Geriatrics Quiz 1 Questions With Complete Solutions.

Geriatrics Quiz 1 Questions With Complete Solutions. Which of the following is the most common complication of hospital admission for older people? a. dementia b. Alzheimer's disease c. delirium d. pneumonia c. delirium What is the best intervention for delirium? a. pharmacological b. bed rest c. early mobility d. deep brain stimulation c. early mobility According to Beer's Criteria, which of the following is true regarding benzodiazepines in older adults? a. should only be prescribed for treatment of delirium b. they decrease the risk of falls and fractures c. should not be prescribed for seizures and generalized anxiety disorders d. they have been shown to be linked to development of Alzheimer's d. they have been shown to be linked to development of Alzheimer's According to WHO, osteoporosis is defined as a T-score: a. between -1 and -2.5 SD b. between 0 and -1 SD c. less than or equal to -2.5 SD d. none of the above c. less than or equal to -2.5 SD Which of the following is NOT a biophysiological change of the vascular system with aging? a. increased beta-adrenergic responsiveness b. increased thickness of smooth muscle cells in media c. increased afterload and vascular tone d. decreased oxygen extraction in capillaries a. increased beta-adrenergic responsiveness (decreased beta-adrenergic responsiveness occurs with aging which can lead to increased risk of orthostatic hypotension) Which of the following outcome measures can be used to screen for muscle strength in the older adult population? a. 6 minute walk test b. 6 meter walk test c. timed up and go d. functional reach test b. 6 meter walk test (normal walking speed = 1.2 to 1.4 m/s, less than 0.8 m/s is considered positive screen) Grip strength is a predictor of mortality, functional limitations, and disability. a. true b. false a. true Which of the following is NOT a normal age-related change to cognition? a. decreased short-term memory b. slower processing speed c. decreased ability to multi-task d. change in social behavior and judgement d. change in social behavior and judgement A patient on a glucocorticoid for inflammation is developing osteoporosis and requires a prescription for bisphosphonates. After taking bisphosphonates for several weeks they notice their blood glucose levels are becoming uncontrolled. This is an example of: a. drug to drug interactions b. cascade effect c. decreased patient adherence d. abnormal drug excretion b. cascade effect Which of the following best describes pre-sarcopenia a. no loss of muscle mass but impact on muscular strength/performance b. loss of muscle mass and impact on muscular strength OR performance c. loss of muscle mass but no impact on muscular strength/performance d. loss of muscle mass and impact on muscular strength AND performance c. loss of muscle mass but no impact on muscular strength/performance Older adults with obesity typically do not develop sarcopenia. a. True b. False b. False Sarcopenia can have adverse effects on metabolism. a. True b. False a. True Low grip strength is associated with increased risk of mortality. a. True b. False a. True Sensory information about the body within the environment comes primarily from: a. visual b. vestibular c. auditory d. proprioceptive d. proprioceptive Aging results in morphological changes to the muscle spindle a. true b. false a. true Which of the following is NOT a criteria for diagnosing mild cognitive impairment (MCI)? a. 1 SD below age and educational norm for neuropsychological testing b. disturbance of executive function c. complaint of memory impairment d. gradual cognitive decline for at least 6 months b. disturbance of executive function Memory loss indicates a person is becoming demented. a. true b. false b. false The prevalence of MCI at age 60 is: a. 1% b. 10% c. 20% d. 50% a. 1% Sub-cortical dementia tends to cause changes in all of the following EXCEPT: a. movement b. emotion c. memory d. language d. language Cortical dementia tends to cause changes in all of the following EXCEPT: a. emotions b. language c. social behavior d. memory a. emotions Men and women have an equal risk of developing dementia. a. true b. false a. true The most common cause of dementia is: a. normal pressure hydrocephalus b. Huntington's disease c. brain tumors d. Alzheimer's disease d. Alzheimer's disease What is the average prognosis for patients diagnosed with Alzheimer's disease? a. 20-25 years b. 2-3 years