NR601 / NR 601 Primary Care of the Maturing & Aged
Family Practicum Midterm Exam | Actual Questions and
Answers Latest Updated (Graded A+)
– Chamberlain
Correct
Incorrect
NR601 / NR 601 Primary Care of the Maturing & Aged Family Practicum
Midterm Exam
, 1 of 49
Definition
Influenza inactive (IIV), or recombinant (RIV): 1 dose annually
Tetanus, diphtheria, pertussis (TDAP): 1 dose after age 65 years then Td
every 10 years
Varicella recombinant (Shingrix): 2 doses 2-5 months apart. Give to
those who had zoster
Pneumococcal: 1 dose of PPSV23 (Polysaccharide, Pneumovax);
consider 1 dose PCV 13 in high-risk patients
Hepatitis A/hepatitis B: Only if high risk, and at least once
Give this one a try later!
Immunizations recommended for older Adults
Patient SL is a 68-year-old man you are seeing for follow-up of uncontrolled
hypertension. He is currently prescribed amlodipine 10 mg daily, azilsartan 40 mg
daily, metoprolol tartrate 50 mg BID (twice daily), and hydrochlorothiazide (HCTZ)
25 mg daily, and his blood pressure is consistently above target. Secondary causes
of hypertension have been ruled out. You ask him about missing doses and he tells
you that it is difficult to take so many tablets and the brand-name medication is very
expensive. Select the best way to improve this patient's adherence. You decide to
discontinue brand name azilsartan and:
a. Increase HCTZ to 50 mg daily.
b. Initiate losartan/HCTZ 50/25 mg once daily; HCTZ is stopped.
c. Initiate captopril 12.5 mg TID as replacement for azilsartan.
d. Initiate clonidine 0.1 mg/24-hour patch once weekly; metoprolol is stopped.
Vaccine costs
, The Five A's
Don't know?
2 of 49
Term
Which one of the following is most true about the rule of fourths?
a. One-fourth of geriatric problems are iatrogenic.
b. Little can be done to prevent three-fourths of the problems of aging.
c. For every medical complaint a patient presents with, a careful
assessment can identify three other diagnoses.
d. What used to be called normal aging can be largely explained by
processes that are not normal.
e. A good way to conduct a geriatric assessment is to use four
categories: mental, physical, psychosocial, and environmental
Give this one a try later!
D A
C B
Don't know?
3 of 49
, Term
Guidelines for the primary prevention of stroke recommend that aspirin
be used in which one of the following?
a. Individuals whose risk is high enough for the benefits to outweigh
the risks
b. Individuals regardless of risk level
c. Males regardless of risk level
d. Females who are also taking antihypertensives
Give this one a try later!
Normal <120 mmHg and <80 mmHg
Elevated 120–129 mmHg and
<80 mmHg
A Hypertension
Stage 1 130–139 mmHg or 80–
89 mmHg
Stage 2 ≥140 mmHg or ≥90 mmHg
D B
Don't know?
4 of 49
Term
Which of the following is true about cultural humility?
a. It is typically accomplished through professional development
courses.
Family Practicum Midterm Exam | Actual Questions and
Answers Latest Updated (Graded A+)
– Chamberlain
Correct
Incorrect
NR601 / NR 601 Primary Care of the Maturing & Aged Family Practicum
Midterm Exam
, 1 of 49
Definition
Influenza inactive (IIV), or recombinant (RIV): 1 dose annually
Tetanus, diphtheria, pertussis (TDAP): 1 dose after age 65 years then Td
every 10 years
Varicella recombinant (Shingrix): 2 doses 2-5 months apart. Give to
those who had zoster
Pneumococcal: 1 dose of PPSV23 (Polysaccharide, Pneumovax);
consider 1 dose PCV 13 in high-risk patients
Hepatitis A/hepatitis B: Only if high risk, and at least once
Give this one a try later!
Immunizations recommended for older Adults
Patient SL is a 68-year-old man you are seeing for follow-up of uncontrolled
hypertension. He is currently prescribed amlodipine 10 mg daily, azilsartan 40 mg
daily, metoprolol tartrate 50 mg BID (twice daily), and hydrochlorothiazide (HCTZ)
25 mg daily, and his blood pressure is consistently above target. Secondary causes
of hypertension have been ruled out. You ask him about missing doses and he tells
you that it is difficult to take so many tablets and the brand-name medication is very
expensive. Select the best way to improve this patient's adherence. You decide to
discontinue brand name azilsartan and:
a. Increase HCTZ to 50 mg daily.
b. Initiate losartan/HCTZ 50/25 mg once daily; HCTZ is stopped.
c. Initiate captopril 12.5 mg TID as replacement for azilsartan.
d. Initiate clonidine 0.1 mg/24-hour patch once weekly; metoprolol is stopped.
Vaccine costs
, The Five A's
Don't know?
2 of 49
Term
Which one of the following is most true about the rule of fourths?
a. One-fourth of geriatric problems are iatrogenic.
b. Little can be done to prevent three-fourths of the problems of aging.
c. For every medical complaint a patient presents with, a careful
assessment can identify three other diagnoses.
d. What used to be called normal aging can be largely explained by
processes that are not normal.
e. A good way to conduct a geriatric assessment is to use four
categories: mental, physical, psychosocial, and environmental
Give this one a try later!
D A
C B
Don't know?
3 of 49
, Term
Guidelines for the primary prevention of stroke recommend that aspirin
be used in which one of the following?
a. Individuals whose risk is high enough for the benefits to outweigh
the risks
b. Individuals regardless of risk level
c. Males regardless of risk level
d. Females who are also taking antihypertensives
Give this one a try later!
Normal <120 mmHg and <80 mmHg
Elevated 120–129 mmHg and
<80 mmHg
A Hypertension
Stage 1 130–139 mmHg or 80–
89 mmHg
Stage 2 ≥140 mmHg or ≥90 mmHg
D B
Don't know?
4 of 49
Term
Which of the following is true about cultural humility?
a. It is typically accomplished through professional development
courses.
