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601 PRIMARY CARE OF THE AGING FAMILY
FINAL EXAM|REAL 100Qs&As|A+GRADE
PASS
Q1. A 78-year-old woman presents for a routine visit. Which of
the following is a core component of the comprehensive geriatric
assessment (CGA) beyond the standard history and physical?
a) Serum vitamin D level
b) Functional assessment (ADLs and IADLs), cognitive screening,
fall risk, and social support evaluation
c) Stress test
d) Colonoscopy
Correct Answer: b) Functional assessment (ADLs and IADLs),
cognitive screening, fall risk, and social support evaluation
Rationale: CGA includes multidimensional domains: physical,
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functional, cognitive, psychological, and social. ADLs/IADLs assess
function. Standard labs and procedures are not unique to CGA.
Q2. A patient reports difficulty managing finances and
medications. This impairment is in which area?
a) Activities of daily living (ADLs)
b) Instrumental activities of daily living (IADLs)
c) Mobility
d) Cognition only
Correct Answer: b) Instrumental activities of daily living
(IADLs)
Rationale: IADLs include higher-level tasks: managing finances,
medications, shopping, transportation, meal preparation, and
housekeeping. ADLs are basic self-care (bathing, dressing,
toileting, transferring, eating).
Q3. The Timed Up and Go (TUG) test is used to assess:
a) Cognitive function
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b) Risk of falls and mobility
c) Hearing loss
d) Depression
Correct Answer: b) Risk of falls and mobility
*Rationale: TUG measures the time (seconds) a person takes to
stand from a chair, walk 10 feet, turn, walk back, and sit. >12-
14 seconds indicates increased fall risk.*
Q4. A patient scores 24/30 on the Mini-Mental State
Examination (MMSE). This suggests:
a) Normal cognition
b) Mild cognitive impairment (or early dementia)
c) Severe dementia
d) Delirium
Correct Answer: b) Mild cognitive impairment (or early
dementia)
*Rationale: MMSE scores: 27-30 normal; 20-26 mild impairment;
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10-19 moderate; <10 severe. However, education and age
adjustments apply. 24 is often consistent with mild cognitive
impairment or early Alzheimer’s.*
Q5. The “Get Up and Go” test (observational) is a screening tool
for:
a) Depression
b) Gait and balance (fall risk)
c) Hearing
d) Vision
Correct Answer: b) Gait and balance (fall risk)
Rationale: The patient is observed rising from a chair, walking,
turning, and sitting. Difficulty indicates mobility impairment and fall
risk.
Q6. Which of the following is a red flag for possible elder
abuse?
a) A patient who lives alone
601 PRIMARY CARE OF THE AGING FAMILY
FINAL EXAM|REAL 100Qs&As|A+GRADE
PASS
Q1. A 78-year-old woman presents for a routine visit. Which of
the following is a core component of the comprehensive geriatric
assessment (CGA) beyond the standard history and physical?
a) Serum vitamin D level
b) Functional assessment (ADLs and IADLs), cognitive screening,
fall risk, and social support evaluation
c) Stress test
d) Colonoscopy
Correct Answer: b) Functional assessment (ADLs and IADLs),
cognitive screening, fall risk, and social support evaluation
Rationale: CGA includes multidimensional domains: physical,
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functional, cognitive, psychological, and social. ADLs/IADLs assess
function. Standard labs and procedures are not unique to CGA.
Q2. A patient reports difficulty managing finances and
medications. This impairment is in which area?
a) Activities of daily living (ADLs)
b) Instrumental activities of daily living (IADLs)
c) Mobility
d) Cognition only
Correct Answer: b) Instrumental activities of daily living
(IADLs)
Rationale: IADLs include higher-level tasks: managing finances,
medications, shopping, transportation, meal preparation, and
housekeeping. ADLs are basic self-care (bathing, dressing,
toileting, transferring, eating).
Q3. The Timed Up and Go (TUG) test is used to assess:
a) Cognitive function
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b) Risk of falls and mobility
c) Hearing loss
d) Depression
Correct Answer: b) Risk of falls and mobility
*Rationale: TUG measures the time (seconds) a person takes to
stand from a chair, walk 10 feet, turn, walk back, and sit. >12-
14 seconds indicates increased fall risk.*
Q4. A patient scores 24/30 on the Mini-Mental State
Examination (MMSE). This suggests:
a) Normal cognition
b) Mild cognitive impairment (or early dementia)
c) Severe dementia
d) Delirium
Correct Answer: b) Mild cognitive impairment (or early
dementia)
*Rationale: MMSE scores: 27-30 normal; 20-26 mild impairment;
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10-19 moderate; <10 severe. However, education and age
adjustments apply. 24 is often consistent with mild cognitive
impairment or early Alzheimer’s.*
Q5. The “Get Up and Go” test (observational) is a screening tool
for:
a) Depression
b) Gait and balance (fall risk)
c) Hearing
d) Vision
Correct Answer: b) Gait and balance (fall risk)
Rationale: The patient is observed rising from a chair, walking,
turning, and sitting. Difficulty indicates mobility impairment and fall
risk.
Q6. Which of the following is a red flag for possible elder
abuse?
a) A patient who lives alone
