Question 1

The dual energy x-ray absorptiometry (DEXA) scan is used to check for which of the following?

Accepted Answer

A)   osteoarthritis
B)   osteoporosis
C)   bone cancer
D)   all of the above B

Question 2

If a urinary tract infection (UTI) in an older adult goes undiagnosed and untreated, it can lead to:

Accepted Answer

A)   dysuria.
B)   urosepsis.
C)   leukocytosis.
D)   incontinence. B

Question 3

Which of the following statements is true regarding cancer among older adults?

Accepted Answer

A)   The incidence of non-Hodgkin's lymphoma has declined in recent years.
B)   Cancer related disease mortality declines after age 85.
C)   Cancer screening is less accurate among older adults.
D)   Older adults tend to delay seeking help when experiencing potential cancer symptoms. B

Question 4

This term is used to describe the use of multiple interacting drugs:

Accepted Answer

A)   overuse
B)   drug interaction
C)   polypharmacy
D)   tripharmacy

Question 5

The term "cardiovascular disease" includes numerous diseases and conditions such as stroke and hypertension. Which of the following is true of all cardiovascular diseases (CVD)?

Accepted Answer

A)   Men are more likely to die from CVD than women.
B)   CVD are second to breast cancer as the leading cause of death among women.
C)   CVD are 100% preventable by controlling risk factors.
D)   CVD is the leading cause of death in the United States.

Question 6

Symptoms of diabetes in older adults that are often overlooked include:

Accepted Answer

A)   confusion.
B)   weight loss.
C)   prolonged healing.
D)   all of the above

Question 7

This type of incontinence occurs when there is an increased pressure in the abdominal cavity during such activities as coughing, sneezing, and lifting:

Accepted Answer

A)   functional
B)   urge
C)   overflow
D)   stress

Question 8

Medical nutrition therapy helps diabetics understand the impact of food on blood glucose levels. A major emphasis in dietary management of diabetic patients includes:

Accepted Answer

A)   ensuring that the patient prepares all meals.
B)   teaching precise calculation of food carbohydrate, fat and protein content.
C)   making small dietary modifications to benefit overall health.
D)   using primarily behavioral modification therapy.

Question 9

What must always be done after an older adult experiences a fall?

Accepted Answer

A)   obtain magnetic resonance imaging to assess for fractures
B)   ascertain the cause of the fall
C)   take them to the emergency room for an examination
D)   all of the above

Question 10

Which of the following is NOT a hallmark sign of infection in young people?

Accepted Answer

A)   swollen lymph nodes
B)   high fever
C)   aches and pains
D)   elevated white blood cell count

Question 11

Your 75 year old, obese female patient has recently been diagnosed with osteoarthritis. She tells you that she was advised to exercise, but is afraid that this may make her symptoms worse. As her nurse, you explain that:

Accepted Answer

A)   exercises such as swimming can help to reduce osteoarthritic pain.
B)   losing weight will not improve symptoms of this chronic condition.
C)   the application of heat packs may improve inflamed joints.
D)   the benefits of non prescription medications such as glucosamine are unknown.

Question 12

Which of the following symptoms of myocardial infarction are most typically experienced by older adults?

Accepted Answer

A)   syncope, stroke, acute confusion
B)   substernal chest pain, nausea, diaphoresis
C)   jaw pain, confusion, dizziness
D)   nausea, radiating pain, diaphoresis

Exam 8: Challenges to Physical Health