N6540 Midterm Exam Questions and Correct Answers

What are the physiological changes of aging 1. Reduced physiological reserve of most body systems 2.Reduced homeostatic mechanisms that fail to adjust 3. Changes in the sympathetic response 4. Impaired immunological function- infection risk is greater and autoimmune diseases are more prevalent. What factors influence lab value interpretation in the older adult 1. physiological changes with aging 2. the prevalence of chronic disease 3. changes in nutritional and fluid intake 4. Lifestyle What lab values is important Creatinine clearance, GFR and renal function What are examples of drugs are eliminated renally Digoxin, H2 blockers, lithium and water-soluable antibiotics What are the two formulas to evaluate the kidney function The Cockcroft-Gault formula and the Modification of Diet in Renal Disease (MDRD) What neurological conditions commonly have an initial onset in older age? Parkinson's, dementia, stroke, and complex partial seizures What are geriatric syndromes Diseases that involve multiple systems and have more than one underlying cause What are the geriatric syndrome giants currently Frailty, anorexia of aging, sarcopenia and cognitive impariment What are bimodal presentations of disease Diseases that can present in a younger age and an older age. What are examples of bimodal diseases? Psoriasis, Inflammatory bowel disease, Ulcerative Colitis, Crohn's disease, Hodgkin's lymphoma, and myasthenia gravis What is primary prevention? Activities to prevent the occurrence of a disease or adverse, including mental health