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Mr. Hartman is 89 years old and has been living alone in a small apartment downtown since his wife died two years ago. His son Richard brought him to the office for a checkup, saying that when he checked on his father yesterday, Mr. Hartman seemed confused and could not tell Richard when he had last eaten. Mr. Hartman is very thin, but he states that he eats "whenever I am hungry." Which of the following conditions might you suspect?


A) Elder abuse
B) Polypharmacy
C) Depression
D) Pneumonia
E) Neglect

F) B) and E)
G) All of the above

Correct Answer

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Which of the following is not a common treatment for hypertension?


A) Angioplasty
B) Medication to reduce blood pressure
C) Reducing fat and sodium in the diet
D) Losing weight
E) Increasing exercise

F) C) and D)
G) All of the above

Correct Answer

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Which of the following is the appropriate way to address elderly patients?


A) Mrs. Jones
B) Dorothy
C) Honey
D) Sweetie
E) Dottie

F) A) and E)
G) C) and D)

Correct Answer

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Which of the following are symptoms of depression in the elderly?


A) Excessive energy and motivation
B) Feelings of self-worth
C) Recurrent feelings of happiness and hope
D) Indecisiveness and difficulty in concentrating
E) Showing an interest in other people

F) A) and B)
G) C) and D)

Correct Answer

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Which condition is caused by high cholesterol levels that can lead to the accumulation of fatty deposits along the inner walls of arteries?


A) Hypertension
B) Atherosclerosis
C) Osteoporosis
D) Diabetes
E) Osteoarthritis

F) A) and C)
G) D) and E)

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In an elderly patient, weakening of the supports of the uterus may cause the uterus to ________, or work its way down the vaginal canal.

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Patient ________, or obedience in following the practitioner's orders, can help them remain healthier and get well faster.

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Another term for degenerative joint disease is ____.


A) kyphosis
B) osteoporosis
C) osteoarthritis
D) lordosis
E) lentigos

F) A) and E)
G) B) and D)

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C

Mr. Turner has come to the medical office because he has been having pain in his lower abdomen. During the patient interview, which of the following questions would be most appropriate to find out more details about the pain Mr. Turner is having?


A) "Is the pain there all the time?"
B) "Is the pain confined to the lower right quadrant, or does it radiate laterally?"
C) "Does the pain seem sharp or dull?"
D) "Does the pain occur mostly after you eat?"
E) "How would you describe the pain you are having?"

F) C) and E)
G) C) and D)

Correct Answer

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For which of the following conditions is hormone replacement therapy commonly used?


A) Hypertension
B) Arthritis
C) Hyperlipidemia
D) Incontinence
E) Osteoporosis

F) A) and B)
G) C) and D)

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E

The three basic categories of elder abuse are ________ elder abuse, institutional elder abuse, and self-neglect or self-abuse.

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The practice of taking multiple medications at the same time is known as ________.

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Which of the following statements is true about nutrition in elderly patients?


A) People over the age of 30 should decrease their caloric intake by 10% to 15%.
B) Elderly patients do not require as much protein as younger patients.
C) Elderly patients should increase their intake of high-fiber foods.
D) Energy and metabolic requirements usually increase with age.
E) Elderly patients should restrict their fluid intake to avoid nocturia.

F) A) and B)
G) A) and C)

Correct Answer

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Mrs. Newford is a 74-year-old patient who lives in a retirement community, where she happily participates in activities with other residents. Her medications include a beta blocker, anti-inflammatories for arthritis, and a diuretic. She also says she takes over-the-counter antacids frequently for heartburn. When you ask how many times a day she takes the anti-inflammatories, she hesitates before answering, "Two, I think." Which of the following actions might you take to help Mrs. Newford?


A) Talk to the doctor about simplifying her medication schedule
B) Instruct Mrs. Newford to take another dose of medication if she can't remember when she took the last one
C) Encourage Mrs. Newford to take her medications with meals
D) Provide medication instruction sheets for all of her medications
E) Recommend that Mrs. Newford move to a nursing facility

F) A) and E)
G) All of the above

Correct Answer

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Which of the following is a sign of aging in the nervous system?


A) Increased blood flow to the brain
B) Shortened attention span
C) Enlargement of the substantia nigra in the brain
D) Increase in acetylcholine
E) Improved thought processing

F) D) and E)
G) A) and B)

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Sleep apnea is a sleep disorder in which a person stops breathing for several seconds while sleeping, which can cause conditions such as __________, depression, and even memory loss.


A) cardiovascular disease
B) hyperlipidemia
C) COPD
D) GERD
E) insomnia

F) C) and E)
G) D) and E)

Correct Answer

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Elderly patients are defined as patients who are over the age of ____.


A) 55
B) 60
C) 62
D) 65
E) 70

F) C) and D)
G) B) and E)

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D

Which of the following techniques is not likely to be effective when you are communicating with a geriatric patient?


A) Showing respect for the patient's age
B) Calling the patient by his first name
C) Using active listening skills
D) Being patient when the patient answers slowly
E) Looking directly at the patient

F) B) and C)
G) D) and E)

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Melanocytes gather in common locations causing brown spots known as _______ or "liver spots."

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A condition in which cholesterol and triglyceride levels are above normal is ____.


A) hypertension
B) hyperlipidemia
C) hypotension
D) coronary artery disease
E) osteoporosis

F) D) and E)
G) B) and D)

Correct Answer

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