Questions & Answers | Revision Pack | A+
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• Curvature with sharp angle. CORRECT ANSWER: Referred to as gibbus
in the spine of an older adult
• Prevalence of depression in nursing home residents. CORRECT
ANSWER: 3-4 times greater than adults living in the community
• Untreated depressed older adults. CORRECT ANSWER: Remain
untreated due to misdiagnosis, social stigma, and environmental
barriers
• Symptoms of depression distinct to the elderly. CORRECT ANSWER:
Lack of emotions
• Justification for ordering CBC, TSH, serum B12. CORRECT ANSWER:
Overlapping symptoms with anemia, thyroid dysfunction, and
nutritional deficiencies
• Difference between dementia and delirium. CORRECT ANSWER:
Dementia develops slowly, while delirium develops quickly
,• Most appropriate screening tool for delirium. CORRECT ANSWER:
Confusion Assessment Method
• Mechanism by which diphenhydramine causes delirium. CORRECT
ANSWER: Anticholinergic effects
• Risk factors for delirium in the elderly. CORRECT ANSWER:
Multisensory declines, polypharmacy, multiple medical problems
• Consistent finding in delirium. CORRECT ANSWER: Reduction in
regional cerebral perfusion
• Prioritizing management plan for a provider. CORRECT ANSWER:
Includes dual-energy x-ray (DEXA) scan and updating immunizations
• DD for pt's presenting with PMR. CORRECT ANSWER: Can rule out
polymyositis with muscle biopsy
• Lab results for suspected PMR. CORRECT ANSWER: Expect to see
elevated erythrocyte sed rate (ESR) >50
• Lab test for monitoring gout therapy. CORRECT ANSWER: Serum urate
level
, • Dietary restrictions for gout. CORRECT ANSWER: Avoid beer, sausage,
fried seafood
• Verifying gout diagnosis in a joint. CORRECT ANSWER: Joint aspiration
and polarized-light microscopy
• First-line treatment for acute gout flare. CORRECT ANSWER:
Indomethacin 50mg TID x2 days, then 25mg TID ×3 days
• Initial X-ray finding in elderly onset RA. CORRECT ANSWER: Soft tissue
swelling
• Contributing factor to development of gout in older female. CORRECT
ANSWER: Thiazide diuretics
• Statement about OA. CORRECT ANSWER: It affects primarily weight-
bearing joints
• Most reliable diagnostic test for OA. CORRECT ANSWER: Synovial fluid
analysis
• Impact of feeding gastrostomy tubes at end-of-life Alzheimer's
patients. CORRECT ANSWER: Associated with aspiration pneumonia