NR 601 MIDTERM EXAM QUESTIONS
AND CORRECT ANSWERS
The 4 main domains of clinical preventive services that you will provide are ✅✅ANSW-Counseling
interventions, screening tests, immunizations, chemoprophylaxis
What is the appropriate method for TB screening of an older adult entering a nursing home
✅✅ANSW-5 TBU intradermal PPD injection and if negative, repeat with same dose one week later
The term "geriatric syndrome" is best described ✅✅ANSW-Condition that has multiple
underlying factors and involves multiple systems
Atypical presentation of acute coronary syndrome is ✅✅ANSW-More common in females
What disease can mimic and often co-exists with MI in elderly with CAD ✅✅ANSW-Esophageal
disease
Thoracic aortic dissection presents typically as ✅✅ANSW-Severe retrosternal CP that radiates to
the back and both arms
Bordetella pertussis is best characterized ✅✅ANSW-Sub-acute cough lasting >2 weeks
Routine testing of TB should occur in all of the following vulnerable populations except
✅✅ANSW-hospitalized elderly
Distinguishing delirium from dementia can be problematic since they may co-exist. The primary
consideration in the DD is ✅✅ANSW-Rapid change and fluctuating course of cognitive function
Evidence shows that the most important predictor of a fall is ✅✅ANSW-Prior history of a fall
The most cost-effective interventions used to prevent falls are ✅✅ANSW-Home modifications
and vitamin D supplements
,Chronic fatigue syndrome is best described as ✅✅ANSW-Fatigue lasting longer than 6 months
and not relieved by rest
Risk factors associated with the finding of a malignancy in a patient with hemoptysis include all of
the following except ✅✅ANSW-Childhood asthma
The most common cause of disability in the elderly is ✅✅ANSW-Arthritis
Drug-induced pruritis is distinguished because it ✅✅ANSW-May occur right after drug is taken or
months later
A key symptom of ischemia heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalents are important because ✅✅ANSW-Women with ischemic
heart disease many times don't present with chest pain. Some patient's may have no symptoms or
atypical symptoms so diagnosis may only be made at the time of the actual MI
Which test is clinic standard for assessment of aortic stenosis ✅✅ANSW-Echocardiogram
Ischemic heart disease is ✅✅ANSW-Defined as an imbalance between O2 supply and demand,
frequently manifested as angina, leading cause of death in the elderly
Preceding a stress test, the following lab work might include ✅✅ANSW-CBC with diff to
differentiate ischemic heart disease from anemia, thyroid studies to rule out hyperthyroidism
On exam, what type of murmur can be auscultation with aortic regurgitation ✅✅ANSW-Austin
Flint
Which of the following statements is true regarding anti-arrhythmic drugs ✅✅ANSW-Most anti-
arrhythmic have low toxic/therapeutic ratio and some are exceeding toxic
In mitral stenosis, p waves may suggest ✅✅ANSW-Left atrial enlargement
Aortic regurgitation requires medical treatment for early signs of CHF with ✅✅ANSW-ACEi
, The best evidence rating drugs in a post MI pt include ✅✅ANSW-ASA, ACEi/ARB, BB, aldosterone
blockade
55 year old post-menopausal woman with h/o HTN c/o jaw pain on heavy exertion. No c/o CP. EKG is
normal sinus rhythm without ST segment abnormalities. Your plan may include ✅✅ANSW-
Exercise stress test
What is the most common valvular heart disease in the elderly ✅✅ANSW-Aortic stenosis
Elderly may present with atypical signs of pneumonia. You may need to be aware that clustering of
all of the following s/s may indicate pneumonia in the elderly except ✅✅ANSW-Bradycardia
A common auscultory finding in CHF is ✅✅ANSW-S3
The most common organism responsible for CAP in the elderly is ✅✅ANSW-Strep pneumoniae
72 year old woman and her husband are driving cross country. After a long day of driving, they stop
to eat. Midway through the meal, the woman because very SOB with CP and a sense of panic. Which
problem is most likely ✅✅ANSW-Pulmonary embolism
Exercise recommended for elderly should include activities that ✅✅ANSW-Strengthen muscles
Preferred amount of exercise for elderly is ✅✅ANSW-30 min of aerobic activity a day 5 days a
week.
Which of the following medical conditions is not considered restrictive for engaging in physical
activity ✅✅ANSW-Depression
The best recommendation for patient who says they have no equipment to exercise is ✅✅ANSW-
Improvise with recommended objects at home that can be used
When you recommend exercise for the elderly which of the following pieces of advice should be
considered for all types of exercise ✅✅ANSW-Start low and go slow
AND CORRECT ANSWERS
The 4 main domains of clinical preventive services that you will provide are ✅✅ANSW-Counseling
interventions, screening tests, immunizations, chemoprophylaxis
What is the appropriate method for TB screening of an older adult entering a nursing home
✅✅ANSW-5 TBU intradermal PPD injection and if negative, repeat with same dose one week later
The term "geriatric syndrome" is best described ✅✅ANSW-Condition that has multiple
underlying factors and involves multiple systems
Atypical presentation of acute coronary syndrome is ✅✅ANSW-More common in females
What disease can mimic and often co-exists with MI in elderly with CAD ✅✅ANSW-Esophageal
disease
Thoracic aortic dissection presents typically as ✅✅ANSW-Severe retrosternal CP that radiates to
the back and both arms
Bordetella pertussis is best characterized ✅✅ANSW-Sub-acute cough lasting >2 weeks
Routine testing of TB should occur in all of the following vulnerable populations except
✅✅ANSW-hospitalized elderly
Distinguishing delirium from dementia can be problematic since they may co-exist. The primary
consideration in the DD is ✅✅ANSW-Rapid change and fluctuating course of cognitive function
Evidence shows that the most important predictor of a fall is ✅✅ANSW-Prior history of a fall
The most cost-effective interventions used to prevent falls are ✅✅ANSW-Home modifications
and vitamin D supplements
,Chronic fatigue syndrome is best described as ✅✅ANSW-Fatigue lasting longer than 6 months
and not relieved by rest
Risk factors associated with the finding of a malignancy in a patient with hemoptysis include all of
the following except ✅✅ANSW-Childhood asthma
The most common cause of disability in the elderly is ✅✅ANSW-Arthritis
Drug-induced pruritis is distinguished because it ✅✅ANSW-May occur right after drug is taken or
months later
A key symptom of ischemia heart disease is chest pain. However, angina equivalents may include
exertional dyspnea. Angina equivalents are important because ✅✅ANSW-Women with ischemic
heart disease many times don't present with chest pain. Some patient's may have no symptoms or
atypical symptoms so diagnosis may only be made at the time of the actual MI
Which test is clinic standard for assessment of aortic stenosis ✅✅ANSW-Echocardiogram
Ischemic heart disease is ✅✅ANSW-Defined as an imbalance between O2 supply and demand,
frequently manifested as angina, leading cause of death in the elderly
Preceding a stress test, the following lab work might include ✅✅ANSW-CBC with diff to
differentiate ischemic heart disease from anemia, thyroid studies to rule out hyperthyroidism
On exam, what type of murmur can be auscultation with aortic regurgitation ✅✅ANSW-Austin
Flint
Which of the following statements is true regarding anti-arrhythmic drugs ✅✅ANSW-Most anti-
arrhythmic have low toxic/therapeutic ratio and some are exceeding toxic
In mitral stenosis, p waves may suggest ✅✅ANSW-Left atrial enlargement
Aortic regurgitation requires medical treatment for early signs of CHF with ✅✅ANSW-ACEi
, The best evidence rating drugs in a post MI pt include ✅✅ANSW-ASA, ACEi/ARB, BB, aldosterone
blockade
55 year old post-menopausal woman with h/o HTN c/o jaw pain on heavy exertion. No c/o CP. EKG is
normal sinus rhythm without ST segment abnormalities. Your plan may include ✅✅ANSW-
Exercise stress test
What is the most common valvular heart disease in the elderly ✅✅ANSW-Aortic stenosis
Elderly may present with atypical signs of pneumonia. You may need to be aware that clustering of
all of the following s/s may indicate pneumonia in the elderly except ✅✅ANSW-Bradycardia
A common auscultory finding in CHF is ✅✅ANSW-S3
The most common organism responsible for CAP in the elderly is ✅✅ANSW-Strep pneumoniae
72 year old woman and her husband are driving cross country. After a long day of driving, they stop
to eat. Midway through the meal, the woman because very SOB with CP and a sense of panic. Which
problem is most likely ✅✅ANSW-Pulmonary embolism
Exercise recommended for elderly should include activities that ✅✅ANSW-Strengthen muscles
Preferred amount of exercise for elderly is ✅✅ANSW-30 min of aerobic activity a day 5 days a
week.
Which of the following medical conditions is not considered restrictive for engaging in physical
activity ✅✅ANSW-Depression
The best recommendation for patient who says they have no equipment to exercise is ✅✅ANSW-
Improvise with recommended objects at home that can be used
When you recommend exercise for the elderly which of the following pieces of advice should be
considered for all types of exercise ✅✅ANSW-Start low and go slow
