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PRITE - GERIATRICS Questions with Detailed Verified
Answers
D. Frequent small sips of water Ans: ✓ ✓ ✓ A 91 year old hospice patient with severe cachexia,
end-stage dementia, renal impairment has stopped eating and drinking. Which of the following
comfort measures would be most appropriate?
A. Total Parenteral nutrition
B. IV hydration
C. Nasogastric tube feeding
D. Frequent small sips of water
E. Appetite-inducing medications
A. Sex education Ans: ✓ ✓ ✓ A 75 year old man and his 72 year old wife present requesting marital
therapy. They describe interesting conflict beginning about a decade ago when the wife began
refusing sexual activity. The husband explains that he still desires an intimate relationship and is
frustrated and hurt that his wife refuses him. She says that she does not see herself as "sexy" and
cannot understand how her husband could still desire her. She has occasionally suggested he find
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"some younger woman." He is insulted by these suggestions, saying that he would never stray from
the marriage. In treating this couple, the initial approach should incorporate which of the following
interventions?
A. Sex education
B. Sildenafil treatment
C. Sensate focus exercises
D. Testosterone replacement therapy
E. Cognitive Behavioral therapy
E. Information processing speed Ans: ✓ ✓ ✓ Which of the following neurocognitive functions is
most likely to show a decline in people over age 65?
A. Attention span
B. Language
C. Long-term memory
D. Simple pattern recognition
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E. Information processing speed
B. has a ceiling effect for well-educated persons Ans: ✓ ✓ ✓ A 62 yea old patient is referred for
complaints of memory problems. The patient reports feeling more forgetful and give example of
"losing my keys, handbag, or forgetting the names of acquaintances." The patient denies any other
neurocognitive symptoms. Family member confirm the patient's report, and feel that this has been
a gradual change over the last year. Family members report that the patient is a former history
professor who continues to enjoy intellectual activities, and they need to prepare if the patient is
going to lose these capabilities as a result of dementia. The standard MMSE would be a relatively
insensitive instrument for this patient because it:
A. has not been validate in people of the same age
B. has a ceiling effect for well-educated persons
C. requires considerable training and is not practical in the clinical setting
D. was designed to be a diagnostic tool rather than a general cognitive assessment
E. focuses on attention and immediate recall, which are not the primary complaints
A. Electrolytes - SSRI cause SIADH and hyponatremia, which increase thirst drive and intake of
hypotonic fluids, further worsening hyponatremia. Check Na+ Ans: ✓ ✓ ✓ A 70 year old patient
with mild early Alzheimer disease who lives with a family member has recently been prescribed an
SSRI for depression. The patient also has HTN, adult onset DM and rheumatoid arthritis, which have
been stable and well-controlled with medication. The patient develops acute confusion but no
other medical or psychiatric symptoms. Which of the follwoign tests should be ordered first to
determine the etiology of the patient's confusion?
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A. Electrolytes
B. Cardiac enzymes
C. Liver function tests
D. Thyroid function tests
E. ESR
A. Changes in renal clearance make lithium problematic to use Ans: ✓ ✓ ✓ Valproate is more
commonly used than Lithium for Bipolar Disorder in adults over age 65 and this treatment
preference is best justified by:
A. Changes in renal clearance make lithium problematic to use
B. Valproate appears to be superior to lithium in comparison to trials
C. Lithium is more likely to interact with other drugs commonly used
D. The half-life of valproate is less affected by the physiological changes
E. Blood serum Valproate levels more accurately reflect the active quantity available to the brain .
D. MDD with psychosis Ans: ✓ ✓ ✓ A 79 year old man presents to the doctor c/o possibly having a
"venereal disease", explaining that he had an affair and these he contracted an STD. The patient
reports poor appetite, sleep, and energy for the last month, but claims these are only because "I
feel miserable and guilty, and cannot stop thinking about it." The patient's spouse, who is present,
© Get it right 2025 Getaway - Stuvia US All rights reserved
PRITE - GERIATRICS Questions with Detailed Verified
Answers
D. Frequent small sips of water Ans: ✓ ✓ ✓ A 91 year old hospice patient with severe cachexia,
end-stage dementia, renal impairment has stopped eating and drinking. Which of the following
comfort measures would be most appropriate?
A. Total Parenteral nutrition
B. IV hydration
C. Nasogastric tube feeding
D. Frequent small sips of water
E. Appetite-inducing medications
A. Sex education Ans: ✓ ✓ ✓ A 75 year old man and his 72 year old wife present requesting marital
therapy. They describe interesting conflict beginning about a decade ago when the wife began
refusing sexual activity. The husband explains that he still desires an intimate relationship and is
frustrated and hurt that his wife refuses him. She says that she does not see herself as "sexy" and
cannot understand how her husband could still desire her. She has occasionally suggested he find
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
"some younger woman." He is insulted by these suggestions, saying that he would never stray from
the marriage. In treating this couple, the initial approach should incorporate which of the following
interventions?
A. Sex education
B. Sildenafil treatment
C. Sensate focus exercises
D. Testosterone replacement therapy
E. Cognitive Behavioral therapy
E. Information processing speed Ans: ✓ ✓ ✓ Which of the following neurocognitive functions is
most likely to show a decline in people over age 65?
A. Attention span
B. Language
C. Long-term memory
D. Simple pattern recognition
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
E. Information processing speed
B. has a ceiling effect for well-educated persons Ans: ✓ ✓ ✓ A 62 yea old patient is referred for
complaints of memory problems. The patient reports feeling more forgetful and give example of
"losing my keys, handbag, or forgetting the names of acquaintances." The patient denies any other
neurocognitive symptoms. Family member confirm the patient's report, and feel that this has been
a gradual change over the last year. Family members report that the patient is a former history
professor who continues to enjoy intellectual activities, and they need to prepare if the patient is
going to lose these capabilities as a result of dementia. The standard MMSE would be a relatively
insensitive instrument for this patient because it:
A. has not been validate in people of the same age
B. has a ceiling effect for well-educated persons
C. requires considerable training and is not practical in the clinical setting
D. was designed to be a diagnostic tool rather than a general cognitive assessment
E. focuses on attention and immediate recall, which are not the primary complaints
A. Electrolytes - SSRI cause SIADH and hyponatremia, which increase thirst drive and intake of
hypotonic fluids, further worsening hyponatremia. Check Na+ Ans: ✓ ✓ ✓ A 70 year old patient
with mild early Alzheimer disease who lives with a family member has recently been prescribed an
SSRI for depression. The patient also has HTN, adult onset DM and rheumatoid arthritis, which have
been stable and well-controlled with medication. The patient develops acute confusion but no
other medical or psychiatric symptoms. Which of the follwoign tests should be ordered first to
determine the etiology of the patient's confusion?
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
A. Electrolytes
B. Cardiac enzymes
C. Liver function tests
D. Thyroid function tests
E. ESR
A. Changes in renal clearance make lithium problematic to use Ans: ✓ ✓ ✓ Valproate is more
commonly used than Lithium for Bipolar Disorder in adults over age 65 and this treatment
preference is best justified by:
A. Changes in renal clearance make lithium problematic to use
B. Valproate appears to be superior to lithium in comparison to trials
C. Lithium is more likely to interact with other drugs commonly used
D. The half-life of valproate is less affected by the physiological changes
E. Blood serum Valproate levels more accurately reflect the active quantity available to the brain .
D. MDD with psychosis Ans: ✓ ✓ ✓ A 79 year old man presents to the doctor c/o possibly having a
"venereal disease", explaining that he had an affair and these he contracted an STD. The patient
reports poor appetite, sleep, and energy for the last month, but claims these are only because "I
feel miserable and guilty, and cannot stop thinking about it." The patient's spouse, who is present,
© Get it right 2025 Getaway - Stuvia US All rights reserved
