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Geriatric Medicine

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
USPSTF screening recommendations for osteoporosis   all women 65+  
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__% of women >50 have osteopenia   40  
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__ of women >50 have osteoporosis   7  
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what is a T score   a measure (in SDs) below the young adult mean value for bone mineral density  
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WHO T-score for osteoporosis vs. National Osteoporosis Foundation   2.5 vs 2.0  
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12 risk factors for osteoporosis   age, low body wt or BMI, not on ERT, white/asian, hx of fracture, family hx, low physical activity, smoking, excessive EtOH or caffeine, low calcium/vit D, medication use  
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prevention of osteoporosis   calcium, vit D and weight-bearing excercise, consider women and men, drugss (fosamax)  
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leading cause of death for all age 65+   heart disease  
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wt loss for obese patients will reduce __   cardiovascular load and assist in mgmt of DM and HTN  
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cholesterol lowering drug treatment __ years decrease risk of CHD by 30% in people with high total cholesterol or average colesterol and low HDL-C   5-7  
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all patients (regardless of lipid level shoud be counseled about   dietary mods, regular physical activity, avoiding tobacco, maintaining a healthy wt  
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treatment of HTN in the elderly significantly reduces   cardiac mortality, reduces rates of fatal and nonfatal endpoints for stroke, CHD, and CVD  
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JNC VII recommendations for HTN treatment   wt reduction, physical activity and medical treatment  
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National Stroke Association recommendations for BP screening   at every office visit and self monitor BP at home  
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most important preventable problem associated with treatment   iatrogenesis-the more aggressive the treatment the greater the chance of an adverse effect (polypharmacy)  
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therapeutic window   as the response to therapy decreases the susceptibility to toxic side effects increases, space between therapeutic dose and toxic dose narrows with age  
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risks associated with hospitalization   medical errors, risks of bed rest, infection, delerium, sundowning, falls, dependancy, nursing home placement  
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Created by: Abarnard
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