Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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The major impact of the physiological changes that occur
with aging is:
A. Reduced physiological reserve
D. All of the above
B. Reduced homeostatic mechanisms
C. Impaired immunological response
D. All of the above
The strongest evidence regarding normal physiological
aging is available through:
A. Randomized controlled clinical trials
C. Longitudinal studies
B. Cross-sectional studies
C. Longitudinal studies
D. Case control studies
All of the following statements are true about laboratory
values in older adults except:
A. Reference ranges are preferable
B. Abnormal findings are often due to physiological aging
B. Abnormal findings are often due to physiological aging
C. Normal ranges may not be applicable for older adults
D. Reference values are not necessarily acceptable value
Biochemical individuality is best described as:
A. Each individual's variation is often much greater than
that of a larger group B. The unique biochemical profile
of a selected population D. Each individual's variation is often much smaller than
C. The truly "normal" individual—falling within average that of a larger group
range
D. Each individual's variation is often much smaller than
that of a larger group
Polypharmacy is best described as taking:
A. More than nine medications per day C. Even a single medication if there is not a clear indication
B. More than five medications per day for its use
C. Even a single medication if there is not a clear indication
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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for its use
D. When a drug is given to treat the side ettect of another
drug
Pharmacokinetic changes with aging is reflective of:
A. What the drug does to the body
B. What the body does to the drug
B. What the body does to the drug
C. The ettect at the site of action and the time and intensity
of the drug
D. The side ettects commonly associated with the drug
All the following statements are false about drug absorp-
tion except:
A. Antacids increase the bioavailability of digitalis
D. Underlying chronic disease has little impact on drug
B. Gastric acidity decreases with age
absorption
C. Anticholinergics increase colonic motility
D. Underlying chronic disease has little impact on drug
absorption
All of the following statements are true about drug distri-
bution in the elderly except:
A. Drugs distributed in water have lower concentration
B. Drugs distributed in fat have less intense, more pro-
longed ettect A. Drugs distributed in water have lower concentration
C. Drugs highly protein bound have greater potential to
cause an adverse drug reaction
D. The fastest way to deliver a drug to the action site is by
inhalation
Men have faster and more eflcient biotransformation of
drugs and this is thought to be due to:
C. Testosterone
A. Less obesity rates than women
B. Prostate enlargement
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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C. Testosterone
D. Less estrogen than women
The cytochrome p system involves enzymes that are gen-
erally:
A. Inhibited by drugs
C. Inhibited or induced by drugs
B. Induced by drugs
C. Inhibited or induced by drugs
D. Associated with decreased liver perfusion
A statement not shown to be true about pharmacodynam-
ics changes with aging is:
A. Decreased sensitivity to oral anticoagulants
B. Enhanced sensitivity to central nervous system drugs A. Decreased sensitivity to oral anticoagulants
C. Drug responsiveness can be influenced by patient ac-
tivity level
D. There is a decreased sensitivity to beta blockers
Atypical presentation of disease in the elderly is reflected
by all the following except:
A. Infection without fever
C. Myocardial infarction with chest pain and diaphoresis
B. Depression without dysphoric mood
C. Myocardial infarction with chest pain and diaphoresis
D. Cardiac manifestations of thyroid disease
Functional abilities are best assessed by:
A. Self-report of function
B. Observed assessment of function B. Observed assessment of function
C. A comprehensive head-to-toe examination
D. Family report of function
The leading cause of death in elderly travelers worldwide
is:
C. Accidents
A. Cardiovascular disease
B. Infections
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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C. Accidents
D. Malaria
Which of the following should be avoided in countries
where food and water precautions are to be observed?
A. Hot cottee
C. Salad buttet
B. Bottled water
C. Salad buttet
D. Unpeeled bananas
What insect precautions are not necessary to prevent in-
sect-borne diseases in the tropics?
A. Using 100% DEET on skin to prevent bites
B. Treating clothes with permetherin A. Using 100% DEET on skin to prevent bites
C. Covering up exposed skin to lessen biting surface
D. Taking malaria pills as directed for areas at risk for
malaria
An example of secondary prevention you could recom-
mend/order for older adults would be to:
A. Check for fecal occult blood
A. Check for fecal occult blood
B. Wear seat belts in the car
C. Provide foot care for a diabetic patient
D. Administer a tetanus shot
Ali is a 72-year-old man who recently came to the U.S. from
Nigeria. He reports having BCG (bacille Calmette-Guerin)
vaccination as a child. Which of the following is correct
regarding a tuberculin skin test?
C. Vaccination history is irrelevant; read as usual.
A. It should not be done at all.
B. It should be read as smaller than it really is.
C. Vaccination history is irrelevant; read as usual.
D. It should be read as larger than it really is.