Ma 41

Front 1

Which of the following is not generally a factor that may interfere with collecting a 24-hour urine specimen?

Back 1

Emphysema

Front 2

The severely debilitating brain disorder that may cause changes in personality, mood, or behavior and for which there is no cure is ____.

Back 2

Alzheimer's disease

Front 3

Mrs. Newford is a 74-year-old patient who lives in a retirement community, where she happily participates in activities with other residents. Her medications include a beta blocker, anti-inflammatories for arthritis, and a diuretic. She also says she takes over-the-counter antacids frequently for heartburn. When you ask how many times a day she takes the anti-inflammatories, she hesitates before answering, "Two, I think." Which of the following actions might you take to help Mrs. Newford?

Back 3

Talk to the doctor about simplifying her medication schedule

Front 4

Mr. Hartman is 89 years old and has been living alone in a small apartment downtown since his wife died two years ago. His son Richard brought him to the office for a checkup, saying that when he checked on his father yesterday, Mr. Hartman seemed confused and could not tell Richard when he had last eaten. Mr. Hartman is very thin, but he states that he eats "whenever I am hungry." Which of the following conditions might you suspect?

Back 4

Depression

Front 5

Which of the following is not a factor that may impair or impede nutritional intake in an elderly patient?

Back 5

Reduced nutritional value of canned foods

Front 6

Mr. Laufenberg is 81 years old. He has been living alone, but he admits that he just can't seem to get around as well as he used to. His daughter, Vera, and her husband have invited him to live with them, and Mr. Laufenberg is delighted. Vera has brought him to the office for a general checkup. While she is there, she asks if there is anything she needs to change in her home. Which of the following guidelines might you give to Vera?

Back 6

Install secure handrails near the bathtub and toilet

Front 7

When communicating with a patient who has a hearing impairment, ____.

Back 7

speak in clear, low-pitched tones

Front 8

A condition in which cholesterol and triglyceride levels are above normal is ____.

Back 8

hyperlipidemia

Front 9

In general, what percentage of an elderly person's calories should come from fats?

Back 9

20%

Front 10

The appropriate way to speak to a patient who has a hearing impairment is to ____.

Back 10

speak in clear, low-pitched tones

Front 11

Mrs. Worth is a 79-year-old patient who is in good general health and whose mind is sharp and clear. She has mild arthritis and is a little unsteady on her feet, but she has no major medical issues. Her son has asked her to move in with him and his wife and kids, but she prefers to remain independent. Which of the following guidelines would not be appropriate to help Mrs. Worth live safely on her own?

Back 11

Wear reading glasses while moving around the house

Front 12

Which of the following conditions may cause increased thirst, increased urination, and fatigue?

Back 12

Diabetes mellitus type II

Front 13

Which of the following techniques is not likely to be effective when you are communicating with a geriatric patient?

Back 13

Calling the patient by his first name

Front 14

High cholesterol levels can lead to the accumulation of fatty deposits along the inner walls of arteries, causing ____.

Back 14

atherosclerosis

Front 15

Which of the following is a sign of aging in the nervous system?

Back 15

Shortened attention span

Front 16

By the year 2030, medical assistants will be spending at least ____ percent of their time caring for older patients.

Back 16

50

Front 17

Which of the following is not appropriate when working with an elderly patient?

Back 17

Go along with the patient's misconceptions about his or her condition

Front 18

Against which of the following diseases are elderly patients encouraged to receive vaccination?

Back 18

Shingles

Front 19

Elderly patients are more likely than other patients to experience postural hypotension. This is a sign of aging related to the ____.

Back 19

cardiovascular system

Front 20

Which of the following statements about cognitive-intellectual development in elderly patients is true?

Back 20

Accumulated information and life experiences make them great teachers.

Front 21

Which of the following points is not included in patient education for geriatric patients?

Back 21

Encourage avoidance of napping in the daytime

Front 22

Which of the following may cause memory loss associated with old age?

Back 22

Changes in the hippocampus in the brain

Front 23

When communicating with a patient with a visual impairment, ____.

Back 23

provide instruction sheets in large type

Front 24

Which of the following is not a common treatment for hypertension?

Back 24

Angioplasty

Front 25

Which of the following is a reason for the low rate of treatment for depression among elderly patients?

Back 25

Elderly patients and their families believe depression is a normal consequence of growing old.

Front 26

Which of the following is the specific diagnostic test for depression?

Back 26

There is no specific diagnostic test

Front 27

When applying thermotherapy to an elderly patient, which of the following should you do?

Back 27

Check the patient's skin frequently for excessive redness

Front 28

Which of the following treatments is not commonly used to treat patients with coronary artery disease

Back 28

Chemotherapy

Front 29

Which of the following statements is true about nutrition in elderly patients?

Back 29

Elderly patients should increase their intake of high-fiber foods.

Front 30

Which of the following is a sign of aging in the integumentary system?

Back 30

Atrophy of the subcutaneous layer of skin

Front 31

Another term for degenerative joint disease is ____.

Back 31

osteoarthritis

Front 32

The postural abnormality _____ often occurs in elderly women due to a loss of bone density, causing a characteristic curvature of the spine, known as "humpback."

Back 32

kyphosis

Front 33

To help an elderly patient who has hyperlipidemia, you would suggest that he increase exercise and eat foods with lower amounts of ____.

Back 33

cholesterol

Front 34

Treatment for depression in elderly patients includes ____.

Back 34

antidepressants and psychotherapy

Front 35

You are interviewing an elderly patient to get her medical history. She replies to your questions willingly, but when you ask her to describe the pain she feels in her abdomen, she stops in the middle of a sentence and appears to be searching for the right word to use. What should you do?

Back 35

Be patient and wait for her to find the word

Front 36

Mr. Turner has come to the medical office because he has been having pain in his lower abdomen. During the patient interview, which of the following questions would be most appropriate to find out more details about the pain Mr. Turner is having?

Back 36

"How would you describe the pain you are having?"

Front 37

Which of the following statements is not true regarding elder abuse?

Back 37

Most elder abuse victims are older men with chronic disabilities.

Front 38

Which of the following are symptoms of depression in the elderly?

Back 38

Indecisiveness and difficulty in concentrating

Front 39

Which of the following is not a typical sign of aging?

Back 39

Increased thyroid function

Front 40

Medical specialists who specialize in the care of elderly people are ____.

Back 40

geriatricians

Front 41

Which of the following treatments would be used for a patient who has congestive heart failure?

Back 41

Diuretics

Front 42

Which of the following is not considered a possible sign of neglect?

Back 42

Alcohol use

Front 43

Which of the following is an accurate statement about the treatment of depression in the elderly?

Back 43

Elderly patients may be frightened by the idea of taking medication for a mental problem.

Front 44

Which of the following conditions can be alleviated by encouraging elderly patients to eat more high-fiber foods and drink plenty of fluids?

Back 44

Constipation-diarrhea cycle

Front 45

Which of the following tips will help you communicate more effectively with an older patient?

Back 45

Look for a way to make a connection with the patient

Front 46

Which of the following is a possible result of loss of adipose tissue and decreased circulation in an elderly patient?

Back 46

Cold intolerance

Front 47

For which of the following conditions is hormone replacement therapy commonly used?

Back 47

Osteoporosis

Front 48

Which of the following is a good way to help elderly patients remember their medications and the appropriate time to take each medication?

Back 48

Encourage the patient to use a medication organizer or a medication box