NR601 ADVANCED GERONTOLOGY
EXAM 4 COMPREHENSIVE QUESTIONS
WITH CORRECT ANSWERS (LATEST
), (A+ GUARANTEE).
1. An 82-year-old patient presents with new-onset visual hallucinations and fluctuating levels
of alertness. Which type of dementia is most likely?
A. Lewy Body Dementia
B. Vascular Dementia
C. Alzheimer’s Disease
D. Frontotemporal Dementia
Answer: A
Conceptual Explanation: Lewy Body Dementia is characterized by visual hallucinations,
parkinsonism, and fluctuating levels of consciousness or alertness.
2. When using the Confusion Assessment Method (CAM) to screen for delirium, which of the
following is a mandatory diagnostic feature?
A. History of dementia
B. Disorganized thinking
C. Acute onset and fluctuating course
,D. Psychomotor agitation
Answer: C
Conceptual Explanation: The CAM diagnosis requires the presence of acute
onset/fluctuating course AND inattention, plus either disorganized thinking or altered level
of consciousness.
3. What is the recommended starting dose of Levothyroxine for a 78-year-old patient with
multiple comorbidities?
A. 12.5 to 25 mcg/day
B. 50 mcg/day
C. 75 mcg/day
D. 1.6 mcg/kg/day
Answer: A
Conceptual Explanation: In older adults, especially those with cardiac history, the rule is
to ‘start low and go slow,’ typically beginning at 12.5 to 25 mcg daily.
4. According to the Beers Criteria, which medication class is most strongly associated with an
increased risk of falls and fractures in the elderly?
A. Proton pump inhibitors
B. Statins
C. ACE inhibitors
, D. Benzodiazepines
Answer: D
Conceptual Explanation: Benzodiazepines increase the risk of falls, syncope, and fractures
due to sedation and impaired coordination in older adults.
5. A frail 85-year-old patient with a history of falls has a HbA1c of 8.2%. What is the most
appropriate management according to ADA guidelines?
A. Increase metformin dose to reach goal <7.0%
B. Maintain current regimen as the goal for frail elderly is <8.0-8.5%
C. Add a sulfonylurea to reach goal <7.5%
D. Initiate insulin therapy immediately
Answer: B
Conceptual Explanation: For older adults with complex health issues and limited life
expectancy, a less stringent HbA1c goal of 8.0-8.5% is appropriate to avoid hypoglycemia.
6. Which of the following is a key differentiator between Palliative Care and Hospice Care?
A. Palliative care is only for terminal illness
B. Palliative care prohibits curative treatments
C. Hospice requires a life expectancy of 6 months or less
D. Hospice can be provided at any stage of a serious illness
EXAM 4 COMPREHENSIVE QUESTIONS
WITH CORRECT ANSWERS (LATEST
), (A+ GUARANTEE).
1. An 82-year-old patient presents with new-onset visual hallucinations and fluctuating levels
of alertness. Which type of dementia is most likely?
A. Lewy Body Dementia
B. Vascular Dementia
C. Alzheimer’s Disease
D. Frontotemporal Dementia
Answer: A
Conceptual Explanation: Lewy Body Dementia is characterized by visual hallucinations,
parkinsonism, and fluctuating levels of consciousness or alertness.
2. When using the Confusion Assessment Method (CAM) to screen for delirium, which of the
following is a mandatory diagnostic feature?
A. History of dementia
B. Disorganized thinking
C. Acute onset and fluctuating course
,D. Psychomotor agitation
Answer: C
Conceptual Explanation: The CAM diagnosis requires the presence of acute
onset/fluctuating course AND inattention, plus either disorganized thinking or altered level
of consciousness.
3. What is the recommended starting dose of Levothyroxine for a 78-year-old patient with
multiple comorbidities?
A. 12.5 to 25 mcg/day
B. 50 mcg/day
C. 75 mcg/day
D. 1.6 mcg/kg/day
Answer: A
Conceptual Explanation: In older adults, especially those with cardiac history, the rule is
to ‘start low and go slow,’ typically beginning at 12.5 to 25 mcg daily.
4. According to the Beers Criteria, which medication class is most strongly associated with an
increased risk of falls and fractures in the elderly?
A. Proton pump inhibitors
B. Statins
C. ACE inhibitors
, D. Benzodiazepines
Answer: D
Conceptual Explanation: Benzodiazepines increase the risk of falls, syncope, and fractures
due to sedation and impaired coordination in older adults.
5. A frail 85-year-old patient with a history of falls has a HbA1c of 8.2%. What is the most
appropriate management according to ADA guidelines?
A. Increase metformin dose to reach goal <7.0%
B. Maintain current regimen as the goal for frail elderly is <8.0-8.5%
C. Add a sulfonylurea to reach goal <7.5%
D. Initiate insulin therapy immediately
Answer: B
Conceptual Explanation: For older adults with complex health issues and limited life
expectancy, a less stringent HbA1c goal of 8.0-8.5% is appropriate to avoid hypoglycemia.
6. Which of the following is a key differentiator between Palliative Care and Hospice Care?
A. Palliative care is only for terminal illness
B. Palliative care prohibits curative treatments
C. Hospice requires a life expectancy of 6 months or less
D. Hospice can be provided at any stage of a serious illness
