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Exam (elaborations)

Geriatrics Exam 1 2024/2025

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Geriatrics Exam 1 Geriatrics Exam 1 Geriatrics Exam 1

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  • October 24, 2024
  • 18
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Geriatrics
  • Geriatrics
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lectjoseph
Geriatrics Exam 1
What are the 3 most vulnerable body systems for aging? - ANS cardiovascular



renal



CNS



Review how each body system changes in response to aging .... no good way to put on here :( - ANS



How often should height & weight be assessed in geriatric pts? - ANS Height = annually



Weight = each appointment



How often should the average geriatric pt receive an ophthalmologist or optometrist eye exam? - ANS
every 1-2 yrs




**differs for some populations - like diabetics**



You are assessing your 69 y/o male pt's hearing & get a positive HHIE score. Pt has no prior
documentation of hearing loss. What is your next step? - ANS refer to audiologist for further testing



True/False

Fourth heart sounds are common in older pts w/out evidence of cardiovascular disorders. - ANS true

,**indicates decreased ventricular compliance/stiffness which is part of normal aging**



True/False

Diastolic murmurs are generally considered normal in the geriatric population. - ANS FALSE - diastolic
murmurs are pathologic in ALL age groups



What is the most common heart valve lesion in older pts? - ANS aortic valve sclerosis



(aka symptomatic aortic stenosis)



True/False

A few basilar rales are a normal age related finding in many geriatric pts. - ANS true



True/False

It is normal to be able to palpate ovaries in post-menopausal & older women. - ANS false - must work
em up if you are able to palp!



What are some normal age-related foot findings in geriatric pts? - ANS hallux valgus



hammer toe



claw toe



Heberden nodes & bouchard nodes are a sign of what? - ANS osteoarthritis



Swan neck deformity & boutonnière deformity are signs of what? - ANS rheumatoid arthritis

, **also subluxation of MCP joint & ulnar dev of fingies**



What type of hearing loss generally occurs first in geriatric pts? - ANS HIGH pitched



Why do geriatric pt experience decreased sense of smell? - ANS lining of nose becomes thinner & dryer



nerve endings in the nose deteriorates



What is the most common cause of irreversible central vision loss in older pts? - ANS macular
degeneration



What is the #1 risk factor for macular degeneration? - ANS AGE



True/False

All macular degeneration starts as dry macular degeneration. - ANS true



You are performing a fundoscopic exam on a pt w known dry macular degeneration & note yellow
retinal deposits. What finding is being described? - ANS drusen



Neovascularizations are associated w what type of macular degeneration? - ANS WET



A 72-year-old woman reports gradually noticing that her central vision has become blurry in both eyes
over the past few months. She describes difficulty reading and recognizing faces, but denies any eye
pain or redness. Her medical history is significant for hypertension and a family history of macular

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