geriatrics EOR quiz
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You are seeing an 81-year-old male in your clinic because of progressive memory loss and an increasing inability to do basic things around the house. His wife notes that he has stopped cleaning up after himself, has forgotten to pay their utility and rent | show 🗑
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show | Carbidopa/levodopa (Sinemet)
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show | Atypical antipsychotics
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show | Delirium
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How many of the 78 million “baby boomers” are predicted to develop Alzheimer’s disease in their lifetime? | show 🗑
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show | Prevalence of dementia
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show | Occult lung cancer
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A 76-year-old female is transferred from a rehabilitation facility to the hospital after she falls and fractures her right hip. She was recovering from a recent hospitalization for pneumonia and exacerbation of COPD that left her profoundly deconditioned. | show 🗑
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show | mirtazapine (Remeron)
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show | Seizures
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show | Delirium
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Which of the following statement about dementia is NOT correct? | show 🗑
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You are seeing a 58-year old female with newly diagnosed Parkinson's Disease to discuss recommend treatment options. Which of the following is a common side effect of this patient's underlying disease and new medication regimen? | show 🗑
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show | Depression: Nortriptyline
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show | Adult day healthcare on weekdays, with supervision by the family on nights and weekends(A) Adult day healthcare on weekdays, with supervision by the family on nights and weekends
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show | Cognitive stimulation
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show | Measurement of vitamin B12 level and assessment of thyroid function.
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show | 50%
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show | Parkinson disease
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An 85-year-old woman is brought to the office by her daughter because she has been having visual hallucinations of children and small animals when she is alone in a room. At times she has been disturbed and agitated by these hallucinations. Her daughter a | show 🗑
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show | Frontotemporal dementia
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show | The condition may predict the development of an irreversible dementia, such as Alzheimer's disease or vascular dementia.
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Which of the following statements regarding psychosis in patients with dementia is true? | show 🗑
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show | Medication adverse effects
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show | Discontinue aspirin
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An 81-year-old patient presents for an annual physical examination. She reports no symptoms except mild arthritis and uses only acetaminophen occasionally. In addition to asking about falls in the past year, the most useful test to determine her risk of f | show 🗑
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A 67-year-old woman presents to the office for advice regarding diet. She recently had a modified radical mastectomy for stage I breast cancer. She chose this approach because she wanted to avoid radiation and chemotherapy. She has always had a healthy li | show 🗑
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An 80-year-old male is brought to the emergency department because worsening altered mental status. His family notes that his cognition is rapidly deteriorating, and now has a temperature of 39.4C (103F). Around 12 hours ago he developed upper abdominal p | show 🗑
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An 82-yr-old woman is brought to the office to establish care. She requires complete assistance with ADLs due to her underlying dementia. She has a past medical history of moderate vascular dementia, atrial fibrillation, and systolic heart failure. Her me | show 🗑
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show | Presbycusis
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show | No screening is recommended
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A 62 year old female presents after she was found unresponsive by her family who then called EMS. EMS noted an initial blood glucose of 32 mg/dL. She has a history of Type II DM per family but not sure what medications she is on. According to the article | show 🗑
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Which of the following statements are true regarding muscle loss in the elderly? | show 🗑
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Bladder training is most effective in functional incontinence. | show 🗑
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show | Continue atenolol at the current dosage.
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A 66-year old male with no past medical history presents to you with difficulty urinating over the last few months. He denies fever, chills, flank pain, or dysuria. His urine dipstick reveals no WBC's, RBC's, protein, or glucose. On physical exam his abdo | show 🗑
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show | Older smoker who quit gain substantial health benefits.
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show | Paracentesis
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show | All of the above
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show | TRUE
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A 70-year-old Chinese-American man presents to your office with a worsening rash. For 2 days before the rash, he had fever, odynophagia, and bilateral eye pain. Over the next few days, the rash evolved to extensive sloughing and peeling of the skin. His p | show 🗑
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show | Methadone
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An 80-year-old female is receiving a bone marrow transplant. She is receiving the transplant from a matched but unrelated donor. After receiving the transplant, she begins to develop a maculopapular rash on her neck, shoulders, palms of her hands, and sol | show 🗑
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show | Report the possible abuse to the appropriate authorities.
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You are seeing a 76 year-old male after a recent fall. Patient states that the fall occurred at night, and that he has difficulty with walking at night. On physical exam, there is reduced position and vibratory sensation in his extremities. When the patie | show 🗑
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To promote gait stability, older men should be counseled to select shoes with: | show 🗑
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show | Vitamin C, vitamin E, carotene, and zinc to slow progression of age-related macular degeneration.
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Which of the following statements regarding B-type natriuretic peptide (BNP) levels is true? | show 🗑
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show | Active surveillance would be as effective as radical prostatectomy
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show | Alcohol
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show | Presbycusis
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Which of the following statements about hospice referrals is/are true? | show 🗑
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show | All of the above
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Which of the following is a known patient and physician barrier to hospice referral? | show 🗑
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Which of the following statements about cancer screening is not recommended? | show 🗑
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show | All of the above
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show | Pre-injury mobility
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show | Elder abuse
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Gait velocity is a powerful indicator of function and prognosis after stroke. What velocity would lead a patient to full mobility in the community? | show 🗑
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show | Gingival recession
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A 45-year-old white male consults you because of a painless, circular, 1-cm white spot inside his mouth, which he noticed 3 days ago. You are treating him with propranolol (Inderal) for hypertension, and you know him to be a heavy alcohol user. After a ca | show 🗑
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Osteoporotic bone loss can be caused or accelerated by prolonged use of which one of the following medications? | show 🗑
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Which of the following statements are true regarding hospice? | show 🗑
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show | Magnetic resonance imaging of the brain
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show | FALSE
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Cancer is the leading cause of death among patients 65 years and older. | show 🗑
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show | 800 IU/day
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You are seeing a 65-year old male in your office because of persistent worsening bilateral hand pain over the last several months. Which of the following hand joints are required to be affected in the diagnosis of Osteoarthritis? | show 🗑
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A 61-year-old white male presents to your office for a lesion that he noticed on his tongue about 3 months ago. You are treating him with lisinopril for hypertension, and you know him to be a oral tobacco user and a former alcoholic now sober. An image of | show 🗑
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What is the systolic blood pressure goal for patients 60 – 80 years of age? | show 🗑
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show | Previous vaccination against varicella
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A 75-year-old male presents to the office because of a lesion on his tongue. He notes that that is not painful except when he eats acidic or spicy foods. He does not remember when he first noticed it. His notes his last dental examination was 2 yr ago. He | show 🗑
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show | lateral borders of the tongue
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With aging, the appearance and structure of teeth tend to change. Which of the following is not an Age-Related Oral Change? | show 🗑
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show | Pregnancy and Childbirth
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show | Standard nutritional supplements for older patients
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Unintentional weight loss in persons older than 65 years is associated with increased morbidity and mortality. What is the single most commonly identified cause? | show 🗑
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urge incontinence | show 🗑
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show | urethral sphincter pressure insufficient to hold urine
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show | too high urethral resistance or insufficient bladder contractions
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functional incontinence | show 🗑
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What is the most common type of constipation in older adults? | show 🗑
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When approaching a patient with urinary incontinence, which of the following is the most helpful aspect in the evaluation into determining the diagnosis and best treatment options? | show 🗑
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show | Human growth hormone
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Outpatient surveys indicate that about what percentage of older adults with dementia are current drivers? | show 🗑
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show | Driving cessation has been associated with depression and social isolation in older adults
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You are seeing an 80 year-old male in the hospital. The patient came from a nursing home with a decubitus ulcer. On physical exam, you note a grade III decubitus ulcer on his L buttock. How much does a pressure-reducing surface lower ulcer incidence compa | show 🗑
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show | Electrocardiogram
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show | high frequencies
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How many older adults with dementia are current drivers? | show 🗑
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Which of the following has been related to a lower fatality rate among elderly drivers? | show 🗑
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You are seeing a patient who is having issues with fecal incontinence. As part of your workup, you want to assess for any somatic dysfunctions that you could treat with OMM. Where would be the most reasonable place to look? | show 🗑
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show | The recommended daily fiber intake is 100 g per day and
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An 83-year-old otherwise healthy woman is brought to the office by her daughter because the mother has become confused and forgetful since beginning treatment with extended-release oxybutynin 10 mg for urge urinary incontinence 6 months ago. The incontine | show 🗑
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Which of the following findings is not an indication to perform colonoscopy? | show 🗑
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Enemas and suppositories can be useful for fecal impaction or in patients who cannot tolerate oral preparations. Which of the following statements regarding their treatment is FALSE? | show 🗑
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You are seeing an 85 year-old male in the hospital. The patient came from a nursing home with a decubitus ulcer. On physical exam, you note a grade IV decubitus ulcer on his R heel. What test should be done to check for osteomyelitis and guide antibiotic | show 🗑
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A 75-year-old woman comes to the office because she perceives hearing loss. On examination, both of her ears are impacted with cerumen. Which of the following types of hearing loss results from impacted cerumen? | show 🗑
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Studies suggest that a life expectancy of at least how many years is necessary to derive a survival benefit from screening for breast and colorectal cancers? | show 🗑
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An 82-year-old female is discharged to home after a 2-week hospital stay for pneumonia. The hospitalization was complicated by atrial fibrillation with a rapid ventricular response, delirium, and development of a 4-cm, state III sacral pressure ulcer. Pri | show 🗑
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You are seeing a 76-year old female who is presenting with an unintentional weight loss of about 8% over the last 6 months. She has a past medical history of hypertension that is treated well with hydrochlorothiazide. Her Patient Health Questionnaire-2 (P | show 🗑
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show | Human growth hormone
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Use of Quetiapine in delirium is associated with a low degree of sedation and low risk of extrapyramidal effects. | show 🗑
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