Term
| What type of walking aid is best to aid w/ walking if the pt has left leg hemiparesis and the Pt’s arms do not have weakness and are not needed for balance? |
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Definition
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Term
| For an ED disorder, how long can an O-ring be safely left on? |
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Definition
|
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Term
|
Definition
| Bathing, Dressing, Transferring, Toileting, Grooming, Feeding, Mobility |
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Term
|
Definition
| (Instrumental Activities of Daily Living) Telephone use, Preparing Meals, Managing Finances, Medication management, Doing Laundry, Doing housework, Shopping, Managing Transportation |
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Term
| What med has a SE of green vision? |
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Definition
|
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Term
| What are the MC drug-drug interactions? |
|
Definition
Confusion/delirium
Cognitive Impairment
Hypotension
Acute Renal Failure |
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Term
| How does estrogen help elderly women? |
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Definition
| Increase vaginal lubrication |
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Term
| Which med is used in ED (not approved as an FDA tx) that causes parasympathetic stimulation which may increase libido, and also stimulates HR and may cause mild dizziness and nervousness? |
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Definition
| Yohembine (Horney Goat Weed) |
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Term
| If a pt presents with fever and confusion, what tests are required? |
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Definition
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Term
Which of the following statements is correct?
(A) Caloric restriction has been shown consistently to increase life span in mice
(B) Animal studies have demonstrated positive effects of caloric restriction on fertility
(C) Calorically restricted rodents, non-human primates, and healthy men demonstrate lower fasting insulin levels and lower body temperature
(D) Calorically restricted mice live longer, are more fit, and are more likely to reproduce than control mice with unlimited access to food |
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Definition
| (C) Calorically restricted rodents, non-human primates, and healthy men demonstrate lower fasting insulin levels and lower body temperature |
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Term
Which of the bruise characteristics raises suspicion of physical abuse?
A) Size
B) Shape
C) Number
D) Location
E) Color variation |
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Definition
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Term
| Are androgens approved by the FDA in the treatment of sexual dysfunction in women? |
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Definition
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Term
| Is increased sexual dysfunction a normal component to successful aging? |
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Definition
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Term
| How do we track the progression of AD? |
|
Definition
| MMSE (not CT, MRI, freq blood test) |
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Term
| What communication strategies are important when setting an environment to assess an elderly adult? |
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Definition
Use well-lit room
Avoid backlighting
Minimize extraneous noise
Minimize interruptions |
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Term
| Pt has no signs of malnutrition, nephew feeds him but has skipped lunch for 3 weeks because he has to work on his car, he could buy food for him but doesn’t b/c of cost. Is this abuse? |
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Definition
| Yes according to the National … guidelines |
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Term
| Pt has pain, fatigue, and insomnia w/ dizziness, what is the dizziness associated w/? |
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Definition
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Term
| What is the 1st step in the evaluation of a pt with c/o of dizziness? |
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Definition
| Ask pt what he/she means by dizziness |
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Term
| What is the senile arc? Is it benign? |
|
Definition
| graying of the limbus; benign |
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Term
| If an elderly pt presents with unrelenting back pain, what should you r/o? |
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Definition
|
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Term
| What is the triad of symptoms with Normal Pressure Hydrocephalus? |
|
Definition
| urinary incontinence, memory loss, gait disturbance |
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Term
| A pt presents with complaints of trouble walking and UI, his wife also mentions that he has had memory issues recently, what is your dx? |
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Definition
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Term
| Pt gives daughter checkbook for now, he complains that daughter wants to get his money, what should we do 1st? |
|
Definition
| get a comprehensive geriatric assessment |
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Term
| With geriatric treatment what should be the physician's primary focus? |
|
Definition
| Geriatric goals, not on pt cc |
|
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Term
| What is a common cardiovascular problem in elderly women? |
|
Definition
|
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Term
| What are the risk factors for ADEs? |
|
Definition
6 or more concurrent chronic conditions
12 or more doses of drugs/day
9 or more medications
Prior adverse drug event
Low body weight or low BMI
Age 85 or older
Estimated CrCl < 50 mL/min |
|
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Term
| What are some helpful tips for managing polypharmacy? |
|
Definition
-M – Minimize the number of drugs
-A- Alternatives should be considered
-S- Start low and go slow with meds
-T- Titrate therapy to the desired goal
-E- Educate the patient, their family or caregiver
-R- Review drug plan at each visit |
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Term
| Suspect abuse from caregiver to pt, what do we do? |
|
Definition
| Interview each separately and document. |
|
|
Term
| MC cause of mortality in the elderly at home? |
|
Definition
|
|
Term
|
Definition
|
|
Term
| Pt c/o of urinary leakage with coughing and laughing? |
|
Definition
|
|
Term
| What is the 1st line treatment for urge incontinence? |
|
Definition
|
|
Term
| What is the 1st line treatment for stress incontinence? |
|
Definition
|
|
Term
| What does family bring to the interview with an elderly pt? |
|
Definition
|
|
Term
| What labs do not need to be done for the evaluation of dementia? |
|
Definition
|
|
Term
| Which type of ulcer is described as full thickness, does not go through the fascia? |
|
Definition
|
|
Term
| What is the best way to cleanse a wound from a pressure ulcer? |
|
Definition
|
|
Term
| What is the MC type of dementia? |
|
Definition
|
|
Term
| What is the Meniere’s dz triad? |
|
Definition
| tinnitus, hearing loss, vertigo |
|
|
Term
| What meds are contraindicated with the use of Sildenafil? |
|
Definition
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|
Term
| Which ocular neuro sx is NEVER normal in the elderly? |
|
Definition
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Term
| Pt wandering, only took cholesterol and HTN meds, is alert and oriented, was lost b/c “houses looked alike”, what do you suspect? |
|
Definition
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|
Term
| What is the MC cause of delirium? |
|
Definition
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Term
| If a pt presents with a resting tremor and masked facies, what do you suspect? |
|
Definition
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Term
| Pt hallucinations, hitting husband, memory loss started ~1 yr ago, shuffling gait, tremors started ~1month ago. What condition do you suspect? |
|
Definition
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|
Term
| What dysfunction is common in postmenopausal women? |
|
Definition
| increase in sexual dysfunction |
|
|
Term
| What is important in successful pharmacotherapy in the elderly? |
|
Definition
| less risky diagnostic tests and use necessary meds |
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