Midterm Exam: NR 601 / NR601
(Latest Update ) Primary
Care of the Maturing & Aged Family
Practicum | Questions & Answers |
Grade A | 100% Correct –
Chamberlain
Question:
most common cause of hypothyroidism older adults
Answer:
Hashimoto’s
Question:
difference of older and younger pts with hypothyroidism
Answer:
older adults usually have fewer, more vague symptoms
might have weight loss!
,Question:
before replacing thyroid hormone in older adults?
Answer:
assess if they have CAD- need a stress test before treatment
Question:
starting dose and increment of thyroid hormone older adult
Answer:
start low, go slow
12.5-25 mcg every 6 weeks
Question:
definition anemia
Answer:
females <12
males <13
,Question:
causes of IDA in older adult
Answer:
GI bleeding: blood thinner or GI disease (gastritis, diverticulitis, etc.)
Low iron intake from food (poor nutrition)
Question:
anemia from CKD
Answer:
In patients with CKD, as the GFR declines, there is also a gradual decline in
patients' Hb level
Question:
anemia eval is warranted when
Answer:
when the Hb declines 1 g/dl in < 5 years or 2 g/dl in <10 years
fatigue
s/s of bleeding, recent surgery
alcoholism
prior blood transfusions
, Question:
unexplained IDA
Answer:
should get endoscopy and fecal blood testing
Question:
referral to hematology/oncology
Answer:
Thrombocytopenia < 120 x 109/L
Neutropenia < 1000 109/L
Abnormal peripheral blood smear
Unexplained macrocytosis
Unexplained requirement for RBC transfusions
Question:
breast cancer screening recommendations
Answer:
50-74 years old, every 2 years
(Latest Update ) Primary
Care of the Maturing & Aged Family
Practicum | Questions & Answers |
Grade A | 100% Correct –
Chamberlain
Question:
most common cause of hypothyroidism older adults
Answer:
Hashimoto’s
Question:
difference of older and younger pts with hypothyroidism
Answer:
older adults usually have fewer, more vague symptoms
might have weight loss!
,Question:
before replacing thyroid hormone in older adults?
Answer:
assess if they have CAD- need a stress test before treatment
Question:
starting dose and increment of thyroid hormone older adult
Answer:
start low, go slow
12.5-25 mcg every 6 weeks
Question:
definition anemia
Answer:
females <12
males <13
,Question:
causes of IDA in older adult
Answer:
GI bleeding: blood thinner or GI disease (gastritis, diverticulitis, etc.)
Low iron intake from food (poor nutrition)
Question:
anemia from CKD
Answer:
In patients with CKD, as the GFR declines, there is also a gradual decline in
patients' Hb level
Question:
anemia eval is warranted when
Answer:
when the Hb declines 1 g/dl in < 5 years or 2 g/dl in <10 years
fatigue
s/s of bleeding, recent surgery
alcoholism
prior blood transfusions
, Question:
unexplained IDA
Answer:
should get endoscopy and fecal blood testing
Question:
referral to hematology/oncology
Answer:
Thrombocytopenia < 120 x 109/L
Neutropenia < 1000 109/L
Abnormal peripheral blood smear
Unexplained macrocytosis
Unexplained requirement for RBC transfusions
Question:
breast cancer screening recommendations
Answer:
50-74 years old, every 2 years
