Chapter 77. Primary Care of Older Adults
MULTIPLE CHOICE
1. Which of the following is true regarding old age and life expectancy?
A.
It is always defined as an adult aged 65 and older.
B.
The human life cycle is mostly consistent throughout the world.
C.
Old age is not a definite biological state.
D.
The life expectancy in the United States exceeds all other countries.
2. Which of the following is of particular importance when caring for the elderly population?
A.
Emphasizing episodic health needs instead of chronic health needs
B.
Taking time to examine potential poverty as financial resources dwindle over time
C.
Providing integrated-care approach designed around the needs of the provider, so
they can coordinate care for the patient
D.
Providing care while paying the minimal cost so that standards are met
3. Madonna is a 77-year-old female who presents to the clinic for an annual wellness
examination. Which subcategory of the older population does she fit into, based on her age?
A.
Young-old
B.
Old
C.
Old-old
D.
Oldest-old
4. Which theory regarding the aging process is linked to cancer and Alzheimer’s disease?
A.
Replicating senescence
B.
Weakening of the immune system
C.
Oxidative damage
D.
Telomere shortening
5. What is the key to increase physical activity in older adults?
A.
Motivation
B.
Having a partner to exercise with
C.
Belonging to a fitness center
D.
Owning home fitness equipment
6. Which of the following is especially important for ensuring the safety of older adults?
A.
Removing firearms from the home due to the high rate of depression in older
adults
B.
Making sure the hot water heater is set below 130oF
C.
Encouraging yearly tests to assess ability to drive safely
D.
Assessing fall risk and history of falls
7. Which vaccine is recommended for adults over 65 years and that is administered every 10
years?
A.
Hepatitis B vaccine
B.
Tdap vaccine
C.
Pneumococcal vaccine
D.
Zostavax
8. What does the I stand for in the mnemonic DELIRIUM used to assess causes for delirium in
an older patient?
A.
Infection
B.
Identity crisis
C.
Influenza
D.
Internal injury
9. Clinicians should ask older adults about their end-of-life plans when older patients are:
A.
Recovering from surgery
B.
Receiving an emergency procedure
C.
Undergoing an outpatient procedure
D.
Coming in for a problem outpatient visit
10. What is an integumentary system age-related change?
A.
Increased body odor
B.
Decreased heat loss
C.
Moistness
D.
Decreased hair production
11. Which of the following is a cardiovascular age-related change?
A.
Faster heart rate
B.
Increased sensitivity to changes in blood pressure
C.
Increased cardiac responsiveness to stress
D.
Reduced stroke volume
12. Which of the following is a normal age-related laboratory change?
A.
Increase in erythrocyte sedimentation rate
B.
Decreased blood urea nitrogen
C.
Increase in hematocrit
D.
Decrease in urine protein
13. Which clinical recommendation is Grade A, meaning it has consistent, good-quality,
patient-oriented evidence?
A.
There are benefits to initiate aspirin use for primary prevention of cardiovascular
disease and colorectal cancer in adults aged 70 or older.
B.
There are benefits to asking adults about tobacco use, advising them to stop using
tobacco, and providing U.S. Food and Drug Administration (FDA)-approved
pharmacotherapy for cessation.
C.
There are benefits to screen for impaired visual acuity in older adults.
D.
There are benefits to completing a screening mammography in women aged 75
years or older.
14. What does the S stand for in the SPICES Geriatric Syndrome Markers?
A.
Sciatica
B.
Sexually transmitted infections (STIs)
C.
Sleep disturbances
D.
Sexual problems
15. Which question will help identify older adults who are at risks for falls?
A.
Have you fallen in the past 2 years?
B.
Do you feel unsteady when you are sitting?
C.
Do your caregivers worry about you falling?
D.
Do you worry about falling?