Primary Care
Management of Older
Adults
MIDTERM 1 REVIEW
2024
,1. Multiple Choice: What is the most common cause of decreased mobility
in older adults?
a) Arthritis
b) Osteoporosis
c) Muscular dystrophy
d) Parkinson's disease
Correct Answer: a) Arthritis
Rationale: Arthritis is the leading cause of disability among older adults
due to the wear and tear of joints over time.
2. Fill-in-the-Blank: __________ is the recommended first-line
pharmacological treatment for elderly patients with persistent, chronic pain.
Correct Answer: Acetaminophen
Rationale: Acetaminophen is preferred due to its safety profile and lower
risk of gastrointestinal bleeding compared to NSAIDs.
3. True/False: Polypharmacy is an expected standard in the management of
complex health issues in older adults.
Correct Answer: False
Rationale: Polypharmacy can lead to adverse drug reactions and should
be managed carefully with the aim to use the least number of medications
necessary.
, 4. Multiple Response: Which of the following are essential components of a
comprehensive geriatric assessment? (Select all that apply)
a) Functional status
b) Cognitive function
c) Nutritional status
d) Patient's income level
Correct Answers: a) Functional status, b) Cognitive function, c)
Nutritional status
Rationale: A comprehensive geriatric assessment includes evaluating the
functional, cognitive, and nutritional status of the patient, not their income
level.
5. Multiple Choice: Which immunization is specifically recommended for
individuals over the age of 65?
a) HPV vaccine
b) Tetanus vaccine
c) Pneumococcal vaccine
d) Hepatitis B vaccine
Correct Answer: c) Pneumococcal vaccine
Rationale: The pneumococcal vaccine is recommended for older adults
to prevent pneumonia, which can be severe in this age group.
6. Fill-in-the-Blank: The term __________ refers to a decline in mental
ability severe enough to interfere with daily life, commonly seen in older
adults.