GRADE A| 100% CORRECT
Question:
Which of the following symptoms is most characteristic of a urinary tract infection in an
aged adult?
Answer:
Correct answer: A. Confusion and generalized weakness
Rationale:
In older adults, urinary tract infections often present atypically. Rather than classic
symptoms like dysuria or suprapubic pain, they may exhibit confusion, weakness, or
lethargy due to age-related immune changes.
Question:
Which of the following patients would be most appropriate for treatment with
ursodeoxycholic acid, UDCA?
Answer:
Correct answer: B. A patient with small non-calcified cholesterol stones who is not a
surgical candidate.
Rationale:
UDCA is indicated for small, non-calcified cholesterol gallstones in nonsurgical
candidates. It dissolves stones by reducing cholesterol saturation in bile. It is ineffective
for calcified stones or acute cholecystitis.
Question:
Which of the following criteria is required for a diagnosis of chronic kidney disease?
Answer:
Correct answer: D. Structural or functional kidney abnormalities persisting for greater
than 3 months.
Rationale:
CKD is defined by persistent kidney damage or GFR <60 mL/min/1.73m² for at least 3
months. Transient changes or acute findings do not meet criteria.
, Question:
Which of the following symptoms is most characteristic of a gastric ulcer?
Answer:
Correct answer: B. Pain that worsens with eating.
Rationale:
Gastric ulcer pain typically worsens with meals due to acid exposure of the ulcerated
mucosa. Duodenal ulcer pain improves with eating.
Question:
Which is an atypical presentation of gastroesophageal reflux disease in older adults?
Answer:
Correct answer: B. Chronic cough.
Rationale:
Older adults may lack typical GERD symptoms like heartburn or regurgitation. Chronic
cough or hoarseness can be the only manifestation.
Question:
Which of the following comorbidities increases the risk of urinary tract infection by
impairing bladder function or immune response?
Answer:
Correct answer: B. Diabetes mellitus.
Rationale:
Diabetes increases UTI risk by impairing immunity, causing glucosuria that promotes
bacterial growth, and leading to bladder dysfunction via neuropathy.
Question:
Which of the following is a non-disease-related factor that has the highest impact on
malnutrition in older adults?