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A 68 year old woman presents with a complaint of urine leakage
whenever she sneezes, laughs or strains for the past 4 months. She
denies dysuria, frequency and nocturia. US dipstick is negative for RBC's
leukocyte esterase, nitrates, ketones and urobilinogen. What is the
diagnosis?
a. stress incontinence
b. urinary incontinence
c. urge incontinence
d. overflow incontninence
a. stress incontinence
Which of the following signs or symptoms are not characteristics of
delirium
a. patient is coherent
b. short duration
c. sudden onset
d. symptoms are worse in the evenings
a. patient is coherent
,According to the palliative care presentation, most elderly patients die:
a. alone
b. at home
c. in institutions
d. in pain
c. in institutions
Older adults with dementia sometimes suffer from agnosia, which is
defined as the inability to
a. remember events and places
b. understand language
c. use language
d. recognize objects
d. recognize objects
A 52 year old female patient screened for diabetes has a fasting plasma
glucose level of 123 mg/dl. The nurse practitioners plan includes:
a. repeat fasting glucose in 1 month
b. prescribe memformin 500mg BID po
c. repeat fasting plasma glucose in one year
d. repeat fasting glucose in three years
c. repeat fasting plasma glucose in one year
,When treating depression associated with dementia, which of the
following would be a poor choice and not be prescribed
a. desimpramine
b. amitryptyline
c. fluoxitine
d. mirtazapine
b. amitryptyline
Male patient presents with a BMI of 30 presents to the office for an
annual exam. You are reviewing the lab results. You ordered a CMP as
part of routine labs. The fasting glucose was 130. Your next action is:
a. repeat the fasting glucose
b. start metformin 500mg BID
c. repeat fasting glucose in 1 year
d. call the patient and report lab results as normal
a. repeat the fasting glucose
The task of grieving include all of the following except
a. begin to disengage
b. acknowledge the reality of death
c. work through the pain of grief
d. restructure relationships
a. begin to disengage
, All of the following are true statements regarding elder abuse except:
a. a new STI in an elderly patient can be a sign of abuse
b. persons over 80 years of age are at highest risk for abuse
c. missing scheduled appointments and delays in medical care are
common
d. common signs of abuse include decreased anxiety and depression
d. common signs of abuse include decreased anxiety and depression
Hospice care differs from palliative care in that:
a. it cannot be provided in the nursing home
b. the majority of those admitted to hospice die within 7 days
c. it is not covered by insurance
d. it is designed for the last six months of life
d. it is designed for the last six months of life
When assessing an elderly client who reports a tremor, which
assessment findings would be most reliable in identifying Parkinsons
disease?
a. congwheel rigidity, bradykinesia, and macrorgraphia
b. any presence of fever
c. symptoms of slowed movement, unstable angina and tremor
d. resting tremor, slow unsteady gait and cogwheel rigidity
d. resting tremor, slow unsteady gait and cogwheel rigidity