Chapter 38 Geriatrics

What is the most common cause of EMS responses to the elderly and a frequent cause of injury? A) A. Abuse B) B. Falls C) C. Overdoses D) D. Suicide attempts - B Often older patients and those with osteoporosis have a curvature of the thoracic spine that is also known as hunchback deformity or: A) A. Buffalo hump B) B. Herniation of the spine C) C. Kyphosis D) D. Parkinson's disease - C An acute often reversible, intermittent, global disorder of cognition or consciousness that may also be accompanied by emotional or psychomotor disturbances describes: A) A. CVA B) B. Delirium C) C. Dementia D) D. Parkinson's disease - B Your geriatric patient has been experiencing vomiting, intermittent abdominal pain, and bilious emesis. The patient may be suffering from: A) A. An aneurysm B) B. Bowel obstruction C) C. COPD D) D. Urinary tract infection - B Neuroleptics are prescribed for: A) A. Chest pain B) B. Psychiatric disorders C) C. Relief of chronic pain D) D. Seizure disorders - B Name the four cardinal signs of Parkinson's disease. A) A. Tremors, bradykinesia, memory deficits, and rigidity B) B. Tremors, bradykinesia, postural instability, and rigidity C) C. Weakness, tachykinesia, postural instability, and rigidity D) D. Weakness, tremors, cycling of questions, and memory deficits - B Which of the following most accurately defines presbyopia? A) A. Inability to see clearly at close proximity, usually occurring in those over 40 years old B) B. Inability to see clearly at far distances, usually occurring in those over 40 years old C) C. Inability to see clearly at far distances, usually occurring at a young age D) D. Inability to see clearly at nighttime - A Which of the following most accurately defines glaucoma? A) A. A group of eye diseases resulting in vision loss from a stroke B) B. A group of eye diseases resulting in vision loss from damage to cranial nerve V2 C) C. A group of eye diseases resulting in vision loss from damage to the brain D) D. A group of eye diseases resulting in vision loss from damage to the optic nerve, caused by an increase in ocular pressure - D Which of the following most accurately defines osteoporosis? A) A. Common bone disease found at birth B) B. Most common bone disease found in Asia, causing an increase in bone mass C) C. Most common bone disease in the United States, causing loss of bone mass D) D. Rare bone disease found in the younger population - C Which of the following describes the risk factors for substance abuse? A) A. Anxiety, loss of employment, limited monetary resources, loneliness, poor health B) B. Depression, loss of employment, limited monetary resources, loneliness, poor health C) C. Depression, loss of employment, memory loss, loneliness, poor health D) D. Depression, loss of employment, unlimited monetary resources, loneliness, poor health - B You suspect a 72-year-old male patient has an upper GI bleed; he is hypotensive and has tarry stool. Initial care includes: A) d. Paralyzing the patient and performing intubation B) c. Packing the bowel with dressings to tamponade the bleeding C) a. Establishing two large-bore IVs D) b. Administering oral fluids - C A risk factor for clinical hypothyroidism is: A) a. Medication noncompliance B) b. Poor weight management C) d. Smoking D) c. Sedentary lifestyle - A A feature of an assisted living facility is: A) a. Constant registered nurse supervision B) c. Medication administration C) d. Regular bedside care D) b. Provided meals and property maintenance - D Why should an elderly patient with a head injury receive transport even if asymptomatic? A) b. Elderly people have a decreased brain volume, which allows more room for the brain to move. B) c. Elderly people who have sustained head injuries often have neck fractures as well.