PRIMARY CARE OF THE MATURING
AND AGED FAMILY PRACTICUM (NR60)
QUESTIONS WITH CORRECT ANSWERS
(LATEST ), (A+ GUARANTEE).
1. A 78-year-old patient presents with acute confusion, fluctuating levels of consciousness,
and inattention following a hip replacement. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Major Depressive Disorder
C. Delirium
D. Vascular Dementia
Answer: C
Conceptual Explanation: Delirium is characterized by acute onset, fluctuating course, and
inattention, often triggered by surgery, medications, or infection in older adults.
2. Which of the following is considered a ‘Potentially Inappropriate Medication’ for older
adults according to the Beers Criteria due to its high anticholinergic risk?
A. Metformin
B. Lisinopril
C. Amitriptyline
,D. Atorvastatin
Answer: C
Conceptual Explanation: Amitriptyline is a highly anticholinergic tricyclic antidepressant
that increases risks of falls, sedation, and cognitive impairment in the elderly.
3. When evaluating a 72-year-old for fall risk, which score on the Timed Up and Go (TUG) test
indicates a high risk for falls?
A. Under 10 seconds
B. 10-12 seconds
C. Over 12 seconds
D. Exactly 5 seconds
Answer: C
Conceptual Explanation: A TUG score of 12 seconds or more is generally used as a cutoff
point to identify individuals at a higher risk for falls.
4. An 82-year-old patient with multiple comorbidities has a HbA1c of 7.9%. According to the
American Diabetes Association, what is the most appropriate action?
A. Aggressively increase insulin to reach a target of <7.0%
B. Start high-dose Sulfonylureas immediately
C. Maintain current therapy as the target for frail elderly is <8.0-8.5%
D. Restrict all carbohydrate intake to 10g per day
, Answer: C
Conceptual Explanation: For older adults with multiple chronic illnesses and functional
dependencies, a less stringent HbA1c target of <8.0% or 8.5% is recommended to prevent
hypoglycemia.
5. Which screening tool is most specific for identifying depression in the geriatric population,
focusing on somatic symptoms less than standard tools?
A. PHQ-9
B. MMSE
C. Geriatric Depression Scale (GDS)
D. CAGE Questionnaire
Answer: C
Conceptual Explanation: The GDS is specifically designed for older adults and minimizes
the weight of physical symptoms which can overlap with normal aging or medical illness.
6. A 65-year-old female presents for a bone density scan. Her T-score is -2.6. How is this
classified?
A. Osteopenia
B. Normal bone density
C. Osteoporosis
D. Osteogenesis imperfecta
AND AGED FAMILY PRACTICUM (NR60)
QUESTIONS WITH CORRECT ANSWERS
(LATEST ), (A+ GUARANTEE).
1. A 78-year-old patient presents with acute confusion, fluctuating levels of consciousness,
and inattention following a hip replacement. What is the most likely diagnosis?
A. Alzheimer’s Disease
B. Major Depressive Disorder
C. Delirium
D. Vascular Dementia
Answer: C
Conceptual Explanation: Delirium is characterized by acute onset, fluctuating course, and
inattention, often triggered by surgery, medications, or infection in older adults.
2. Which of the following is considered a ‘Potentially Inappropriate Medication’ for older
adults according to the Beers Criteria due to its high anticholinergic risk?
A. Metformin
B. Lisinopril
C. Amitriptyline
,D. Atorvastatin
Answer: C
Conceptual Explanation: Amitriptyline is a highly anticholinergic tricyclic antidepressant
that increases risks of falls, sedation, and cognitive impairment in the elderly.
3. When evaluating a 72-year-old for fall risk, which score on the Timed Up and Go (TUG) test
indicates a high risk for falls?
A. Under 10 seconds
B. 10-12 seconds
C. Over 12 seconds
D. Exactly 5 seconds
Answer: C
Conceptual Explanation: A TUG score of 12 seconds or more is generally used as a cutoff
point to identify individuals at a higher risk for falls.
4. An 82-year-old patient with multiple comorbidities has a HbA1c of 7.9%. According to the
American Diabetes Association, what is the most appropriate action?
A. Aggressively increase insulin to reach a target of <7.0%
B. Start high-dose Sulfonylureas immediately
C. Maintain current therapy as the target for frail elderly is <8.0-8.5%
D. Restrict all carbohydrate intake to 10g per day
, Answer: C
Conceptual Explanation: For older adults with multiple chronic illnesses and functional
dependencies, a less stringent HbA1c target of <8.0% or 8.5% is recommended to prevent
hypoglycemia.
5. Which screening tool is most specific for identifying depression in the geriatric population,
focusing on somatic symptoms less than standard tools?
A. PHQ-9
B. MMSE
C. Geriatric Depression Scale (GDS)
D. CAGE Questionnaire
Answer: C
Conceptual Explanation: The GDS is specifically designed for older adults and minimizes
the weight of physical symptoms which can overlap with normal aging or medical illness.
6. A 65-year-old female presents for a bone density scan. Her T-score is -2.6. How is this
classified?
A. Osteopenia
B. Normal bone density
C. Osteoporosis
D. Osteogenesis imperfecta
