Question 1

The best indicator of fluid status in the elderly is _________________.

Accepted Answer

A)  Patient thirst 
B)  Patient weight 
C)  Blood urea nitrogen/creatinine ratio 
D)  Serum creatinine 
A)  Patient thirst 
B)  Patient weight 
C)  Blood urea nitrogen/creatinine ratio 
D)  Serum creatinine C

Question 2

A body mass index of less than ______ is an indicator of high risk for malnutrition.

Accepted Answer

A)  21 
B)  22 
C)  23 
D)  24 
A)  21 
B)  22 
C)  23 
D)  24 A

Question 3

A preliminary, concise test to screen patients for dementia in primary care is the:

Accepted Answer

A)  Mini-Mental Status Examination 
B)  Mini-Cog Clock Drawing Test 
C)  Geriatric Depression Scale 
D)  Physical Self-Maintenance Scale 
A)  Mini-Mental Status Examination 
B)  Mini-Cog Clock Drawing Test 
C)  Geriatric Depression Scale 
D)  Physical Self-Maintenance Scale B

Question 4

The most sensitive test for assessing cognitive impairment of the older patient is the:

Accepted Answer

A)  Montreal Cognitive Assessment 
B)  Mini-Mental Status Examination 
C)  Mini-Cog Clock Drawing Test 
D)  Activities of Daily Living Index 
A)  Montreal Cognitive Assessment 
B)  Mini-Mental Status Examination 
C)  Mini-Cog Clock Drawing Test 
D)  Activities of Daily Living Index

Question 5

Which of the following statements is true?

Accepted Answer

A)  Women have a higher prevalence of functional decline than men at the upper end of body mass index. 
B)  Men have a higher prevalence of functional decline than women at the upper end of body mass index. 
C)  To be sure the elderly patient's fluid needs are met, the clinician should rely on the patient's thirst. 
D)  The Get Up and Go Test is a more accurate assessment of gait and balance than the Tinetti Mobility Scale. 
A)  Women have a higher prevalence of functional decline than men at the upper end of body mass index. 
B)  Men have a higher prevalence of functional decline than women at the upper end of body mass index. 
C)  To be sure the elderly patient's fluid needs are met, the clinician should rely on the patient's thirst. 
D)  The Get Up and Go Test is a more accurate assessment of gait and balance than the Tinetti Mobility Scale.

Question 6

A functional assessment is the most appropriate type of evaluation of well older patients. A basic component of the functional assessment is:

Accepted Answer

A)  Activities of daily living score 
B)  Instrumental activities of daily living score 
C)  10-Minute Screener for Geriatric Conditions 
D)  All of the above 
A)  Activities of daily living score 
B)  Instrumental activities of daily living score 
C)  10-Minute Screener for Geriatric Conditions 
D)  All of the above

Question 7

A useful laboratory measure that indicates protein-energy malnutrition in hospitalized elders includes a total cholesterol below _______.

Accepted Answer

A)  190 mg/dl 
B)  180 mg/dl 
C)  170 mg/dl 
D)  160 mg/dl 
A)  190 mg/dl 
B)  180 mg/dl 
C)  170 mg/dl 
D)  160 mg/dl

Question 8

Prior to giving clearance for an older adult to take part in an exercise regimen, the _______________________ assessment tool should be used by the clinician.

Accepted Answer

A)  Get Up and Go Test 
B)  Tinetti Evaluation 
C)  MoCa Stress Test 
D)  PAR-Q 
A)  Get Up and Go Test 
B)  Tinetti Evaluation 
C)  MoCa Stress Test 
D)  PAR-Q

Question 9

The most common reason for functional decline in nursing home patients is:

Accepted Answer

A)  Heart failure 
B)  Stroke 
C)  Urinary tract infection 
D)  Myocardial infarction 
A)  Heart failure 
B)  Stroke 
C)  Urinary tract infection 
D)  Myocardial infarction

Question 10

A Get Up and Go Test involves having the patient rise from a chair, walk 20 feet, turn, and walk back to the examiner. This should be completed within ______ seconds.

Accepted Answer

A)  10 
B)  15 
C)  20 
D)  25 
A)  10 
B)  15 
C)  20 
D)  25

Question 11

The functional reach test is a good predictor of:

Accepted Answer

A)  Susceptibility to fall 
B)  Complete range of motion 
C)  Shoulder abduction 
D)  Shoulder extension against resistance 
A)  Susceptibility to fall 
B)  Complete range of motion 
C)  Shoulder abduction 
D)  Shoulder extension against resistance

Question 12

One of the most common causes for cognitive impairment in older patients suffering from infection is:

Accepted Answer

A)  Delirium 
B)  Depression 
C)  Dementia 
D)  Pseudodementia 
A)  Delirium 
B)  Depression 
C)  Dementia 
D)  Pseudodementia

Question 13

The order of the physical examination in the older patient should:

Accepted Answer

A)  Begin with gait observation or transfer ability from wheelchair to examination table 
B)  Begin with activities that cause the least expenditure of energy 
C)  Be performed in a head-to-toe sequence 
D)  Be a focused physical examination limited to the patient symptoms 
A)  Begin with gait observation or transfer ability from wheelchair to examination table 
B)  Begin with activities that cause the least expenditure of energy 
C)  Be performed in a head-to-toe sequence 
D)  Be a focused physical examination limited to the patient symptoms

Question 14

Adults tend to lose 1 inch every ______ years after age 40.

Accepted Answer

A)  30 
B)  25 
C)  20 
D)  15 
A)  30 
B)  25 
C)  20 
D)  15

Question 15

Which of the following tests of mobility can be included in a physical examination of older adults?

Accepted Answer

A)  Get Up and Go Test 
B)  Tinetti Evaluation 
C)  Fall Toolkit 
D)  All of the above 
A)  Get Up and Go Test 
B)  Tinetti Evaluation 
C)  Fall Toolkit 
D)  All of the above

Question 16

The rapid pace walk is a good screening test for driving ability of the elderly. The patient is timed to walk as swiftly as possible along a 10-foot path. A completion time of greater than ______________ indicates possible need for intervention.

Accepted Answer

A)  9 seconds 
B)  8 seconds 
C)  7 seconds 
D)  6 seconds 
A)  9 seconds 
B)  8 seconds 
C)  7 seconds 
D)  6 seconds

Question 17

Useful laboratory measures that indicate protein-energy malnutrition in hospitalized elders include a serum albumin level below ________.

Accepted Answer

A)  3.4 g/dl 
B)  4.2 g/dl 
C)  5.2 g/dl 
D)  6.4 g/dl 
A)  3.4 g/dl 
B)  4.2 g/dl 
C)  5.2 g/dl 
D)  6.4 g/dl

Question 18

The American Medical Association guidelines for assessing driving ability recommend focused assessment of all of the following except:

Accepted Answer

A)  Vision 
B)  Cognition 
C)  Cardiac 
D)  Motor function 
A)  Vision 
B)  Cognition 
C)  Cardiac 
D)  Motor function

Question 19

A total weight of less than ______ pounds is an indicator for high risk for malnutrition.

Accepted Answer

A)  120 
B)  115 
C)  110 
D)  100 
A)  120 
B)  115 
C)  110 
D)  100

Question 20

During examination of the eyes, dilation of the pupil is needed to check for:

Accepted Answer

A)  Distance vision 
B)  Macular degeneration 
C)  Cataracts 
D)  Peripheral vision 
A)  Distance vision 
B)  Macular degeneration 
C)  Cataracts 
D)  Peripheral vision

Exam 21: Older Patients

The best indicator of fluid status in the elderly is _________________.

A body mass index of less than ______ is an indicator of high risk for malnutrition.

A preliminary, concise test to screen patients for dementia in primary care is the:

The most sensitive test for assessing cognitive impairment of the older patient is the:

Which of the following statements is true?

A functional assessment is the most appropriate type of evaluation of well older patients. A basic component of the functional assessment is:

A useful laboratory measure that indicates protein-energy malnutrition in hospitalized elders includes a total cholesterol below _______.

Prior to giving clearance for an older adult to take part in an exercise regimen, the _______________________ assessment tool should be used by the clinician.

The most common reason for functional decline in nursing home patients is:

A Get Up and Go Test involves having the patient rise from a chair, walk 20 feet, turn, and walk back to the examiner. This should be completed within ______ seconds.

The functional reach test is a good predictor of:

One of the most common causes for cognitive impairment in older patients suffering from infection is:

The order of the physical examination in the older patient should:

Adults tend to lose 1 inch every ______ years after age 40.

Which of the following tests of mobility can be included in a physical examination of older adults?

The rapid pace walk is a good screening test for driving ability of the elderly. The patient is timed to walk as swiftly as possible along a 10-foot path. A completion time of greater than ______________ indicates possible need for intervention.

Useful laboratory measures that indicate protein-energy malnutrition in hospitalized elders include a serum albumin level below ________.

The American Medical Association guidelines for assessing driving ability recommend focused assessment of all of the following except:

A total weight of less than ______ pounds is an indicator for high risk for malnutrition.

During examination of the eyes, dilation of the pupil is needed to check for:

Assessment and Clinical Decision Making: an Overview

Genomic Assessment: Interpreting Findings and Formulating Differential Diagnosis

Skin

Head, Face, and Neck

The Eye

Ear, Nose, Mouth, and Throat

Cardiac and Peripheral Vascular Systems

Respiratory System

Breasts

Abdomen

Genitourinary System

Male Reproductive System

Female Reproductive System

Musculoskeletal System

Neurological System

Nonspecific Complaints

Psychiatric Mental Health

Pediatric Patients

Pregnant Patients

Assessment of the Transgender or Gender Diverse Adult

Persons With Disabilities

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