Deck 4: Comprehensive Geriatric Assessment

Question 1

The leading cause of traumatic death in the elderly is due to:

A) Motor vehicle accidents
B) Pedestrian injuries
C) Falls
D) Burns

Answer 1

Falls

Question 2

A validated tool for assessing cognitive function specific to dementia is:

A) Mini-cog
B) Confusion assessment method
C) Yesavage GDS scale
D) NuDesc

Answer 2

Mini-cog

Question 3

What statement is true about nutrition intake in the elderly?

A) Deficiencies in protein intake are common with aging.
B) Malnutrition is the most common nutritional disorder among the elderly living in the community.
C) Increased caloric consumption is needed as one ages.
D) The serum albumin is a good reflection of protein stores.

Answer 3

Deficiencies in protein intake are common with aging.

Question 4

When interviewing the older adult with a suspected dementia,it is most important that:

A) Mental status be evaluated first in order to determine if the patient is a reliable historian
B) The examiner use short simple questions and recognize non-verbal signs of discomfort
C) Postpone the mental status evaluation for the following visit and establish a rapport first
D) The clinician get in contact with a family member to obtain the history

Question 5

Which is not considered a dimension of symptomatology?

A) Onset
B) Physical signs
C) Location
D) Absence of associated symptoms

Question 6

The medical outcome study short form 36 remains the gold standard of quality of life instruments.It measures:

A) Mental and social domains
B) Social domain
C) Physical,mental,and social domains
D) Physical domain

Question 7

The evidence reflects that comprehensive geriatric assessment should be conducted:

A) On all individuals 65 and older
B) On all individuals 75 and older
C) By an inter-disciplinary team of professionals
D) Targeting the vulnerable and frail elderly

Question 8

What is reflective of functional decline in older adults?

A) Functional decline is synonymous with advanced age.
B) Some individuals die of "old age" but have maintained an active and healthy lifestyle.
C) Instrumental activities of daily living are preserved longer than activities of daily living.
D) It is always possible to prevent functional deterioration.

Question 9

The best approach to taking the health history is to:

A) Start with an open-ended question
B) Start with the review of systems
C) Focus on the chief complaint
D) Complete the history before conducting the examination

Question 10

Evidence-based geriatric assessment instruments available to the clinician:

A) Are largely screening instruments to detect a condition
B) Largely do not exist and if they do they have limited clinical utility
C) Include screening,evaluation,and measurement instruments in multiple domains
D) Have applicability in the outpatient but not the inpatient setting

Question 11

A review of the evidence relative to screening of the elderly reveals the highest evidence rating for:

A) Vision screening
B) Mammography screening
C) Hearing screening
D) Dementia screening

Question 12

Timing of the get-and-go test enhances its sensitivity.The process should take less than:

A) Thirty seconds
B) Sixteen seconds
C) Sixty seconds
D) Ten seconds

Question 13

Assessment of vital signs in the elderly reflect:

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