Geriatrics Exam 2 2023 /139
Questions And Answers (A+)
Quiz :What is the purpose of a CGA? - √Answer :Prevention of decline
in ADLs and IADLs
Screen for function impairments
Screen for preventable disease
Quiz :Who is on the geriatric assessment team? - √Answer
:CMA/Nurse
Social Worker
Pharmacist
Geriatrician
Students/Residents
Quiz :What are the components of a CGA? - √Answer :Medical
Assessment
Assessment of Functioning
Psychosocial Assessment
Social Assessment
Environmental Assessment
Quiz :Functional assessment of CGA examples - √Answer :Did the
patient fill out the questionnaire?
Observe the patient walk, balance
Quiz :What are 4 examples of IADLs? What does losing 1, 2, or 3 of
them predict about dementia? - √Answer :Telephone
Transportation
Medication
Finances
Over three years,
1 impairment = OR of 1
2 impairments = OR of 2.34
3 impairments = OR of 4.54
,Quiz :At what point is weight loss a red flag? - √Answer :Weight loss
>10% of the previous 6 months is a red flag
Quiz :What percent of elderly nutrition disorders are due to
malnutrition/weight loss? What lab values are affected? -
√Answer :20-30%
Serum albumin and cholesterol, which are prognostic factors for
mortality
Quiz :How many seconds is a failed get up and go test? What are you
watching for in the test? - √Answer :More than 20 seconds
Sitting balance, transferring from sitting to standing
Pace, stability of walking
Ability to turn without staggering
Quiz :What are two screening tools for depression assessment? -
√Answer :GDS (Geriatric Depression Scale)
PHQ-9 (Patient Health Questionnaire)
Quiz :What are tools for cognitive function assessment? -
√Answer :Mini-Mental State Exam (MMSE)
Montral Cognitive Assessment (MOCA)
Clock-draw test (CDT)
Verbal fluency or animal naming
Mini-Cog
Quiz :What cognitive function assessment is best for early detection
of memory loss? - √Answer :MOCA
Quiz :What are useful palliative status assessment scales? -
√Answer :Karnofsky Scale
Palliative Performance Scale, version 2 (PPSv2)
, Quiz :How much money is spent fro missed prevention opportunities?
- √Answer :$55 billion
Quiz :How much money is spend on unnecessary services? -
√Answer :$210 billion
Quiz :What percent of cancer can be prevented by lifestyle? of
cardiac conditions? - √Answer :40% of cancers
70-80% of cardiac
Quiz :What is the third largest cause of death in the US? -
√Answer :Medical errors/hospital deaths (the "silent" deaths)
Quiz :What do A, B, C, D, and I screening ratings indicate from the
USPSTF? - √Answer :A and B; offer them as a priority
Provide C services to selected patients
Discourage the use of D services
I means that evidence for the service is lacking, of poor quality
Quiz :What are examples of A and B recommendations? -
√Answer :Bone Mass Measurement
Colorectal Cancer Screening
Mammogram
Pap, Pelvic, Breast exam
Quiz :What grade recommendation is the self-breast exam? -
√Answer :Grade D recommendation
Quiz :What grade recommendation is a clinical breast exam in
women over 40? - √Answer :Grade: I Statement
Quiz :What grade recommendation is a mammograhy in women over
75 years of age? - √Answer :Grade: I Statement
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