Deck 37: Adult Health Maintenance and Promotion

Question 1

Your patient is a 75-year-old woman with hypertension, diabetes, renal insufficiency, and a history of a stroke. She is unable to walk farther than half of a city block and needs assistance with bathing, cleaning, and shopping. Her daughter helps manage her finances and her medication. What is your estimate of her current life expectancy?

A) Longer than the average 75-year-old woman
B) Equal to the average 75-year-old woman
C) Shorter than the average 75-year-old woman

Answer 1

C

Question 2

Your patient is an 80-year-old woman who lives independently, manages her own financial and household affairs well, and swims 4 days a week. Her only medication is amlodipine for hypertension. She has had regular medical care all her life and has had routine screenings up to now. The average life expectancy for 80-year-old women is 9.1 years. Colon cancer screening is expected to benefit those who have at least 10 years of life expectancy. Would you recommend a colonoscopy?

A) Yes
B) No

Answer 2

A

Question 3

Your patient is a smoker. He has decided that he wants to quit smoking before his new baby is born and would like your help. Using the stages of change model, how can you best support him at this time?

A) Give him additional info on the harms of smoking.
B) Help him weigh the pros and cons of quitting.
C) Commend him for his decision.
D) Help him anticipate the long-term challenges he may face after he has stopped smoking for a year.

Answer 3

C

Question 4

The United States Preventive Services Task Force recommends what medication for all women who might become pregnant?

A) Aspirin
B) Folic acid
C) Tamoxifen
D) Vitamin D

Question 5

The United States Preventive Services Task Force makes sure its recommendations are consistent with the American Cancer Society and the American Heart Association recommendations.

Question 6

The best way to determine if a health maintenance intervention is appropriate for an older adult is to adhere strictly to age cutoffs in guidelines.

Question 7

The process for individualizing screening decisions for older adults includes (a) estimating the patient's life expectancy, (b) estimating the time-to-benefit of the proposed screening procedure, and (c) evaluating the patient's preferences around the potential harms and benefits of the intervention.

Question 8

Which organization makes evidence-based immunization recommendations?

A) Centers for Disease Control and Prevention
B) United States Immunization Board
C) Institute for Immunization Policy
D) United States Preventive Services Task Force

Question 9

Mrs. A is 95 years old. You review her medical conditions and functional ability, then use the life expectancy table to estimate her life expectancy at 2.6 years, average for a 95-year-old woman. She is not experiencing any concerning symptoms. What factor should you consider when deciding whether or not to screen her for hyperlipidemia and diabetes?

A) How long it will take treatment for diabetes and hyperlipidemia to benefit her?
B) Does she have a family history of hyperlipidemia or diabetes?
C) Has she been tested for hyperlipidemia and diabetes before?
D) Do the USPSTF guidelines recommend screening for 95-year-old women?