Geriatrics, Test Questions Exam 1
Questions and Correct Answers
Ch. 1: Which one of the following is most true about the rule of fourths?
A. One fourth of geriatric problems are iatrogenic.
B. Little can be done to prevent three fourths of the problems of aging.
C. For every medical complaint a patient has, a careful assessment can identify three other diagnoses.
D. What use to be called normal aging can be largely explained by processes that are not normal.
E. A good way to conduct a geriatric assessment is to use four categories: mental, physical, psycho-social,
and environmental. - correct answers:D
Ch. 1: Which one of the following is most TRUE about aging changes?
A. Stage 3 and 4 sleep decreases.
B. Renal perfusion is not reduced, but renal function is reduced.
C. Hearing acuity declines beginning in middle age.
D. Prostatic enlargement occurs only in a minority of men. - correct answers:A
Ch. 1: An old woman who is care for by attentive, cautious, concerned family is particularly likely to
suffer from which of the following complications after an episode of gastroenteritis?
A. Immobility related to over-concern.
B. Continued vomiting caused by too-rapid feeding.
C. Diarrhea resulting from administration of milk products.
D. Constipation related to over-treatment of diarrhea. - correct answers:A
Ch. 1: Which one of the following is most TRUE about psychological aging?
,A. Disengagement tends to promote better psychological health than continued engagement.
B. Having a spouse is the best way to be assured of having a caregiver when one becomes disabled.
C. Ability to have quality of life is related to cognitive function.
D. Planning for the future is a key element of successful aging.
E. Many older people are ageist. - correct answers:E
Ch. 1: Of the following conditions, which one is most common and most often preventable?
A. Falls
B. Frailty
C. Cognitive impairment
D. Iatrogenic disease
E. Depression - correct answers:D
Ch. 29: What is the hallmark of frailty in an aged patient?
A. The patient is unable to personally manage key activities of self-care.
B. The patient's reserve to withstand physiologic stress is significantly reduced.
C. The patient has long problem and medication lists. - correct answers:B
Ch. 29: Which pattern of problems would more likely identify a frail aged patient?
A. She is unable to manage her own medications and her own wardrobe.
B. She requires supplemental oxygen at night and during exercises.
C. She walks very slowly, is losing weight, and does not have the strength to brush her own teeth. -
correct answers:C
Ch. 29: Having identified an aged patient as being irreversibly quite frail, the PCP would be wise to do
which of the following?
, A. Begin a discussion with the patient and family about care goals and intervention limitations.
B. Withdraw disease-targeting medications and medical treatments.
C. Reduce functional maintenance modalities such as therapeutic exercise and activities. - correct
answers:A
Ch. 29: Each of these factors can help serve to identify a patient as frail and vulnerable except:
A. Low activity level and easy fatigability
B. Major progressing weight loss
C. A large number of major organ-system co-morbidities
D. Progressive loss of strength
E. Very advanced age
F. There is no "except" ... all are important factors in frailty. - correct answers:F
Ch. 29: Progress has been made in defining a valid concept of frailty. Pick the one true statement about
current understanding of the frailty syndrome.
A. Neither of the Fried nor Rockwood model is well suited to frailty research
B. Neither the Fried nor Rockwood model has found wide acceptance in the clinical care.
C. The Fried model takes into account cognitive decline, pain, and chronologic age.
D. Regardless of the models used to characterize it, frailty is a syndrome that rarely improve even with
carefully tailored interventions. - correct answers:. B
Ch. 29: Which of these statements about frailty is (are) true?
A. The concepts of frailty and disability are essentially synonymous.
B. Identifying a patient as "frail" can help guide thinking about risks and benefits in choosing care paths.
C. Neither of the two most prominent models of frailty includes age as a factor.
Questions and Correct Answers
Ch. 1: Which one of the following is most true about the rule of fourths?
A. One fourth of geriatric problems are iatrogenic.
B. Little can be done to prevent three fourths of the problems of aging.
C. For every medical complaint a patient has, a careful assessment can identify three other diagnoses.
D. What use to be called normal aging can be largely explained by processes that are not normal.
E. A good way to conduct a geriatric assessment is to use four categories: mental, physical, psycho-social,
and environmental. - correct answers:D
Ch. 1: Which one of the following is most TRUE about aging changes?
A. Stage 3 and 4 sleep decreases.
B. Renal perfusion is not reduced, but renal function is reduced.
C. Hearing acuity declines beginning in middle age.
D. Prostatic enlargement occurs only in a minority of men. - correct answers:A
Ch. 1: An old woman who is care for by attentive, cautious, concerned family is particularly likely to
suffer from which of the following complications after an episode of gastroenteritis?
A. Immobility related to over-concern.
B. Continued vomiting caused by too-rapid feeding.
C. Diarrhea resulting from administration of milk products.
D. Constipation related to over-treatment of diarrhea. - correct answers:A
Ch. 1: Which one of the following is most TRUE about psychological aging?
,A. Disengagement tends to promote better psychological health than continued engagement.
B. Having a spouse is the best way to be assured of having a caregiver when one becomes disabled.
C. Ability to have quality of life is related to cognitive function.
D. Planning for the future is a key element of successful aging.
E. Many older people are ageist. - correct answers:E
Ch. 1: Of the following conditions, which one is most common and most often preventable?
A. Falls
B. Frailty
C. Cognitive impairment
D. Iatrogenic disease
E. Depression - correct answers:D
Ch. 29: What is the hallmark of frailty in an aged patient?
A. The patient is unable to personally manage key activities of self-care.
B. The patient's reserve to withstand physiologic stress is significantly reduced.
C. The patient has long problem and medication lists. - correct answers:B
Ch. 29: Which pattern of problems would more likely identify a frail aged patient?
A. She is unable to manage her own medications and her own wardrobe.
B. She requires supplemental oxygen at night and during exercises.
C. She walks very slowly, is losing weight, and does not have the strength to brush her own teeth. -
correct answers:C
Ch. 29: Having identified an aged patient as being irreversibly quite frail, the PCP would be wise to do
which of the following?
, A. Begin a discussion with the patient and family about care goals and intervention limitations.
B. Withdraw disease-targeting medications and medical treatments.
C. Reduce functional maintenance modalities such as therapeutic exercise and activities. - correct
answers:A
Ch. 29: Each of these factors can help serve to identify a patient as frail and vulnerable except:
A. Low activity level and easy fatigability
B. Major progressing weight loss
C. A large number of major organ-system co-morbidities
D. Progressive loss of strength
E. Very advanced age
F. There is no "except" ... all are important factors in frailty. - correct answers:F
Ch. 29: Progress has been made in defining a valid concept of frailty. Pick the one true statement about
current understanding of the frailty syndrome.
A. Neither of the Fried nor Rockwood model is well suited to frailty research
B. Neither the Fried nor Rockwood model has found wide acceptance in the clinical care.
C. The Fried model takes into account cognitive decline, pain, and chronologic age.
D. Regardless of the models used to characterize it, frailty is a syndrome that rarely improve even with
carefully tailored interventions. - correct answers:. B
Ch. 29: Which of these statements about frailty is (are) true?
A. The concepts of frailty and disability are essentially synonymous.
B. Identifying a patient as "frail" can help guide thinking about risks and benefits in choosing care paths.
C. Neither of the two most prominent models of frailty includes age as a factor.
