NR601 / NR-601 Primary Care of Adults
(FNP I) Final Exam 2 Study Set Q & A
(Latest ) Chamberlain
College Of Nursing
1. What is the first-line pharmacologic treatment for generalized anxiety
disorder in older adults?
Selective serotonin reuptake inhibitors (SSRIs)
SSRIs are considered first-line because they are effective and generally well
tolerated in the elderly, with a lower risk profile compared to benzodiazepines.
2. A 72-year-old patient presents with new onset confusion. What is the most
appropriate first diagnostic step?
Urinalysis
Urinary tract infections are a common reversible cause of acute confusion in
older adults and should be ruled out early.
3. Which screening tool is most appropriate for assessing cognitive
impairment in a 75-year-old?
Mini-Cog
The Mini-Cog is quick, validated, and effective for detecting cognitive
impairment in older adults.
, 4. What is the most common cause of hypothyroidism in older adults?
Hashimoto’s thyroiditis
Autoimmune thyroiditis remains the leading cause of hypothyroidism even in
elderly populations.
5. A patient with Parkinson’s disease complains of "wearing-off" symptoms.
What is the best pharmacologic strategy?
Add a COMT inhibitor
COMT inhibitors prolong the effect of levodopa and help reduce motor
fluctuations.
6. In geriatric patients, the most common cause of syncope is:
Orthostatic hypotension
Age-related changes and medications increase the risk of blood pressure drops
upon standing.
7. Which of the following is a contraindication to metformin use?
Chronic kidney disease (eGFR <30 mL/min/1.73 m2)
Metformin carries a risk of lactic acidosis in patients with advanced renal
impairment.
8. The most appropriate initial treatment for osteoarthritis of the knee in the
elderly is:
Acetaminophen
Acetaminophen is first-line due to its safety profile compared to NSAIDs in older
adults.
, 9. A 68-year-old patient presents with resting tremor, bradykinesia, and
rigidity. What is the likely diagnosis?
Parkinson’s disease
This classic triad is highly suggestive of Parkinson’s disease.
10.Which of the following vaccines is recommended annually for older adults?
Influenza vaccine
Annual influenza vaccination is essential due to increased morbidity and
mortality in the elderly.
11.Which condition most commonly mimics dementia but is reversible?
Depression
“Pseudodementia” due to depression can present similarly to cognitive decline
but is treatable.
12.What is the most appropriate screening interval for colon cancer in
average-risk individuals aged 50 to 75?
Every 10 years with colonoscopy
Colonoscopy every 10 years is the standard recommendation for average-risk
adults.
13.The leading cause of blindness in the elderly is:
Macular degeneration
Age-related macular degeneration is the primary cause of vision loss in older
adults.
14.An elderly patient with COPD should receive which two vaccines?
(FNP I) Final Exam 2 Study Set Q & A
(Latest ) Chamberlain
College Of Nursing
1. What is the first-line pharmacologic treatment for generalized anxiety
disorder in older adults?
Selective serotonin reuptake inhibitors (SSRIs)
SSRIs are considered first-line because they are effective and generally well
tolerated in the elderly, with a lower risk profile compared to benzodiazepines.
2. A 72-year-old patient presents with new onset confusion. What is the most
appropriate first diagnostic step?
Urinalysis
Urinary tract infections are a common reversible cause of acute confusion in
older adults and should be ruled out early.
3. Which screening tool is most appropriate for assessing cognitive
impairment in a 75-year-old?
Mini-Cog
The Mini-Cog is quick, validated, and effective for detecting cognitive
impairment in older adults.
, 4. What is the most common cause of hypothyroidism in older adults?
Hashimoto’s thyroiditis
Autoimmune thyroiditis remains the leading cause of hypothyroidism even in
elderly populations.
5. A patient with Parkinson’s disease complains of "wearing-off" symptoms.
What is the best pharmacologic strategy?
Add a COMT inhibitor
COMT inhibitors prolong the effect of levodopa and help reduce motor
fluctuations.
6. In geriatric patients, the most common cause of syncope is:
Orthostatic hypotension
Age-related changes and medications increase the risk of blood pressure drops
upon standing.
7. Which of the following is a contraindication to metformin use?
Chronic kidney disease (eGFR <30 mL/min/1.73 m2)
Metformin carries a risk of lactic acidosis in patients with advanced renal
impairment.
8. The most appropriate initial treatment for osteoarthritis of the knee in the
elderly is:
Acetaminophen
Acetaminophen is first-line due to its safety profile compared to NSAIDs in older
adults.
, 9. A 68-year-old patient presents with resting tremor, bradykinesia, and
rigidity. What is the likely diagnosis?
Parkinson’s disease
This classic triad is highly suggestive of Parkinson’s disease.
10.Which of the following vaccines is recommended annually for older adults?
Influenza vaccine
Annual influenza vaccination is essential due to increased morbidity and
mortality in the elderly.
11.Which condition most commonly mimics dementia but is reversible?
Depression
“Pseudodementia” due to depression can present similarly to cognitive decline
but is treatable.
12.What is the most appropriate screening interval for colon cancer in
average-risk individuals aged 50 to 75?
Every 10 years with colonoscopy
Colonoscopy every 10 years is the standard recommendation for average-risk
adults.
13.The leading cause of blindness in the elderly is:
Macular degeneration
Age-related macular degeneration is the primary cause of vision loss in older
adults.
14.An elderly patient with COPD should receive which two vaccines?
