ROSH Geriatrics Exam Questions and Answers Latest (GRADED)

ROSH Geriatrics Exam Questions and Answers Latest (GRADED) A 57-year-old woman presents to the clinic to establish care and reports seven months duration of sudden, abrupt onset of diarrhea. She also reports occasionally experiencing a "fluttery feeling" in her chest accompanied with facial flushing. Her medical history includes hypertension and a significant cough that has been present for two years. She has a 25 pack year tobacco usehistory. Chest X-ray reveals left lower lobe atelectasis. Which of the following is the most likely diagnosis? A. Angioedema B Carcinoid tumor C Cardiac dysrhythmia D Irritable bowel syndrome:  B. Carcinoid Tumor Carcinoid Syndrome Patient will be complaining of skin flushing, wheezing, and diarrhea Diagnosis is made by 24-hour excretion of 5-hydroxyindoleacetic acid (5-HIAA) in the patient's urine Most commonly caused by carcinoid tumors (neuroendocrine tumors that secrete ROSH Geriatrics Exam Questions and Answers Latest (GRADED) 2 / 64 vasoactive material such as serotonin, histamine, catecholamine, prostaglandins, and peptides) 2. A 68-year-old man presents to the clinic with a past medical history of hepatitis B infection and hepatic cirrhosis. Which of the following is the best choice for surveillance of development of hepatocellular carcinoma in this patient? A. Abdominal CT scan every 12 months B. Abdominal CT scan every two years C. Liver ultrasound every 12 months D. Liver ultrasound every six months:  D. Liver ultrasound every six months 3. A woman presents to the clinic complaining of pedal edema. Which of the following would be most suggestive of congestive heart failure as the likely etiology?:  Diabetes Mellitus 4. A 50-year-old man with a body mass index of 52 kg/m² presents to the clinic complaining of daytime sleepiness and dyspnea on exertion. His peripheral oxygen saturation on room air is 93%. Further testing reveals obesity hypoventilation syndrome with concurrent obstructive sleep apnea. The patient is put on a weight loss regimen which includes diet and exercise. In addition, 3 / 64 which of the following is the best choice for initial therapy in this patient? A. Nocturnal bilevel positive airway pressure B. Nocturnal continuous positive airway pressure C. Oral theophylline dosed every twelve hours 4 / 64 D. Twenty-four hour supplemental oxygen: B. Nocturnal continuous positive airway pressure 5. A 62-year-old man presents reporting urinary hesitancy, dribbling, and feeling of incomplete voiding. He states his symptoms have been progressively worsening for the last six months. He denies hematuria, pain with urination, or scrotal swelling. Which of the following physical exam findings is most consistent with the diagnosis of benign prostatic hypertrophy? A. Asymmetry of the prostate B. Boggy consistency of the prostate C. Decreased anal sphincter tone D. Rubbery consistency of the prostate: D. Rubbery consistency of the prostate 6. You are treating a 62-year-old man who is seven days status-post coronary angiogram and stent placement, following an acute myocardial infarction. He has been on a heparin drip for five days. Lab calls to notify you that his previously normal platelet count is now 48,000/mcL. Which of the following is the most likely diagnosis? A. Disseminated intravascular coagulation B. Heparin-induced thrombocytopenia C. Immune thrombocytopenia 5 / 64 D. Thrombotic thrombocytopenic purpura: B. Heparin-induced thrombocytopenia 7. A 65-year-old woman presents to the ED with sudden onset of right eye pain and blurred vision. Physical examination reveals circumcorneal injection, a 7 mm right pupil that is unresponsive to light and an intraocular pressure of 35 mm Hg. Which of the following is the gold standard test to confirm the diagnosis? A. Dark room provocation B. Dilated fundus examination C. Gonioscopy D. Slit lamp grading: C.Gonioscopy Gonioscopy is considered the gold standard in the diagnosis of acute angle closure glaucoma, an ocular emergency that this patient is experiencing. This method allows the examiner to examine the angle that is formed between the cornea's posterior surface and the iris' anterior surface. An experienced provider, such as an ophthalmologist, should perform this test. Care must be taken to not shine light directly onto the pupil as the angle could widen and create an error in measurement. 8. Sildenafil is prescribed for an otherwise healthy 54-year-old man who is diagnosed with erectile dysfunction. Which of the following is a potential 6 / 64 adverse effect of this medication?