Geriatric Emergencies Real Exam with Questions and Correct Answers | Passed with Grade A +

Geriatric Emergencies Real Exam
with Questions and Correct Answers
| Passed with Grade A +

What could be some causes of AMS in an elderly patient? (3) - ✔✔1. UTI

2. hyperthyroidism

3. dehydration



What is the name of the method used in the ER to diagnose a patient with delirium? -
✔✔CAM (Confusion Assessment Method)



How many components of the CAM are there? - ✔✔4



What are the 4 components of CAM to diagnose a patient with delirium? - ✔✔1. acute onset
or fluctuating course
2. inattention

3. disorganized thinking

4. altered level of consciousness



How many components of CAM are required to diagnose a patient with delirium? - ✔✔3-4



T or F: AMS is a billable ICD-10 code, but not a disease itself. - ✔✔True



What are the possible causes of AMS/Delirium using the following mnemonic? AEIOUTIPS - ✔✔A
- alcohol

, E - epilepsy, electrolytes, encephalopathy

I - insulin

O - opiates and oxygen

U - uremia

T - trauma and temperature

I - infection

P - poisons and psychogenic

S - shock, sepsis, SAH and masses



Delirium

- define - ✔✔acute change in MS NOT caused by underlying dementia



T or F: Delirium has similar mortality as sepsis or an acute MI. -
✔✔True - it is an emergency



What are the 3 clinical types of delirium? - ✔✔1. hyperactive

2. hypoactive

3. mixed



Examples of common precipitants of delirium (9) - ✔✔1. infection

2. stroke

3. MI

4. hypoxia

5. head trauma

6. hypoglycemia

7. metabolic derangement

8. toxicants

9. endocrinologic emergencies - DKA