NR 601 CHAMBERLAIN GERIATRIC
UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services
. An 86-year-old female comes to your office for a wellness visit.
Her blood pressure is 125/70 mmHg, pulse 69 beats per min,
and respiratory rate 18 breaths per min. She is well appearing
and reports she is up to date on her routine vaccinations. She
introduces her partner of 35 years whom she would like to make
medical decisions for her in case she becomes unable to make
decisions for herself. She reports that she and her partner are
not married. She asks if she needs any further documentation to
ensure her goals of care are followed. Which one of the
following would be the most appropriate recommendation for
this patient and her partner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documentation to be
recognized legally.
c. Advise them to file an advanced directive.
d. Respond that although they lack documentation, her partner
will be recognized de facto - Answer: c
,. An 81-year-old transgender female with history of depression
and hyperlipidemia presents to your clinic for routine care. She
endorses a history of smoking, currently smoking 1 pack per day,
and occasionally drinks a glass of wine, although she denies illicit
drug use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy. Which of the following is the
most important next step in this patient's primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram - Answer: c
3. An 84-year-old male with history of stroke without residual
deficit, systolic heart failure, and type 2 diabetes presents to
clinic for follow-up. He is independently living in a retirement
community and still works part time on a golf course. He
currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID
(twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily.
He reports his last colonoscopy was 8 years ago, with no
abnormality. He reports he is sexually active with men and
women, engaging in receptive oral, receptive anal, and
penetrative sex. He states he has had over three sexual partners
in the last year with intermittent condom use. What sexually
transmitted infection testing should be offered?
,a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing, anal swab, and oropharyngeal
swab - Answer: d
1. Which of the following is true about tolterodine?
a. It should be avoided in men with prostatic hypertrophy.
b. It increases the risk of constipation compared with oral
oxybutynin.
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its twice-daily
formulation. - Answer: d
2. An 82-year-old man, Mr. A, complains of worsening nocturia,
occurring four times per night. His other lower urinary tract
symptoms are slow stream, occasional urgency, and urgency-
related leakage once weekly. Medical problems include poorly
controlled hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include
lisinopril 20 mg daily, metoprolol succinate 75 mg daily,
atorvastatin 10 mg daily, metformin 500 mg twice daily,
hydrocodone-acetaminophen as needed, and aspirin 81 mg
daily. Amlodipine 5 mg daily was recently added by his
, cardiologist. On review of systems, Mr. A complains that
nocturia is causing daytime fatigue, and he is more constipated.
Physical examination is notable for blood pressure 162/83
mmHg, heart rate 60 beats per minute, clear lungs, soft
abdomen, enlarged prostate, and 21 pretibial edema. Your next
step in management should be:
a. Stop hy - Answer: b
3. The daughter of a 79-year-old woman notes that her mother,
who has dementia and lives with her, is wetting herself when
she attends her new day program. Program staff have requested
that "something be done" as she is requiring a clothes change
nearly every time she is there. She cannot describe the
circumstances of leakage, saying "it just comes." Leakage is
uncommon at home. Her medications include donepezil and
acetaminophen. Physical examination is normal. Initial
treatment approach will require intervention by which of the
following?
a. Mrs. A's physician
b. Mrs. A's daughter
c. Day program staff
d. Physical therapist through a home care agency - Answer: c
4. Ms. J, who is 82 years old, complains of urine leakage while
UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services
. An 86-year-old female comes to your office for a wellness visit.
Her blood pressure is 125/70 mmHg, pulse 69 beats per min,
and respiratory rate 18 breaths per min. She is well appearing
and reports she is up to date on her routine vaccinations. She
introduces her partner of 35 years whom she would like to make
medical decisions for her in case she becomes unable to make
decisions for herself. She reports that she and her partner are
not married. She asks if she needs any further documentation to
ensure her goals of care are followed. Which one of the
following would be the most appropriate recommendation for
this patient and her partner?
a. Advise them to complete a POLST.
b. Advise them that they have adequate documentation to be
recognized legally.
c. Advise them to file an advanced directive.
d. Respond that although they lack documentation, her partner
will be recognized de facto - Answer: c
,. An 81-year-old transgender female with history of depression
and hyperlipidemia presents to your clinic for routine care. She
endorses a history of smoking, currently smoking 1 pack per day,
and occasionally drinks a glass of wine, although she denies illicit
drug use. She reports she takes atorvastatin 20 mg and
subcutaneous estrogen therapy. Which of the following is the
most important next step in this patient's primary care?
a. Counseling on starting aspirin
b. Counseling on alcohol cessation
c. Counseling on smoking cessation
d. Counseling on mammogram - Answer: c
3. An 84-year-old male with history of stroke without residual
deficit, systolic heart failure, and type 2 diabetes presents to
clinic for follow-up. He is independently living in a retirement
community and still works part time on a golf course. He
currently takes aspirin 81 mg, metoprolol tartrate 25 mg BID
(twice a day), furosemide 20 mg BID, and lisinopril 10 mg daily.
He reports his last colonoscopy was 8 years ago, with no
abnormality. He reports he is sexually active with men and
women, engaging in receptive oral, receptive anal, and
penetrative sex. He states he has had over three sexual partners
in the last year with intermittent condom use. What sexually
transmitted infection testing should be offered?
,a. Urine testing
b. Urine testing, blood testing
c. Urine testing, blood testing, anal swab
d. Urine testing, blood testing, anal swab, and oropharyngeal
swab - Answer: d
1. Which of the following is true about tolterodine?
a. It should be avoided in men with prostatic hypertrophy.
b. It increases the risk of constipation compared with oral
oxybutynin.
c. It acts by ablating detrusor spasms.
d. It has greater risk of adverse effects with its twice-daily
formulation. - Answer: d
2. An 82-year-old man, Mr. A, complains of worsening nocturia,
occurring four times per night. His other lower urinary tract
symptoms are slow stream, occasional urgency, and urgency-
related leakage once weekly. Medical problems include poorly
controlled hypertension, diastolic heart failure, hyperlipidemia,
osteoarthritis, and prediabetes. His medications include
lisinopril 20 mg daily, metoprolol succinate 75 mg daily,
atorvastatin 10 mg daily, metformin 500 mg twice daily,
hydrocodone-acetaminophen as needed, and aspirin 81 mg
daily. Amlodipine 5 mg daily was recently added by his
, cardiologist. On review of systems, Mr. A complains that
nocturia is causing daytime fatigue, and he is more constipated.
Physical examination is notable for blood pressure 162/83
mmHg, heart rate 60 beats per minute, clear lungs, soft
abdomen, enlarged prostate, and 21 pretibial edema. Your next
step in management should be:
a. Stop hy - Answer: b
3. The daughter of a 79-year-old woman notes that her mother,
who has dementia and lives with her, is wetting herself when
she attends her new day program. Program staff have requested
that "something be done" as she is requiring a clothes change
nearly every time she is there. She cannot describe the
circumstances of leakage, saying "it just comes." Leakage is
uncommon at home. Her medications include donepezil and
acetaminophen. Physical examination is normal. Initial
treatment approach will require intervention by which of the
following?
a. Mrs. A's physician
b. Mrs. A's daughter
c. Day program staff
d. Physical therapist through a home care agency - Answer: c
4. Ms. J, who is 82 years old, complains of urine leakage while
