N6540 Midterm Exam Questions with Correct Answers

What are the physiological changes of aging Correct Answer 1. Reduced physiological reserve of most body systems 2.Reduced homeostatic mechanisms that fail to adjust 3. Changes in the sympathetic response 4. Impaired immunological function- infection risk is greater and autoimmune diseases are more prevalent. What factors influence lab value interpretation in the older adult Correct Answer 1. physiological changes with aging 2. the prevalence of chronic disease 3. changes in nutritional and fluid intake 4. Lifestyle What lab values is important Correct Answer Creatinine clearance, GFR and renal function What are examples of drugs are eliminated renally Correct Answer Digoxin, H2 blockers, lithium and water-soluable antibiotics What are the two formulas to evaluate the kidney function Correct Answer The Cockcroft-Gault formula and the Modification of Diet in Renal Disease (MDRD) What neurological conditions commonly have an initial onset in older age? Correct Answer Parkinson's, dementia, stroke, and complex partial seizures What are geriatric syndromes Correct Answer Diseases that involve multiple systems and have more than one underlying cause What are the geriatric syndrome giants currently Correct Answer Frailty, anorexia of aging, sarcopenia and cognitive impariment What are bimodal presentations of disease Correct Answer Diseases that can present in a younger age and an older age. What are examples of bimodal diseases? Correct Answer Psoriasis, Inflammatory bowel disease, Ulcerative Colitis, Crohn's disease, Hodgkin's lymphoma, and myasthenia gravis What is primary prevention? Correct Answer Activities to prevent the occurrence of a disease or adverse, including mental health