Geriatric Syndrome Exam Questions With
Correct Answers
Define Geriatric syndromes - answer✔refer to multi-factorial health conditions that occur when
the accumulated effects of impairments in multiple systems render (an older) person vulnerable
to situational challenges (JAMA 95)
Effects of Geriatric syndromes - answer✔1. quality of life measures
2. physical and social (roles)
3. concurrence of chronic diseases
4. Urinary incontinence, diabeties
Geriatric syndromes are?
common in?
typically - answer✔1. clinical conditions not diseases
2. common in elderly
3. Multi-factorial, share risk factors, linked with ADL decline, increasing frailty, poor health
outcomes
Five most common geriatric syndromes - answer✔1. pressure ulcers
2. incontinence
3. falls
4. delirium
5. functional decline
Other Geriatric syndromes - answer✔1. Frailty
2. Sleep Problems
3. Poly-pharmacy
4. Nutrition
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5. Iatrogenesis (external medical equipment transfer)
6. Syncope
Shared Risk Factors of Geriatric Syndromes
1-4 are most common - answer✔1. older age
2. cognitive impairment
3. functional impairment
4. impaired mobility
5. poor nutritional status
6. female gender: higher risk of urinary incontinence, Uti
7. Depressive symptoms
Causes of geriatric syndrome - answer✔1. ususally multi-factorial
2. interactions between intrnsic and extrinsic factors
a. age related changes to body (internal)
b. extrinsic (environment) clutter, rugs
3. interactions between predisposing and precipitating factors
example: 80 year old with infection = delirium
(80 yr old predisposing) + Precipitating (infection)= geriatric syndrome, delerium
Sequelae (pathological condition resulting from) - answer✔1. Restricted Mobility
2. Functional Decline
a. ADL's
b. IADL's
3. Increased risk of nursing home placement and longer hospitalizations
Medciations - answer✔altered pharmacokinetics
2. atypical adverse effects
3. misunderstandings about medications (concrete instructions)
4. cost of medications (generics)