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NU 671 – Primary Care of the Maturing and Aged Family Midterm Exam
Practice Review – Questions with Rationales
Institution: Purdue University Global
Format: Multiple Choice
Content Areas: Foundations of Geriatric Primary Care,
Cardiovascular, Respiratory, Endocrine, Hematology, and Clinical
Reasoning
SECTION 1: FOUNDATIONS OF GERIATRIC PRIMARY CARE
Question 1
A 75-year-old patient presents for a Medicare Annual Wellness
Visit. Which of the following is a required component of this
visit?
A. Comprehensive physical examination
B. Health Risk Assessment (HRA)
C. Fasting lipid panel
D. Pelvic examination
E. Routine EKG
Answer: B
Rationale: The Medicare Annual Wellness Visit includes a
Health Risk Assessment (HRA), review of medical and family
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history, screening for cognitive impairment, functional ability,
and safety, but does not require a comprehensive physical
exam.
Question 2
Which of the following is the most appropriate functional
assessment tool for an older adult?
A. PHQ-9
B. Katz Index of Independence in Activities of Daily Living
C. STOP-BANG
D. GAD-7
E. CAGE
Answer: B
Rationale: The Katz Index assesses basic activities of daily living
(bathing, dressing, toileting, transferring, continence, feeding)
and is widely used in geriatric assessment.
Question 3
A 70-year-old patient reports difficulty managing medications,
preparing meals, and using the telephone. Which assessment
tool is most appropriate?
A. Mini-Cog
B. Lawton Instrumental Activities of Daily Living Scale
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C. Braden Scale
D. Morse Fall Scale
E. Glasgow Coma Scale
Answer: B
Rationale: The Lawton IADL Scale assesses instrumental
activities such as medication management, meal preparation,
telephone use, shopping, and finances.
Question 4
Which of the following is a normal age-related cardiovascular
change?
A. Increased maximal heart rate
B. Decreased arterial compliance
C. Increased cardiac output at rest
D. Decreased systolic blood pressure
E. Increased baroreceptor sensitivity
Answer: B
Rationale: Aging causes decreased arterial compliance, leading
to increased systolic blood pressure and pulse pressure.
Maximal heart rate and baroreceptor sensitivity decrease with
age.
Question 5
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A 75-year-old patient presents with a fall. Which of the
following is the most important initial intervention?
A. Order an MRI of the brain
B. Perform a multifactorial fall risk assessment
C. Prescribe a benzodiazepine for sleep
D. Recommend bed rest
E. Start meclizine
Answer: B
Rationale: A multifactorial fall risk assessment (including
medications, orthostatic BP, vision, gait, home safety) is
essential to identify and address modifiable risk factors.
Question 6
Which of the following is a potentially inappropriate medication
in older adults according to the Beers Criteria?
A. Lisinopril
B. Metformin
C. Amitriptyline
D. Amlodipine
E. Levothyroxine
Answer: C
Rationale: Amitriptyline is a tricyclic antidepressant with strong
anticholinergic effects and is on the Beers list of potentially
inappropriate medications for older adults.
NU 671 – Primary Care of the Maturing and Aged Family Midterm Exam
Practice Review – Questions with Rationales
Institution: Purdue University Global
Format: Multiple Choice
Content Areas: Foundations of Geriatric Primary Care,
Cardiovascular, Respiratory, Endocrine, Hematology, and Clinical
Reasoning
SECTION 1: FOUNDATIONS OF GERIATRIC PRIMARY CARE
Question 1
A 75-year-old patient presents for a Medicare Annual Wellness
Visit. Which of the following is a required component of this
visit?
A. Comprehensive physical examination
B. Health Risk Assessment (HRA)
C. Fasting lipid panel
D. Pelvic examination
E. Routine EKG
Answer: B
Rationale: The Medicare Annual Wellness Visit includes a
Health Risk Assessment (HRA), review of medical and family
, Page |2
history, screening for cognitive impairment, functional ability,
and safety, but does not require a comprehensive physical
exam.
Question 2
Which of the following is the most appropriate functional
assessment tool for an older adult?
A. PHQ-9
B. Katz Index of Independence in Activities of Daily Living
C. STOP-BANG
D. GAD-7
E. CAGE
Answer: B
Rationale: The Katz Index assesses basic activities of daily living
(bathing, dressing, toileting, transferring, continence, feeding)
and is widely used in geriatric assessment.
Question 3
A 70-year-old patient reports difficulty managing medications,
preparing meals, and using the telephone. Which assessment
tool is most appropriate?
A. Mini-Cog
B. Lawton Instrumental Activities of Daily Living Scale
, Page |3
C. Braden Scale
D. Morse Fall Scale
E. Glasgow Coma Scale
Answer: B
Rationale: The Lawton IADL Scale assesses instrumental
activities such as medication management, meal preparation,
telephone use, shopping, and finances.
Question 4
Which of the following is a normal age-related cardiovascular
change?
A. Increased maximal heart rate
B. Decreased arterial compliance
C. Increased cardiac output at rest
D. Decreased systolic blood pressure
E. Increased baroreceptor sensitivity
Answer: B
Rationale: Aging causes decreased arterial compliance, leading
to increased systolic blood pressure and pulse pressure.
Maximal heart rate and baroreceptor sensitivity decrease with
age.
Question 5
, Page |4
A 75-year-old patient presents with a fall. Which of the
following is the most important initial intervention?
A. Order an MRI of the brain
B. Perform a multifactorial fall risk assessment
C. Prescribe a benzodiazepine for sleep
D. Recommend bed rest
E. Start meclizine
Answer: B
Rationale: A multifactorial fall risk assessment (including
medications, orthostatic BP, vision, gait, home safety) is
essential to identify and address modifiable risk factors.
Question 6
Which of the following is a potentially inappropriate medication
in older adults according to the Beers Criteria?
A. Lisinopril
B. Metformin
C. Amitriptyline
D. Amlodipine
E. Levothyroxine
Answer: C
Rationale: Amitriptyline is a tricyclic antidepressant with strong
anticholinergic effects and is on the Beers list of potentially
inappropriate medications for older adults.
