Question 1

The leading cause of traumatic death in the elderly is due to:&#10;A) Motor vehicle accidents&#10;B) Pedestrian injuries&#10;C) Falls&#10;D) Burns

Accepted Answer

Falls are the leading cause of traumatic death in the elderly, accounting for approximately 40% of all traumatic deaths in this population. Motor vehicle accidents and pedestrian injuries are less common in elderly individuals due to decreased mobility and less frequent driving. Burns are also less common in the elderly population.

Question 2

A validated tool for assessing cognitive function specific to dementia is:&#10;A) Mini-cog&#10;B) Confusion assessment method&#10;C) Yesavage GDS scale&#10;D) NuDesc

Accepted Answer

The Mini-cog is a validated tool for assessing cognitive function specific to dementia. It consists of a three-item recall test and a clock drawing test. The Mini-cog has been shown to have high sensitivity and specificity for detecting dementia.

Question 3

What statement is true about nutrition intake in the elderly?&#10;A) Deficiencies in protein intake are common with aging.&#10;B) Malnutrition is the most common nutritional disorder among the elderly living in the community.&#10;C) Increased caloric consumption is needed as one ages.&#10;D) The serum albumin is a good reflection of protein stores.

Accepted Answer

Deficiencies in protein intake are common among older adults due to a decrease in muscle mass and an increase in protein breakdown.

Answer: B
 Malnutrition is a common problem in the elderly living in the community due to factors such as limited income, decreased appetite, and difficulty preparing meals.

Answer: C
 Increased caloric consumption is not necessarily needed as one ages, and can lead to obesity and related health problems.

Answer: D
 The serum albumin is not a reliable indicator of protein stores in the elderly, as it can be affected by inflammation and other factors. Alternative measures such as handgrip strength or dietary assessments may be more accurate.

Question 4

When interviewing the older adult with a suspected dementia,it is most important that:&#10;A) Mental status be evaluated first in order to determine if the patient is a reliable historian&#10;B) The examiner use short simple questions and recognize non-verbal signs of discomfort&#10;C) Postpone the mental status evaluation for the following visit and establish a rapport first&#10;D) The clinician get in contact with a family member to obtain the history

Accepted Answer

Using short and simple questions and recognizing non-verbal signs of discomfort can help to communicate effectively with a person with suspected dementia who may have difficulty with memory and language skills. It is important to establish a rapport and gather information from both the individual and family members if possible, but mental status evaluation can still be conducted during the initial interview.

Question 5

Which is not considered a dimension of symptomatology?&#10;A) Onset&#10;B) Physical signs&#10;C) Location&#10;D) Absence of associated symptoms

Accepted Answer

The answer of Which is not considered a dimension of...

Question 6

The medical outcome study short form 36 remains the gold standard of quality of life instruments.It measures:&#10;A) Mental and social domains&#10;B) Social domain&#10;C) Physical,mental,and social domains&#10;D) Physical domain

Accepted Answer

The medical outcome study short form 36 measures physical, mental, and social domains, making choice C the best answer.

Question 7

The evidence reflects that comprehensive geriatric assessment should be conducted:&#10;A) On all individuals 65 and older&#10;B) On all individuals 75 and older&#10;C) By an inter-disciplinary team of professionals&#10;D) Targeting the vulnerable and frail elderly

Accepted Answer

The answer of The evidence reflects that comprehensive geriatric assessment...

Question 8

What is reflective of functional decline in older adults?&#10;A) Functional decline is synonymous with advanced age.&#10;B) Some individuals die of &#34;old age&#34; but have maintained an active and healthy lifestyle.&#10;C) Instrumental activities of daily living are preserved longer than activities of daily living.&#10;D) It is always possible to prevent functional deterioration.

Accepted Answer

Functional decline is not synonymous with advanced age, as some individuals maintain an active and healthy lifestyle until death.

Question 9

The best approach to taking the health history is to:&#10;A) Start with an open-ended question&#10;B) Start with the review of systems&#10;C) Focus on the chief complaint&#10;D) Complete the history before conducting the examination

Accepted Answer

Starting with an open-ended question allows the patient to provide their own perspective and allows for a more comprehensive understanding of their health history. This approach also helps establish a rapport and trust between the patient and healthcare provider.

Question 10

Evidence-based geriatric assessment instruments available to the clinician:&#10;A) Are largely screening instruments to detect a condition&#10;B) Largely do not exist and if they do they have limited clinical utility&#10;C) Include screening,evaluation,and measurement instruments in multiple domains&#10;D) Have applicability in the outpatient but not the inpatient setting

Accepted Answer

Evidence-based geriatric assessment instruments include a range of instruments that screen, evaluate, and measure multiple domains such as physical, cognitive, psychological, and social functioning. These instruments have been developed to improve the quality of care for older adults by providing clinicians with tools to assess and manage their health and wellbeing. While some instruments are designed specifically for screening or detection, many are used for evaluation and measurement purposes as well. These instruments are useful in both the outpatient and inpatient settings.

Question 11

A review of the evidence relative to screening of the elderly reveals the highest evidence rating for:&#10;A) Vision screening&#10;B) Mammography screening&#10;C) Hearing screening&#10;D) Dementia screening

Accepted Answer

The answer of A review of the evidence relative to...

Question 12

Timing of the get-and-go test enhances its sensitivity.The process should take less than:&#10;A) Thirty seconds&#10;B) Sixteen seconds&#10;C) Sixty seconds&#10;D) Ten seconds

Accepted Answer

The answer of Timing of the get-and-go test enhances its...

Question 13

Assessment of vital signs in the elderly reflect:&#10;A) Errors in blood pressure measurement are rare with automated recording devices&#10;B) Shortness of breath in the elderly is rare in the older,deconditioned,and immobile patient&#10;C) Older adults prefer a 0-10 pain rating scale&#10;D) Older adults could be septic with a temperature within normal limits

Accepted Answer

The answer of Assessment of vital signs in the elderly...

Deck 4: Comprehensive Geriatric Assessment