Gynecology 12th Edition by Alan H. DeCherney, Ashley S.
Roman, Lauren Nathan, Neri Laufer 9780071833905
Chapter 1-62 Complete Guide.(questions with correct
verified answers 2025-2026)Brand New||
Question:1
Who should get HIV prophylaxis and what med? Daily preexposure
prophylaxis (PrEP) with the fixed- dose combination of tenofovir
disoproxil 300 mg and emtricitabine 200 mg (Truvada) should be
considered for people who are HIV-negative but at substantial risk for
HIV infection.
Question:2
What are the basics features if dementia? - Progressive decline of
mental processes.
» Acquired cognitive deficits severe enough to
impair function.
» Not due to delirium or another mental disorder.
-The diagnosis of dementia requires a significant decline in function
that is severe enough to result in the loss of independence in IADLs.
Question:3
What score on the MOCA is "failing"? Below 26
Question:4
Should you get imaging for dementia? The American Academy of
Neurology recommends neuro- imaging (noncontrast head CT or MRI)
in all patients with dementia while other experts limit routine use of
neuroim- aging to those patients more likely to have a structural cause
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, of dementia (eg, subdural hematoma, tumor, previous stroke, and
hydrocephalus). Those who are younger; those who have focal
neurologic symptoms or signs, seizures, or gait abnormalities; and
those with an acute or subacute onset are most likely to have positive
findings and most likely to benefit from MRI scanning. In older patients
with a more classic picture of Alzheimer disease for whom neu-
roimaging is considered, a noncontrast CT scan is suffi- cient.
Question:5
What are some sides effects to be considering when starting a geriatric
patient on SSRi ? Older adults are more susceptible to SSRI-
induced hyponatremia, falls, and osteoporosis.
Question:6
How does dosing for SSRIs differ for geriatrics vs younger population?
Regardless of the medication cho- sen, many experts recommend
starting elders at a relatively low dose, titrating to full dose slowly, and
continuing for a longer trial (at least 8 weeks) before trying a different
medication. Titration to full dose is critical to achieve effi- cacy of
treatment. Of note, the maximum citalopram dose for adults older than
60 years is 20 mg orally daily, due to dose-dependent QT prolongation.
One-third of older adults achieve remission after ade- quate treatment
with first-line SSRI treatment. For the remainder, referral to a mental
health specialist is indicated.
Question:7
What key things in the history to consider for triggers for delirium?
polypharmacy, the addition of a new medication, an increase in
dose of a medication, or the discontinuation of a medication known to
cause with- drawal symptoms are all associated with the development
of delirium.
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