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
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