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1. At what age is the Prevnar 13 (PCV13) vaccine recommended for elderly
patients?
A. 50 years and older
B. 55 years and older
C. 60 years and older
D. 65 years and older
2. At what age should elderly patients receive the Pneumococcal
Polysaccharide Vaccine (PPSV23)?
A. 60 years and older
B. 62 years and older
C. 65 years and older
D. 70 years and older
3. The Shingrix vaccine is recommended for prevention of shingles beginning
at what age?
A. 50 years and older
B. 55 years and older
C. 59 years and older
D. 65 years and older
,4. How many total doses are required for the Shingrix series?
A. 1 dose
B. 2 doses
C. 3 doses
D. 4 doses
5. The two doses of Shingrix should be administered how far apart?
A. 1 month apart
B. 2–6 months apart
C. 6–12 months apart
D. Every year
6. How often should older adults receive the influenza vaccine?
A. Every 2 years
B. Annually (every fall)
C. Twice a year
D. Every 5 years
7. How often should older adults receive a Tdap (tetanus, diphtheria,
pertussis) booster?
A. Every 5 years
B. Every 7 years
C. Every 10 years
D. Every 12 years
8. Which of the following represents a normal BMI range for older adults?
A. 20–25
, B. 23–30
C. 30–45
D. 18–22
9. A >5% weight loss in 1 month indicates malnutrition risk.
A. True
B. False
10.A >10% weight loss in 10 months indicates malnutrition risk.
A. True
B. False – risk is >10% loss in 6 months
11.An older adult should be able to complete the Get Up and Go test in how
many seconds?
A. < 8 seconds
B. < 10 seconds
C. < 12 seconds
D. < 15 seconds
12.Which of the following are factors that alter drug distribution in older
adults?
A. Increased renal clearance, increased water, higher albumin, decreased fat
B. Increased body fat, decreased lean mass, decreased body water, reduced
serum albumin
C. Decreased body fat, increased muscle mass, increased albumin,
increased metabolism
D. Increased water, increased protein binding, increased hepatic
metabolism
, 13.Fat-soluble drugs can accumulate in adipose tissue, causing prolonged
effects.
A. True
B. False
14.Hepatic metabolism in older adults generally:
A. Increases
B. Decreases
C. Remains unchanged
D. Doubles with age
Age Dependent Changes in Body Composition
(Inc/Dec) in body fat by 35%
(Inc/Dec) in plasma volume by 8%
(Inc/Dec) in total body water by 17%
(Inc/Dec) in extracellular body fluid by 40% - ANSWER (Inc) in body fat by 35%
(Dec) in plasma volume by 8%
(Dec) in total body water by 17%
(Dec) in extracellular body fluid by 40%
What labs would you complete to Rule Out Alzheimer's Disease? (5) - ANSWER
1. CBC
2. Metabolic Panel
3. Vitamins B12 and Folate
4. RPR Test