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The material focuses on primary care of middle-aged and older adults, with emphasis on geriatric assessment, aging, chronic disease management, medication safety, functional status, cognitive health, mental health, prevention, and clinical decision-making. Current NR601 study materials heavily emphasize areas such as Beers Criteria, polypharmacy, ADLs/IADLs, falls, cognitive impairment, chronic disease, and geriatric syndromes.
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NR601 · Primary Care of the Maturing & Aged Family
Final exam · 100 questions · graded review 100/100 shown
Q1 pts
Mrs. G, 72, T2DM, eGFR 38 mL/min. Which oral agent is safest?
Diabetic nephropathy, HbA1c 7.6%
Sitagliptin (DPP-4) – dose adjust
Metformin – contraindicated eGFR<45
Glyburide – high hypoglycemia
Pioglitazone – fluid retention
, correct DPP-4 inhibitors preferred in CKD with dose adjustment.
Q2 pts
Mr. R, 68, acute confusion, fluctuating, UTI. Priority?
Delirium vs dementia
Start donepezil for Alzheimer’s
Treat UTI, review meds, evaluate delirium
Order head CT/MRI
Neurology referral
, incorrect Delirium is acute; treat underlying infection first.
Q3 pts
Ms. A, 80, hypothyroidism, CAD. Levothyroxine approach?
Start low, go slow
25 mcg/day, titrate 12.5 mcg q4-6w
75 mcg/day, recheck TSH 2w
100 mcg/day for rapid control
Liothyronine instead
, correct Low dose reduces angina risk in cardiac patients.
Q4 pts
Mr. J, 74, BPH + HTN. Which alpha-blocker preferred?
CV safety
Tamsulosin 0.4 mg – uroselective
Doxazosin – orthostatic risk
Terazosin – first-dose hypotension
Alfuzosin – moderate BP effect