NU 518 EXAM 3 - COMPLETE QUESTIONS
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: A 70-year-old retired auto mechanic comes to your
office because his neighbor is concerned about his memory. The
patient himself admits to misplacing his keys more often and
forgets what he is supposed to buy from the grocery store and
where he has parked the car. He denies getting lost in familiar
places. Upon further questioning, he states that his wife of 40 years
died 8 months ago; his three children live in three different states;
and he has limited his activities because the people he interacted
with were "his wife's friends, not his." He drinks a six-pack of beer
daily; he does not smoke or use illicit drugs. You perform a
mini-mental state examination and obtain a total score of 24 out of
28. Based on this information, what is your most likely diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
D) Depression
Answer:
depression
Question 2: An 85-year-old retired teacher comes to your office for
evaluation of weakness. You obtain a complete history, perform a
thorough physical examination, and order laboratory tests. You
diagnose her with hyperthyroidism. Based on her age, which of the
atypical symptoms of hyperthyroidism is more likely to be seen?
A) Fatigue
B) Weight loss
C) Tachycardia
,D) Anorexia
Answer:
anorexia
Question 3: A 78-year-old retired seamstress comes to the office
for a routine check-up. You obtain an ECG (electrocardiogram)
because of her history of hypertension. You diagnose a previous
myocardial infarction and ask her if she had any symptoms related
to this. Which of the following symptoms would be more common
in this patient's age group for an acute myocardial infarction?
A) Chest pain
B) Syncope
C) Pain radiating into the left arm
D) Pain radiating into the jaw
Answer:
syncope
Question 4: An 88-year-old retired piano teacher comes for
evaluation of fatigue. You notice that her clothes are hanging
loosely off her frame and that she has lost 15 pounds. She is
unaware of this. Her husband of 63 years died a few months ago.
You ask the patient to complete a Rapid Screen for Dietary Intake.
Which of the following statements is considered to be part of this
rapid screen?
A) I eat more than two meals per day.
B) I drink one glass of alcohol every day.
C) Without wanting to, I have lost or gained 10 pounds in the last 6
months.
D) I eat with at least one other person most of the time.
Answer:
, without wanting to i have lost or gained 10 pounds in the last 6 months
Question 5: An 89-year-old retired school principal comes for an
annual check-up. She would like to know whether or not she should
undergo a screening colonoscopy. She has never done this before.
Which of the following factors should not be considered when
discussing whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient
Answer:
current age of patient
Question 6: Which of the following booster immunizations is
recommended in the older adult population?
A) Tetanus
B) Diphtheria
C) Measles
D) Mumps
Answer:
tetanus
Question 7: You are asked to perform a home safety assessment
for an 87-year-old retired farmer who lives by himself. Which of the
following is not considered to be an increased risk for falls?
A) Loose electrical cords
B) Slippery or irregular surfaces
C) Chairs at awkward angles
D) Bright lighting
Answer:
, bright lighting
Question 8: A 73-year-old retired accountant comes to your office
for her annual examination. She has incontinence of urine when
she coughs or sneezes. She takes several medications for control
of hypertension and diabetes. You use the DIAPERS mnemonic to
assess the cause of her incontinence. All of the following are items
represented by the mnemonic except for:
A) Atrophic vaginitis
B) Depression
C) Pharmaceuticals
D) Restricted mobility
Answer:
depression
Question 9: Which of the following brief screening measures is
useful in assessing memory?
A) Three-item recall
B) Serial 7s
C) Spelling "world" backward
D) Copying intersecting pentagrams
Answer:
three item recall
Question 10: Which of the following questions is part of the
screening for physical disability?
A) Are you able to go shopping for groceries or clothes?
B) Are you able to walk one block?
C) Are you able to pass the driver's license test?
D) Are you able to perform light dusting and pick up after yourself
around the house?
AND DETAILED SOLUTIONS LATEST UPDATE JUST
RELEASED
Question 1: A 70-year-old retired auto mechanic comes to your
office because his neighbor is concerned about his memory. The
patient himself admits to misplacing his keys more often and
forgets what he is supposed to buy from the grocery store and
where he has parked the car. He denies getting lost in familiar
places. Upon further questioning, he states that his wife of 40 years
died 8 months ago; his three children live in three different states;
and he has limited his activities because the people he interacted
with were "his wife's friends, not his." He drinks a six-pack of beer
daily; he does not smoke or use illicit drugs. You perform a
mini-mental state examination and obtain a total score of 24 out of
28. Based on this information, what is your most likely diagnosis?
A) Benign forgetfulness
B) Dementia
C) Meningitis
D) Depression
Answer:
depression
Question 2: An 85-year-old retired teacher comes to your office for
evaluation of weakness. You obtain a complete history, perform a
thorough physical examination, and order laboratory tests. You
diagnose her with hyperthyroidism. Based on her age, which of the
atypical symptoms of hyperthyroidism is more likely to be seen?
A) Fatigue
B) Weight loss
C) Tachycardia
,D) Anorexia
Answer:
anorexia
Question 3: A 78-year-old retired seamstress comes to the office
for a routine check-up. You obtain an ECG (electrocardiogram)
because of her history of hypertension. You diagnose a previous
myocardial infarction and ask her if she had any symptoms related
to this. Which of the following symptoms would be more common
in this patient's age group for an acute myocardial infarction?
A) Chest pain
B) Syncope
C) Pain radiating into the left arm
D) Pain radiating into the jaw
Answer:
syncope
Question 4: An 88-year-old retired piano teacher comes for
evaluation of fatigue. You notice that her clothes are hanging
loosely off her frame and that she has lost 15 pounds. She is
unaware of this. Her husband of 63 years died a few months ago.
You ask the patient to complete a Rapid Screen for Dietary Intake.
Which of the following statements is considered to be part of this
rapid screen?
A) I eat more than two meals per day.
B) I drink one glass of alcohol every day.
C) Without wanting to, I have lost or gained 10 pounds in the last 6
months.
D) I eat with at least one other person most of the time.
Answer:
, without wanting to i have lost or gained 10 pounds in the last 6 months
Question 5: An 89-year-old retired school principal comes for an
annual check-up. She would like to know whether or not she should
undergo a screening colonoscopy. She has never done this before.
Which of the following factors should not be considered when
discussing whether she should go for this screening test?
A) Life expectancy
B) Time interval until benefit from screening accrues
C) Patient preference
D) Current age of patient
Answer:
current age of patient
Question 6: Which of the following booster immunizations is
recommended in the older adult population?
A) Tetanus
B) Diphtheria
C) Measles
D) Mumps
Answer:
tetanus
Question 7: You are asked to perform a home safety assessment
for an 87-year-old retired farmer who lives by himself. Which of the
following is not considered to be an increased risk for falls?
A) Loose electrical cords
B) Slippery or irregular surfaces
C) Chairs at awkward angles
D) Bright lighting
Answer:
, bright lighting
Question 8: A 73-year-old retired accountant comes to your office
for her annual examination. She has incontinence of urine when
she coughs or sneezes. She takes several medications for control
of hypertension and diabetes. You use the DIAPERS mnemonic to
assess the cause of her incontinence. All of the following are items
represented by the mnemonic except for:
A) Atrophic vaginitis
B) Depression
C) Pharmaceuticals
D) Restricted mobility
Answer:
depression
Question 9: Which of the following brief screening measures is
useful in assessing memory?
A) Three-item recall
B) Serial 7s
C) Spelling "world" backward
D) Copying intersecting pentagrams
Answer:
three item recall
Question 10: Which of the following questions is part of the
screening for physical disability?
A) Are you able to go shopping for groceries or clothes?
B) Are you able to walk one block?
C) Are you able to pass the driver's license test?
D) Are you able to perform light dusting and pick up after yourself
around the house?
