Conceptual Actual Emended Exam Questions With
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1. At what age should routine colorectal cancer screening begin for average-risk
adults?
a) 40
b) 45
c) 50
d) 60
Answer: b) 45
2. Which screening tool is recommended annually for depression in older
adults?
a) GAD-7
b) PHQ-9
c) Beck Depression Inventory
d) Mini-Cog
Answer: b) PHQ-9
3. Which vaccine is recommended for all adults 65 years and older?
a) HPV vaccine
b) Shingles (zoster) vaccine
c) Tdap
d) Varicella vaccine
Answer: b) Shingles (zoster) vaccine
,4. According to USPSTF, which adults should receive annual lung cancer
screening with low-dose CT?
a) Age 40+ with any smoking history
b) Age 50–80 with ≥20 pack-year history, current smoker or quit within 15 years
c) Age 65–80 with ≥15 pack-year history
d) Only symptomatic patients
Answer: b) Age 50–80 with ≥20 pack-year history, current smoker or quit
within 15 years
5. A 72-year-old with a T-score of –2.6 on DEXA scan should be diagnosed with:
a) Normal bone density
b) Osteopenia
c) Osteoporosis
d) Severe osteopenia
Answer: c) Osteoporosis
6. Which of the following is a recommended intervention for fall prevention in
older adults?
a) Daily low-dose aspirin
b) Vitamin D supplementation and balance exercises
c) Only advising cane use
d) Limiting mobility to reduce fall risk
Answer: b) Vitamin D supplementation and balance exercises
7. The Mini-Cog screening test is most often used for:
a) Depression
b) Cognitive impairment/dementia
c) Hearing loss
d) Fall risk
Answer: b) Cognitive impairment/dementia
,8. Which of the following is NOT part of Beers Criteria for potentially
inappropriate medications in the elderly?
a) Benzodiazepines
b) First-generation antihistamines
c) Acetaminophen
d) Tricyclic antidepressants
Answer: c) Acetaminophen
9. In a 68-year-old with asymptomatic hypertension, what is the target blood
pressure according to ACC/AHA guidelines?
a) <150/90
b) <140/90
c) <130/80
d) <120/70
Answer: c) <130/80
10. Which screening is recommended every 2 years for women ages 50–74?
a) Pap smear
b) Mammogram
c) Colonoscopy
d) Bone density scan
Answer: b) Mammogram
11. What is the first-line pharmacologic therapy for osteoporosis in older adults?
a) Teriparatide
b) Bisphosphonates
c) Hormone replacement therapy
, d) Calcitonin
Answer: b) Bisphosphonates
12. An older adult presents with polypharmacy. Which tool helps evaluate for
drug-drug interactions?
a) DSM-5
b) STOPP/START criteria
c) CAGE questionnaire
d) MMSE
Answer: b) STOPP/START criteria
13. Which of the following is an example of secondary prevention?
a) Administering a flu vaccine
b) Teaching fall-prevention strategies
c) Performing a colonoscopy
d) Encouraging smoking cessation
Answer: c) Performing a colonoscopy
14. Which of the following is a normal age-related change in older adults?
a) Increased renal clearance of drugs
b) Increased gastric acid secretion
c) Decreased bone density
d) Increased muscle mass
Answer: c) Decreased bone density
15. An older adult with poorly controlled diabetes is MOST at risk for which
complication?
a) Macular degeneration
b) Diabetic retinopathy