA AND VAGINA)
|
|
|
TREATMENTS FOR INADEQUATE VAGINAL LUBRICATION
|
WATER SOLUBLE LUBRICANTS AND SOMETIMES ESTROGEN REPLACEMENT
|
|
|
WHAT MIGHT SOME WOMEN CONSIDER ADVANTAGES TO MENOPAUSE?
|
CESSATION OF MENSES AND NO FAMILY PLANNING CONCERNS OR UNWANTED PREGNANCIES
|
|
|
WHAT PERCENTAGE OF PEOPLE OVER 65 FALL EACH YEAR?
|
30%
|
|
|
WHAT PERCENTAGE OF THE ELDERLY WHO SUFFER FALLS, SUFFER MULTIPLE FALLS?
|
50%
|
|
|
THE LIKELIHOOD OF FALLING INCREASES WITH _____.
|
AGE
|
|
|
WHAT ELDERLY GROUP FALLS MOST?
|
FRAIL, ALTHOUGH ACTIVE ELDERS FALL TOO DURING DAILY ACTIVITIES
|
|
|
CONSEQUENCES OF FALLING
|
DEATH, SERIOUS INJURY, INABILITY TO GET UP, FEAR, LOSS OF CONFIDENCE
|
|
|
ONE OF THE TOP TEN CAUSES OF DEATH IN THE ELDERLY
|
UNINTENTIONAL INJURY (FALLS)
|
|
|
MOST FEARED MORBID OUTCOME FROM FALLING
|
HIP FRACTURE
|
|
|
MOST COMMON AGE RELATED FRACTURES
|
VERTEBRAL, HUMERAL, WRIST, PELVIC, AND HIP FRACTURES
|
|
|
WHAT PERCENTAGE OF FALLS IN ELDERLY PERSONS RESULT IN FRACTURES?
|
5%
|
|
|
MEN OR WOMEN SUFFER MORE FALLS AND SOFT TISSUE INJURIES?
|
WOMEN
|
|
|
WHAT GROUP IS AT GREATER RISK PER FALL- FRAIL OR MORE ACTIVE HEALTHY?
|
MORE HEALTHY
|
|
|
__________________________ OCCURS IN 50% OF FALLS.
|
INABILITY TO GET UP WITHOUT ASSISTANCE
|
|
|
WHAT ARE THE CLINICAL AND PUBLIC HEALTH IMPLICATIONS RELATED TO FALLS?
|
PATIENTS HAVE A DECLINE IN ADL’S AND PHYSICAL AND SOCIAL ACTIVITIES; GREATER CHANCE OF INSTITUTIONALIZATION AND UTILIZE MORE HEALTH CARE
|
|
|
MOST CONSISTENT PREDICTOR OF FALLS IN THE ELDERLY
|
SEDATIVE USE
|
