AND CORRECT ANSWERS A+ STUDY
GUIDE COMPREHENSIVE EXAM REVIEW
AND PRACTICE TEST
Diabetes is one of the leading causes of which medical condition?
a. chronic lung disease
b. disability
c. kidney failure
d. cardiac death - CORRECT ANSWER-c. kidney failure
In the late stages of dementia, a phenomenon called "sun downing" occurs,
in which cognitive disturbances tend to :
a. peak mid-day
b. becomes worse toward the evening
c. improves as the day goes on
d. fluctuates during the course of the day - CORRECT ANSWER-b.
becomes worse toward the evening
The proposed mechanism by which diphenhydramine caused delerium is:
,a. anticholinergic effects
b. dopaminergic effects
c. gabanergic effectis
d. serotinergic effects - CORRECT ANSWER-a. anticholinergic effects
According to the Palliative Care Presentation, palliative care may be
provided to
a. only cancer patients
b. anyone regardless of their life expectancy or disease progression
c. those with a life expectancy > 6 months
d. those with a life expectancy< 6 months - CORRECT ANSWER-b. anyone
regardless of their life expectancy or disease progression
The highest level of evidence with the use of adjuvant analgesics is with
a. therapeutic trials before discontinuing drugs
b. patients with fibromyalgia are candidates for adjuvant analgesics
c. tricyclic antidepressants avoided due to high adverse affects
d. neuropathic pain patients are candidates for adjuvant analgesia -
CORRECT ANSWER-d. neuropathic pain patients are candidates for
adjuvant analgesia
According o the Sexuality presentation, the biggest barrier to appropriate
sexual evaluation in the older patient
,a. older people dont talk about sex
b. most elderly patients are not interested in sex
c. ageist attitudes
d. female post menopausal changes - CORRECT ANSWER-c. ageist
attitudes
The patient with BPH is seen for follow-up.. He has been taking finasteride
(Proscar) for 6 months. The clinician should assess this patient for which of
these side effects?
a. headache
b. urinary incontinence
c. hypotensionn
d. impotence - CORRECT ANSWER-d. impotence
Which of the following statements is true regarding pain?
a. all of the above
b. if a patient complains of pain but has no physical signs, he or she is most
likely exhibiting drug-seeking behavior
c. pain is a subjective experience related to actual or potential tissue
damage
d. acute pain is more intense and severe than chronic pain - CORRECT
ANSWER-c. pain is a subjective experience related to actual or potential
tissue damage
, The highest level of evidence to support interventions at the end of life is
with
a. hycosamine for respiratory secretions
b. stimulant laxatives for treating constipation
c. opioids for pain control
d. opioids for dyspnea - CORRECT ANSWER-d. opioids for dyspnea
The comorbid psychiatric problem with the highest frequency in dementia
is:
a. depression
b,, agitation and aggression
c. psychosis
d. anxiety - CORRECT ANSWER-a. depression
According to the World Health Orginazition's analgesic ladder, which drug
would be most appropriate in opiate-niave patient who presents with
moderate pain
a. naproxen/morphine
b. asprin/fentanyl
c. acetaminophen/hydrocodone