Geriatrics Kahoot Review Qs

Health care proxy, MOLST/ POLST, power of attorney and living will are examples of what?

Appointing/ delineating health care wishes

Recommended vaccines for the elderly include ?

Influenza, pneumonia, COVID

Dementia is diagnosed what recommended series of testing?

There is no particular suggested standard testing

Something to consider when choosing a qualified SKILLED home service

Wound care

Companionship and driving abilities are not skilled labor or roles

T/f

DNR= do not resuscitate, and do not intubate

False!

Vitamin D with calcium is good for what ?

Preventing fractures

Investigation into falls of the elderly should initially include ?

Medical history and medication review

In a patient with Alzheimer's, what is the first step in their evaluation ?

Exam, medication review, lab work, radiology studies to r/o other causes of the condition

ADL's can include what

Dressing and transferring

According to him cooking and reading did not count

T/f

Cystoscope is the initial exam in the primary care setting to evaluate urinary incontinence

False

Presbycusis refers to what ?

Hearing loss, m/c due to auditory canal atrophy

What are the correct strategies for evaluating falls?

Home safety visit

Balance and gait training

Correcting vision issues

What would be used in the evaluation of delirium in the hospitalized patient?

RASS/ CAM

Richmond agitation and sedation scale

Confusion assessment method for the ICU

Recommended number of visits to evaluate a new geriatric patient ?

As many as necessary for the patient and their circumstances

Gait disturbance is seen in which dementia form?

Parkinson's

Functional classification refers to what?

Ability to perform activities of daily living

Indwelling catheters are not usually used except for....

Wound healing or chronic retention

Stroke is most associated with what kind of incontinence ?

Neurogenic urge incontinence

A venous ulcer is......

Usually moist

Adequate lighting, killing your pet, and removing carpets are good ideas for?

Elderly people in their home

.......okay then

T/f

Loss of lens elasticity in the eye is a normal process of aging

True!

What are signs of the aging integumentary system?

Increased dryness and atrophy of sweat glands

Easy bruising

Loss of skin elasticity

Less subQ fat

T/f

DNI= do not intubate, should resuscitate

True

T/f

HTN should be treated aggressively in the elderly as they are more likely to have a CVA

False

Functional incontinence can be.....?

Due to Alzheimer's dementia

What are some true statements about osteoporosis

It will require a diet high in calcium

Occurs more commonly in females

Predisposes to fractures

T score is > -2.5 (greater than -2.5 in terms of standard deviations)

Pelvic floor weakness is a common cause of urinary incontinence in which gender

Women

Vague presentation of illness, altered presentation of illness, under reporting of illness are common in what population?

The elderly

That's why this is a geriatrics class.....

T/f Alzheimer's is diagnosed with MRI

False

Who are the most likely to commit abuse on the elderly in order from most to least chances out of friends, family, pre school teachers, and healthcare workers ?

Family m/c

Then friends

Then healthcare workers

Then a pre school teacher

Waxing and waning confusion are a example of

Multi infarct dementia

T/f

Motor vehicle accidents are a common cause of accidents in the elderly

False because they tend to drive slower and more cautiously knowing their limitations or are driven by others

Accidents from falls relating to the environment are most common in which setting ?

Community

Skilled nursing facility

Hospital

City bus

Community

A comprehensive exam of the elderly should include what?

Vision and hearing

Previous occupation to determine if there was occupational hazards (chemicals, loud noise, etc)

What areas of the body are most at risk of developing a pressure ulcer ?

Greater trochanter, heels, sacrum

Patient with hx of CVA, right hemiparesis, and pain in the left leg since the CVA has what type of pain most likely?

Neuropathic pain

Symptoms of delirium can include?

Change in cognition

Osteoarthritis is associated with ?

Afternoon complaints of worsening

Elderly patients are more likely to fall to ?

Sensory, muscle, and CNS issues

Illness, social isolation, and hx of depression are more common in which gender ?

Women

If a patient is using NSAIDs for osteoarthritis, but it isn't helping, what do you add next?

Tylenol (acetaminophen)

Do NOT give opiates to elderly because of risk for respiratory depression and constipation

What drug can treat opiate related constipation ? (He verbally said this)

Movantik

What medication class is MOST associated with fall risks?

B12 injections

Anti HTN meds

Anti insomniac meds

Aspirin

Anti insomniac meds

BPH represents which kind of incontinence ?

Overflow

What are some things that may cause delirium in the elderly?

Constipation

Adverse drug reaction

UTI

DEXA scans screen for what

Osteopenia or osteoporosis