Chapter 35 Quiz - Geriatric Emergencies with Answers Graded A+
Which interview technique should you use when Which of the following is true regarding delirium?
addressing a geriatric patient?
A. Memory remains intact.
A. Refer to the patient by his first name. B. It is a result of an irreversible metabolic
B. Speak loudly and slowly. disorder.
C. Have both you and your partner ask C. It is rare in older hospitalized patients.
questions. D. It has a slow onset of progressive
D. Listen carefully to the answers the patient disorientation. - ANSWER -A. Memory
provides. - ANSWER -D. Listen carefully to remains intact.
the answers the patient provides.
You are working on a geriatric patient who
You are assessing an 80-year-old patient who reports severe abdominal pain radiating through
explains that he was awakened by a sudden her back and flank. She also reports discomfort in
feeling of suffocation and respiratory distress. her right leg and your assessment reveals a
What are his symptoms a characteristic of? diminished pulse in the extremity. What should
you suspect?
A. Orthopnea
B. Exertional dyspnea A. Venous stasis
C. Paroxysmal nocturnal dyspnea B. Abdominal aortic aneurysm
D. Intermittent sleep apnea - ANSWER -C. C. Pulmonary embolism
Paroxysmal nocturnal dyspnea D. Peptic ulcer disease - ANSWER -B.
Abdominal aortic aneurysm
Which of the following is a nonpreventable factor
in stroke? Which of the following groups are most likely to
commit suicide?
A. Hypertension
B. Obesity A. College-educated males aged 45-65 years
C. Age B. White males older than 85 years
D. Atrial fibrillation - ANSWER -C. Age C. African American women older than 65 years
D. Teenage girls (any ethnicity) -
ANSWER -B. White males older than 85
In arteriosclerosis, overproduction of abnormal years
collagen and decreased quantities of elastin lead
to what?
Which of the following would be part of the "S"
A. Narrowing pulse pressure component of the GEMS diamond?
B. Increased coronary artery perfusion
C. Hypotension A. Polypharmacy
D. Decreased coronary artery perfusion - B. Normal changes of aging
ANSWER -D. Decreased coronary artery C. Hazardous living conditions
perfusion D. Activities of daily living - ANSWER -D.
Activities of daily living
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, Chapter 35 Quiz - Geriatric Emergencies with Answers Graded A+
On auscultation of a patient's lungs, you hear
crackles. These lung sounds are caused by air A specific legal document that directs relatives
passing through what? and caregivers regarding the medical treatment
that may be given to patients who cannot speak
A. Constricted airways for themselves is called a(n):
B. Thick secretions in the airways
C. Inflamed airways Select one:
D. Fluid in the alveoli - ANSWER -D. Fluid A. advance directive.
in the alveoli B. physician directive.
C. power of attorney.
D. statute of care. - ANSWER -A. advance
Which of the following questions should you ask directive.
if you suspect a patient may have congestive
heart failure?
An 84-year-old male fell a week ago and has
A. "In what position do you normally sleep?" been bedridden since then. Today, he presents
B. "How many pillows do you sleep on?" with an altered mental status. His skin is pale and
C. "How many hours of sleep do you get each cold and his respirations are rapid and shallow.
night?" The EMT should suspect:
D. "Do you take any medication to help you sleep
at night?" - ANSWER -B. "How many Select one:
pillows do you sleep on?" A. hypovolemic shock.
B. acute hyperglycemia.
C. a systemic infection.
A 77-year-old female presents with an acute D. a subdural hematoma. - ANSWER -C. a
onset of altered mental status. Her son is present systemic infection.
and advises that she has a history of
hypertension, atrial fibrillation, type 2 diabetes,
and glaucoma. He further advises that she takes An abdominal aortic aneurysm:
numerous medications and that she is normally
alert. When you assess this patient, it is Select one:
important to note that: A. can sometimes be palpated as a mass in the
groin area.
Select one: B. causes dull pain that often radiates to the
A. the patient is experiencing delirious behavior, shoulders.
which suggests a new health problem. C. is usually not repairable, even if discovered
B. dementia typically presents as an acute onset early.
of deterioration of cognitive function. D. is often the result of hypertension and
C. her mental status is likely the result of atherosclerosis. - ANSWER -D. is often the
hypoglycemia and you should give her sugar. result of hypertension and atherosclerosis.
D. because of her age and medical history, you
should suspect Alzheimer disease. -
ANSWER -A. the patient is experiencing Because of the complexity of the older patient
delirious behavior, which suggests a new health and the vagueness of his or her complaint, you
problem. should:
2/5
Which interview technique should you use when Which of the following is true regarding delirium?
addressing a geriatric patient?
A. Memory remains intact.
A. Refer to the patient by his first name. B. It is a result of an irreversible metabolic
B. Speak loudly and slowly. disorder.
C. Have both you and your partner ask C. It is rare in older hospitalized patients.
questions. D. It has a slow onset of progressive
D. Listen carefully to the answers the patient disorientation. - ANSWER -A. Memory
provides. - ANSWER -D. Listen carefully to remains intact.
the answers the patient provides.
You are working on a geriatric patient who
You are assessing an 80-year-old patient who reports severe abdominal pain radiating through
explains that he was awakened by a sudden her back and flank. She also reports discomfort in
feeling of suffocation and respiratory distress. her right leg and your assessment reveals a
What are his symptoms a characteristic of? diminished pulse in the extremity. What should
you suspect?
A. Orthopnea
B. Exertional dyspnea A. Venous stasis
C. Paroxysmal nocturnal dyspnea B. Abdominal aortic aneurysm
D. Intermittent sleep apnea - ANSWER -C. C. Pulmonary embolism
Paroxysmal nocturnal dyspnea D. Peptic ulcer disease - ANSWER -B.
Abdominal aortic aneurysm
Which of the following is a nonpreventable factor
in stroke? Which of the following groups are most likely to
commit suicide?
A. Hypertension
B. Obesity A. College-educated males aged 45-65 years
C. Age B. White males older than 85 years
D. Atrial fibrillation - ANSWER -C. Age C. African American women older than 65 years
D. Teenage girls (any ethnicity) -
ANSWER -B. White males older than 85
In arteriosclerosis, overproduction of abnormal years
collagen and decreased quantities of elastin lead
to what?
Which of the following would be part of the "S"
A. Narrowing pulse pressure component of the GEMS diamond?
B. Increased coronary artery perfusion
C. Hypotension A. Polypharmacy
D. Decreased coronary artery perfusion - B. Normal changes of aging
ANSWER -D. Decreased coronary artery C. Hazardous living conditions
perfusion D. Activities of daily living - ANSWER -D.
Activities of daily living
1/5
, Chapter 35 Quiz - Geriatric Emergencies with Answers Graded A+
On auscultation of a patient's lungs, you hear
crackles. These lung sounds are caused by air A specific legal document that directs relatives
passing through what? and caregivers regarding the medical treatment
that may be given to patients who cannot speak
A. Constricted airways for themselves is called a(n):
B. Thick secretions in the airways
C. Inflamed airways Select one:
D. Fluid in the alveoli - ANSWER -D. Fluid A. advance directive.
in the alveoli B. physician directive.
C. power of attorney.
D. statute of care. - ANSWER -A. advance
Which of the following questions should you ask directive.
if you suspect a patient may have congestive
heart failure?
An 84-year-old male fell a week ago and has
A. "In what position do you normally sleep?" been bedridden since then. Today, he presents
B. "How many pillows do you sleep on?" with an altered mental status. His skin is pale and
C. "How many hours of sleep do you get each cold and his respirations are rapid and shallow.
night?" The EMT should suspect:
D. "Do you take any medication to help you sleep
at night?" - ANSWER -B. "How many Select one:
pillows do you sleep on?" A. hypovolemic shock.
B. acute hyperglycemia.
C. a systemic infection.
A 77-year-old female presents with an acute D. a subdural hematoma. - ANSWER -C. a
onset of altered mental status. Her son is present systemic infection.
and advises that she has a history of
hypertension, atrial fibrillation, type 2 diabetes,
and glaucoma. He further advises that she takes An abdominal aortic aneurysm:
numerous medications and that she is normally
alert. When you assess this patient, it is Select one:
important to note that: A. can sometimes be palpated as a mass in the
groin area.
Select one: B. causes dull pain that often radiates to the
A. the patient is experiencing delirious behavior, shoulders.
which suggests a new health problem. C. is usually not repairable, even if discovered
B. dementia typically presents as an acute onset early.
of deterioration of cognitive function. D. is often the result of hypertension and
C. her mental status is likely the result of atherosclerosis. - ANSWER -D. is often the
hypoglycemia and you should give her sugar. result of hypertension and atherosclerosis.
D. because of her age and medical history, you
should suspect Alzheimer disease. -
ANSWER -A. the patient is experiencing Because of the complexity of the older patient
delirious behavior, which suggests a new health and the vagueness of his or her complaint, you
problem. should:
2/5
