CERTIFICATION PAPER 2026 FULL Q&A
GRADED A+
⩥ As part of the treatment plan for your elderly patient, you recommend
he see an Ophthalmologist. What body part(s) will this doctor evaluate?
Brain / nerves.
Eyes.
Bones / Joints / Muscles.
Ears / Throat. Answer: Eyes
Neurologist - Brain / nerves Ophthalmologist - Eyes Orthopedist - Bones
/ Joints / Muscles Otolaryngologist - Ears / Throat
⩥ As a GNP you understand that due to physiological changes of aging,
some laboratory test results will have age-related changes. Which of the
following values would be the least likely to be affected?
red blood cell values
white blood cell counts
platelet range
hemoglobin values. Answer: platelet range
,Due to the physiological changes of aging, red blood cell values tend to
decrease, white blood cell counts tend to decrease slightly, hemoglobin
values slightly decrease, but platelet range does not vary.
⩥ The family of a patient with dementia has asked you to tell them more
about this condition. You would tell them all of the following except:
Dementia is the leading reason for institutionalization of older adults.
Some persons diagnosed with dementia have reversible pseudodementia.
Irreversible dementia has a gradual onset and a progressive downward
course.
50% of the older adult population suffer from some form of dementia..
Answer: 50% of the older adult population suffer from some form of
dementia.
This statement is not true. It is estimated that between 10 and 20% of the
older adult population suffer from some form of dementia. There are 1.2
million cases in the United States in people over the age of 65.
⩥ What is true regarding deep vein thrombosis (DVT)?
Contrast venography is the most commonly used test to diagnose this.
, Because the presentation of DVT varies, making the diagnosis from
clinical presentation alone is problematic.
Hypocoagulation state presents a considerable risk for DVT.
Therapy for patients with DVT is aimed at easing the pain.. Answer:
Because the presentation of DVT varies, making the diagnosis from
clinical presentation alone is problematic.
Choice B is the right answer. Contrast venography has the greatest
sensitivity and specificity for the condition but due to the cost and nature
of the test, ultrasound is more common as first-line diagnostic technique
(choice A). A hypercoagulation state presents a considerable risk for
DVT (choice C). Therapy for patients with DVT is aimed at minimizing
the risk of pulmonary embolism and extension of peripheral thrombus
(choice D).
⩥ It has been determined that an elderly patient is suffering from long
term insomnia. Which of the following is LESS likely to be considered a
long term cause of the condition?
Nocturia.
Environmental changes.
Congestive heart failure.
Alcohol and substance abuse.. Answer: Environmental changes.
, There are various causes of insomnia in the elderly. While some may be
the cause of short term insomnia and others long term insomnia, long
term insomnia is more common in the elderly than short term.
⩥ In terms of the elderly which of the following is NOT true of
hypothyroidism?
Symptoms are often similar to normal aging changes making it difficult
to detect in older adults.
Symptoms usually have an insidious onset.
It usually occurs before age 50.
There is a greater risk for developing myxedema coma, which is life-
threatening.. Answer: It usually occurs before age 50.
Hypothyroidism usually occurs after age 50. It is often diagnosed as
depression. You must use caution against abruptly discontinuing
medication.
⩥ When treating a patient with oral Vitamin B12, which drug interaction
will result in decreased absorption of vitamin B12?
aminoglycosides
colchicine
potassium supplements