Chapter 24: Complications due to Aging
VanMeter: Gould’s Pathophysiology for the Health Professions, 7th Edition
MULTIPLE CHOICE
1. All of the following changes are associated with aging EXCEPT
a. loss of elastic fibers.
b. decreased metabolic rate.
c. decreased secretion of all hormones.
d. degenerative vascular changes.
ANS> C
2. Predisposing factors to osteoporosis in older women include all of the following EXCEPT
a. decreased estrogen secretion.
b. genetic factors.
c. sedentary lifestyle.
d. decreased parathyroid hormone.
ANS> D
3. Lung expansion in the elderly may be reduced because of decreased
1. tissue elasticity.
2. rib mobility.
3. control by the respiratory center.
4. skeletal muscle strength.
a. 1, 3
b. 1, 4
c. 2, 3, 4
d. 1, 2, 4
ANS> D
4. Vision in the elderly may be impaired when the eyeball becomes less elastic, thus preventing
accommodation and resulting in
a. presbyopia.
b. cataracts.
c. glaucoma.
d. damage to the retina.
ANS> A
5. What is a major factor leading to increased occurrence of cancer in the elderly?
a. Widespread vascular degeneration
b. Cumulative exposure to carcinogens
c. Hereditary factors
d. Increased immune surveillance
ANS> B
6. Senescence refers to the period of time when
, Test Bank For Gould's Pathophysiology for the Health Professions 7th Edition VanMeter 204
a. mitosis is accelerated.
b. apoptosis is reduced.
c. aging changes become apparent.
d. cell death exceeds cell replacement.
ANS> D
7. Theories about the causes of aging include
a. apoptosis.
b. wear and tear.
c. altered protein (amyloid) accumulation.
d. all of these.
ANS> D
8. Which of the following does NOT contribute to the increasing life span of the general
population?
a. Reduced cognitive and social activities
b. Improved living conditions
c. Better nutrition
d. Advancements in health care
ANS> A
9. The term given to the change that occurs in women at around age 50 with the cessation of the
menstrual cycle is
a. menopause.
b. dysmenorrhea.
c. amenorrhea.
d. menarche.
ANS> A
10. Recommendations to reduce the risk factors and the progression of osteoporosis with aging
include
a. reducing vitamin D intake.
b. maintaining walking and weight-bearing exercise.
c. increasing bone resorption.
d. maintaining glucocorticoid therapy.
ANS> B
11. All are physiological changes that occur with aging EXCEPT
a. reduced skeletal muscle mass.
b. degeneration of fibrocartilage in intervertebral discs in the spine.
c. increased basal metabolic rate (BMR).
d. reduced bladder capacity and incomplete bladder emptying.
ANS> C
12. With advancing age, the major change in the cardiovascular system involves
a. irregular impulse conduction in the heart.
b. a reduced number of collagen fibers to support cardiac muscle.