N6540 Midterm
What are the physiological changes of aging - ANS1. Reduced physiological reserve of most
body systems
2.Reduced homeostatic mechanisms that fail to adjust
3. Changes in the sympathetic response
4. Impaired immunological function- infection risk is greater and autoimmune diseases are more
prevalent.
What factors influence lab value interpretation in the older adult - ANS1. physiological changes
with aging
2. the prevalence of chronic disease
3. changes in nutritional and fluid intake
4. Lifestyle
What lab values is important - ANSCreatinine clearance, GFR and renal function
What are examples of drugs are eliminated renally - ANSDigoxin, H2 blockers, lithium and
water-soluable antibiotics
What are the two formulas to evaluate the kidney function - ANSThe Cockcroft-Gault formula
and the Modification of Diet in Renal Disease (MDRD)
What neurological conditions commonly have an initial onset in older age? - ANSParkinson's,
dementia, stroke, and complex partial seizures
What are geriatric syndromes - ANSDiseases that involve multiple systems and have more than
one underlying cause
What are the geriatric syndrome giants currently - ANSFrailty, anorexia of aging, sarcopenia and
cognitive impariment
What are bimodal presentations of disease - ANSDiseases that can present in a younger age
and an older age.
What are examples of bimodal diseases? - ANSPsoriasis, Inflammatory bowel disease,
Ulcerative Colitis, Crohn's disease, Hodgkin's lymphoma, and myasthenia gravis
What is primary prevention? - ANSActivities to prevent the occurrence of a disease or adverse,
including mental health
, What is secondary prevention - ANSTasks directed towards detection of a disease or adverse
health condition in an asymptomatic individual who has risk factors
What is tertiary prevention - ANSThe management of existing conditions to prevent disability
and minimize complications to prevent disability for optimal function
What is the key to increasing geriatric physical activity - ANSmotivation
What is the nutrition screening tool for community dwelling older adults - ANSMini-Nutritional
Assessment (MNA)
What factors affect maintaining a healthy balanced diet in geriatrics? - ANS1. Chronic illness
and disability-related to ADLs like shopping and meal preparation,
2. Financial hardships-limit food choices
3. Prescribed medications-affects absorption of nutrients, sense of taste or appetite
4. Depression or social isolation
5. Obesity
What is a big influence of geriatric functionality and quality of life? - ANSInjury prevention
What are important 6 areas of geriatric safety prevention - ANS1. Safe storage and removal of
firearms
2. Fall prevention
3. Wearing seatbelts
4. no drinking and driving
5. Having a working smoke detector
6. Keeping hot water set below 120 degrees
Periodic screening of gums and mouth can screen for what? - ANS1. Oral cancer
2. ill-fitting or poorly functioning dentures
3. Periodontal disease
4. Erosion of dentin
5. dependence on others for dental resources
What screening tools are covered by Medicare? - ANS1.HIV
2. Alcohol misuse
3. Smoking cessation
4. Depression
5. High blood pressure
6. Blood glucose r/t cardiovascular risk assessment
7. Lipids screening
8. Mammography until aged 75
9. Osteoporosis
10. Colorectal cancer
What are the physiological changes of aging - ANS1. Reduced physiological reserve of most
body systems
2.Reduced homeostatic mechanisms that fail to adjust
3. Changes in the sympathetic response
4. Impaired immunological function- infection risk is greater and autoimmune diseases are more
prevalent.
What factors influence lab value interpretation in the older adult - ANS1. physiological changes
with aging
2. the prevalence of chronic disease
3. changes in nutritional and fluid intake
4. Lifestyle
What lab values is important - ANSCreatinine clearance, GFR and renal function
What are examples of drugs are eliminated renally - ANSDigoxin, H2 blockers, lithium and
water-soluable antibiotics
What are the two formulas to evaluate the kidney function - ANSThe Cockcroft-Gault formula
and the Modification of Diet in Renal Disease (MDRD)
What neurological conditions commonly have an initial onset in older age? - ANSParkinson's,
dementia, stroke, and complex partial seizures
What are geriatric syndromes - ANSDiseases that involve multiple systems and have more than
one underlying cause
What are the geriatric syndrome giants currently - ANSFrailty, anorexia of aging, sarcopenia and
cognitive impariment
What are bimodal presentations of disease - ANSDiseases that can present in a younger age
and an older age.
What are examples of bimodal diseases? - ANSPsoriasis, Inflammatory bowel disease,
Ulcerative Colitis, Crohn's disease, Hodgkin's lymphoma, and myasthenia gravis
What is primary prevention? - ANSActivities to prevent the occurrence of a disease or adverse,
including mental health
, What is secondary prevention - ANSTasks directed towards detection of a disease or adverse
health condition in an asymptomatic individual who has risk factors
What is tertiary prevention - ANSThe management of existing conditions to prevent disability
and minimize complications to prevent disability for optimal function
What is the key to increasing geriatric physical activity - ANSmotivation
What is the nutrition screening tool for community dwelling older adults - ANSMini-Nutritional
Assessment (MNA)
What factors affect maintaining a healthy balanced diet in geriatrics? - ANS1. Chronic illness
and disability-related to ADLs like shopping and meal preparation,
2. Financial hardships-limit food choices
3. Prescribed medications-affects absorption of nutrients, sense of taste or appetite
4. Depression or social isolation
5. Obesity
What is a big influence of geriatric functionality and quality of life? - ANSInjury prevention
What are important 6 areas of geriatric safety prevention - ANS1. Safe storage and removal of
firearms
2. Fall prevention
3. Wearing seatbelts
4. no drinking and driving
5. Having a working smoke detector
6. Keeping hot water set below 120 degrees
Periodic screening of gums and mouth can screen for what? - ANS1. Oral cancer
2. ill-fitting or poorly functioning dentures
3. Periodontal disease
4. Erosion of dentin
5. dependence on others for dental resources
What screening tools are covered by Medicare? - ANS1.HIV
2. Alcohol misuse
3. Smoking cessation
4. Depression
5. High blood pressure
6. Blood glucose r/t cardiovascular risk assessment
7. Lipids screening
8. Mammography until aged 75
9. Osteoporosis
10. Colorectal cancer
