Geriatric Questions With Correct
Answers
Which of the following encompasses the oldest population in the world?
a. Florida
b. Thailand
c. Japan
d. Hawaii - answer✔a
Was is presbyopia?
a. Decreased flexibility of lens
b. Yellow, thickening of lens
c. Increased size and permeability of lens
d. Loss of periorbital fat - answer✔a
What are the CNS changes involved in aging?
a. Decreased serotonin, increased dopamine
b. Increased serotonin, increased dopamine
c. Decreased serotonin, decreased dopamine
d. Increased serotonin, decreased dopamine - answer✔c
All of the following are IADLs EXCEPT:
a. Preparing meals
b. Managing finances
c. Bathing
d. Taking medication - answer✔c
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Your 75 yo pt gets a score of 8 on the Lawton IADL scale. What is your interpretation and
education to this patient and their family based on this score?
a. This patient is considered dependent and requires 24 hr in-home assistance to live
b. The patient is considered dependent, but only requires assistance with certain tiring activities,
such as grocery shopping or running to the pharmacy
c. The patient is considered independent, requiring no assistant to maintain self in the community
d. The patient is considered independent, but should no longer drive - answer✔c
An 82 yo F with PMH DM, HTN, GERD is brought in by family for AMS x 2 days. They state
"she just isn't acting like herself". What is on your differential for AMS?
a. Electrolyte imbalance
b. Alcohol intoxication
c. Seizure
d. Uremia
e. All of the above - answer✔e
Vision loss is defined as:
a. 20/200 or worse
b. 20/20
c. <20/40
d. 20/100 - answer✔c
How often should pts >65 yo receive comprehensive eye exams?
a. Annually
b. Every 3 years
c. Every 5 years
d. No longer needed after 65 yo - answer✔a
What is the leading cause of blindness in patients > 65 yo?
a. Central artery occlusion
b. Macular degeneration
c. Glaucoma
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d. Ischemic optic neuropathy
e. Giant cell arteritis - answer✔b
Presbycusis and sensorineural hearing loss is more common in the elderly. What is the greatest
risk factor for the development of sensorineural hearing loss?
a. External ear pathology
b. Recurrent URIs
c. Surgery
d. Noise - answer✔d
When should you start screening for osteoporosis?
a. Premenopausal women >40 yo
b. Men > 50 with no risk factors
c. Postmenopausal women >65 yo
d. Everyone > 50 yo regardless of risk factors - answer✔c
A 67 yo F presents with a recent fracture. You want to compare her bone density to what is
normally expected in a healthy young adult of her same sex (female). What is this test called
a. Z-score
b. DEXA scan
c. T-score
d. BMD score test - answer✔C
What is considered "significant" involuntary weight loss in geriatric pts?
a. 8 lbs over 10 months
b. 3% body weight over 12 months
c. 2 lbs over 6 months
d. 7% body weight over 8 months - answer✔d
What is NOT a characteristic of delirium, but rather of dementia?
a. Rapid onset over a period of hours or days
b. Waxing and waning
c. Reversible cognitive decline