AGPCNP NURS6301
Adult Gerontology Primary Care 1
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, Multiple Choice Questions (Questions 1–15)
1.
Case: Mr. Johnson, a 74-year-old male with well-controlled
hypertension and type II diabetes, attends his routine primary care exam.
He is otherwise asymptomatic.
Question: Which screening tool is most appropriate for assessing his
risk of falls?
A. Timed Up and Go (TUG) test
B. Beck Depression Inventory
C. Mini-Mental State Examination
D. Gait speed analysis
Correct ANS: A. Timed Up and Go (TUG) test
Rationale: The TUG test is a validated, rapid assessment tool for fall
risk in older adults. It is easy to administer and reflects both mobility and
balance impairments that may predispose a patient to falls.
---
2.
Case: Mrs. Rivera, a 68-year-old obese female with a family history of
coronary artery disease, comes for her annual exam.
Question: Which risk calculator should guide your decision-making
regarding the initiation of statin therapy for cardiovascular prevention?
A. Framingham Risk Calculator
B. ASCVD Risk Estimator
C. TIMI Risk Score
D. HEART score
Correct ANS: B. ASCVD Risk Estimator
Rationale: The ASCVD (Atherosclerotic Cardiovascular Disease) Risk
Estimator is the preferred tool for calculating 10-year cardiovascular risk
and guiding statin therapy decisions in adult primary care, especially in
patients with multiple risk factors.
©2025
, ---
3.
Case: Mr. Lee, a 75-year-old male with COPD, osteoarthritis, diabetes,
and mild cognitive decline, presents for a comprehensive review.
Question: Which advanced management strategy is most critical in
addressing his polypharmacy?
A. Adding additional medications for each symptom
B. Routine medication reconciliation and deprescribing
C. Strict adherence without periodic review
D. Increasing doses to overcome drug tolerance
Correct ANS: B. Routine medication reconciliation and deprescribing
Rationale: In older adults, polypharmacy increases the risk of adverse
drug events. Regular medication reconciliation and applying
deprescribing protocols help optimize therapy, minimize interactions,
and enhance overall safety and quality of care.
---
4.
Case: Ms. Patel, a 60-year-old female with a history of mild cognitive
impairment and depression, is being evaluated in primary care.
Question: Which screening tool is ideally suited for detecting cognitive
impairment quickly in this setting?
A. Montreal Cognitive Assessment (MoCA)
B. Mini-Cog test
C. Mini-Mental State Examination (MMSE)
D. Geriatric Depression Scale (GDS)
Correct ANS: B. Mini-Cog test
Rationale: The Mini-Cog is a brief, validated screening tool that
efficiently assesses cognitive function in a busy primary care
environment. It is particularly useful for detecting early cognitive
impairment in older adults.
---
©2025
Adult Gerontology Primary Care 1
4.0 Credits
Final Exam Review (Qns & Ans)
2025
©2025
, Multiple Choice Questions (Questions 1–15)
1.
Case: Mr. Johnson, a 74-year-old male with well-controlled
hypertension and type II diabetes, attends his routine primary care exam.
He is otherwise asymptomatic.
Question: Which screening tool is most appropriate for assessing his
risk of falls?
A. Timed Up and Go (TUG) test
B. Beck Depression Inventory
C. Mini-Mental State Examination
D. Gait speed analysis
Correct ANS: A. Timed Up and Go (TUG) test
Rationale: The TUG test is a validated, rapid assessment tool for fall
risk in older adults. It is easy to administer and reflects both mobility and
balance impairments that may predispose a patient to falls.
---
2.
Case: Mrs. Rivera, a 68-year-old obese female with a family history of
coronary artery disease, comes for her annual exam.
Question: Which risk calculator should guide your decision-making
regarding the initiation of statin therapy for cardiovascular prevention?
A. Framingham Risk Calculator
B. ASCVD Risk Estimator
C. TIMI Risk Score
D. HEART score
Correct ANS: B. ASCVD Risk Estimator
Rationale: The ASCVD (Atherosclerotic Cardiovascular Disease) Risk
Estimator is the preferred tool for calculating 10-year cardiovascular risk
and guiding statin therapy decisions in adult primary care, especially in
patients with multiple risk factors.
©2025
, ---
3.
Case: Mr. Lee, a 75-year-old male with COPD, osteoarthritis, diabetes,
and mild cognitive decline, presents for a comprehensive review.
Question: Which advanced management strategy is most critical in
addressing his polypharmacy?
A. Adding additional medications for each symptom
B. Routine medication reconciliation and deprescribing
C. Strict adherence without periodic review
D. Increasing doses to overcome drug tolerance
Correct ANS: B. Routine medication reconciliation and deprescribing
Rationale: In older adults, polypharmacy increases the risk of adverse
drug events. Regular medication reconciliation and applying
deprescribing protocols help optimize therapy, minimize interactions,
and enhance overall safety and quality of care.
---
4.
Case: Ms. Patel, a 60-year-old female with a history of mild cognitive
impairment and depression, is being evaluated in primary care.
Question: Which screening tool is ideally suited for detecting cognitive
impairment quickly in this setting?
A. Montreal Cognitive Assessment (MoCA)
B. Mini-Cog test
C. Mini-Mental State Examination (MMSE)
D. Geriatric Depression Scale (GDS)
Correct ANS: B. Mini-Cog test
Rationale: The Mini-Cog is a brief, validated screening tool that
efficiently assesses cognitive function in a busy primary care
environment. It is particularly useful for detecting early cognitive
impairment in older adults.
---
©2025
