Geriatric Comprehensive Assessment
Exam Questions and Answers 100%
Correct
What is the comprehensive geriatric assessment? - ANSWER - identifies medical, psychosocial,
and functional limitations in older patients with geriatric syndrome
Who should have a comprehensive geriatric exam? - ANSWER - older patients with:
-medical problems
-psychosocial disorders
-dementia
T/F Decline in function and loss of independence are inevitable with aging - ANSWER - false
Difference between a CGA and standard exam - ANSWER - -extensive review of rx and non rx-
meds
-includes non medical domains (religion)
-emphasis on functional capacity and QOL
-incorporates a MULTIDISCIPLINARY TEAM
Core components of CGA - ANSWER - 1. functional capacity
2. fall risk
3. cognition
4. mood
5. polypharmacy
6. social support
7. financial concerns
8. goals of care
9. advance care preferences
, Tinetti balance and gait eval ("get up and go") - ANSWER - observe as pt gets up from a chair
without using their arms, walks 10 feet, turns around, walks back, and returns to seated position
normal time: 7-10 seconds
>30= functionally dependent
How can older persons decrease their fall risk? - ANSWER - exercise
PT
home hazard assessment
stop taking psychotropic meds
Osteoporosis screening recommendations - ANSWER - women >65 y/o with DEXA scan of the
femoral neck
T score of -2.5 or lower = osteoporosis
-1--> -2.5 = osteopenia
tx: calcium citrate
osteoporosis may result in low impact or spontaneous fx
What is the most widely used cognitive test for dementia? - ANSWER - MMSE
Two key divisions of functional status - ANSWER - basic activities of daily living (ADL)
instrumental/intermediate activities of daily living (IADL)
deficits in either can indicate the need for more in depth evaluations of the patient's
circumstances
Exam Questions and Answers 100%
Correct
What is the comprehensive geriatric assessment? - ANSWER - identifies medical, psychosocial,
and functional limitations in older patients with geriatric syndrome
Who should have a comprehensive geriatric exam? - ANSWER - older patients with:
-medical problems
-psychosocial disorders
-dementia
T/F Decline in function and loss of independence are inevitable with aging - ANSWER - false
Difference between a CGA and standard exam - ANSWER - -extensive review of rx and non rx-
meds
-includes non medical domains (religion)
-emphasis on functional capacity and QOL
-incorporates a MULTIDISCIPLINARY TEAM
Core components of CGA - ANSWER - 1. functional capacity
2. fall risk
3. cognition
4. mood
5. polypharmacy
6. social support
7. financial concerns
8. goals of care
9. advance care preferences
, Tinetti balance and gait eval ("get up and go") - ANSWER - observe as pt gets up from a chair
without using their arms, walks 10 feet, turns around, walks back, and returns to seated position
normal time: 7-10 seconds
>30= functionally dependent
How can older persons decrease their fall risk? - ANSWER - exercise
PT
home hazard assessment
stop taking psychotropic meds
Osteoporosis screening recommendations - ANSWER - women >65 y/o with DEXA scan of the
femoral neck
T score of -2.5 or lower = osteoporosis
-1--> -2.5 = osteopenia
tx: calcium citrate
osteoporosis may result in low impact or spontaneous fx
What is the most widely used cognitive test for dementia? - ANSWER - MMSE
Two key divisions of functional status - ANSWER - basic activities of daily living (ADL)
instrumental/intermediate activities of daily living (IADL)
deficits in either can indicate the need for more in depth evaluations of the patient's
circumstances
