GERIATRICS EXAM QUESTIONS AND CORRECTDETAILEDANSWERS ,A COMPLETE SOLUTION THAT COVERS2024/2025 BEST RATED TO SCORE A+ FORSUCCESS
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Course
GERIATRICS
Institution
GERIATRICS
GERIATRICS EXAM QUESTIONS AND CORRECTDETAILEDANSWERS ,A COMPLETE SOLUTION THAT COVERS2024/2025 BEST RATED TO SCORE A+ FOR SUCCESSWhat is urinary incontinence? - √Answer :involuntaryleakageofurine
Quiz :T/F Urinary incontinence is more common withadvancedage and a normal part of aging. - √Answe...
GERIATRICS EXAM QUESTIONS AND CORRECT DETAILED
ANSWERS ,A COMPLETE SOLUTION THAT COVERS
2024/2025 BEST RATED TO SCORE A+ FOR SUCCESS
What is urinary incontinence? - √Answer :involuntary leakage of
urine
Quiz :T/F Urinary incontinence is more common with advanced
age and a normal part of aging. - √Answer :F
UI is not normal at any age
Quiz :T/F Men have a 1/3 incidence of urinary incontinence
compared to women until the age of 85 when the frequency is
the same. - √Answer :T
Quiz :What is the MC type of urinary incontinence in geriatrics?
- √Answer :urgency incontinence
Quiz :Urinary incontinence causes an increased risk of what in
the geriatric population? - √Answer :UTI
skin breakdown
falls
fracture
Quiz :What are the RF for urinary incontinence? - √Answer :age
functional impairment
female
obesity
DM
CVA
depression
fecal incontinence
hysterectomy
,Quiz :What screening questions should be asked, especially in
older women, to r/o urinary incontinence? - √Answer :Do you
ever leak urine when you do not want to?
Do you ever leak urine on your way to the bathroom?
Do you ever use pads or tissue in your underwear to catch
urine?
Quiz :T/F Post void dribbling is more common in women. -
√Answer :F
More common in men
Quiz :During evaluation of a pt with suspected urinary
incontinence, what are red flags for underlying neurologic or
neoplastic dz? - √Answer :acute onset of the urinary
incontinence with suprapubic, lower abd and/or pelvic pain
Quiz :What are the 4 main types of urinary incontinence? -
√Answer :urgency
stress
mixed
overflow
Quiz :What is the first line therapy for most older adults with
urinary incontinence? - √Answer :Behavioral therapies
Quiz :What class of drugs are contraindicated in pts with
narrow angle glaucoma, impaired gastric emptying and known
urinary retention? - √Answer :Antimuscarinics
Quiz :What is used to treat younger pts with nocturia
associated with nocturnal polyuria? - √Answer :vasopressin
Quiz :Why should vasopressin be avoided in treating older,
frailer pts with UI? - √Answer :risk of hyponatremia
Quiz :What has the highest cure rate for stress UI in women? -
√Answer :surgery
,Quiz :T/F Constipation affects the elderly more often, about
40% >65y/o. - √Answer :T
Quiz :T/F New constipation and fecal incontinence sx that have
occurred for more than 6 months should always prompt further
evaluation. - √Answer :F
sx that have occurred for less than 6 months should be
promptly evaluated.
Quiz :What are red flags associated with fecal incontinence? -
√Answer :hematochezia, fhx of colon CA or inflammatory bowel
dz, anemia, positive occult blood in stool, unexplained weight
loss, and constipation refractory to treatment
Quiz :If acute or chronic cholecystitis sx are suspected as a
cause bowel sx what test should be ordered? - √Answer :US
Abd
Quiz :T/F Nonpharmacologic tx should be the first modality
initiated for constipation and fecal incontinence. - √Answer :T
Quiz :What amount of dietary fiber is required and how much is
added daily to decrease side effects? - √Answer :20-35g per
day
increased 5g per day at 1 week intervals
Quiz :What is used in the mornings prior to the first meal to help
with retraining normal BM? - √Answer :glycerin suppository
Quiz :Why should be cautious with osmotic laxatives in those
with CHF or chronic renal dz? - √Answer :May cause electrolyte
imbalances
Quiz :T/F Osmotic laxative are used as the first line tx for
constipation. - √Answer :F
used when bulking and stool softeners are not effective
, Quiz :What is the key finding for fecal impaction? -
√Answer :Large amount of stool in the rectum
Quiz :T/F Abd tenderness or bleeding may indicate bowel
perforation or ischemia and the pt will require surgery. -
√Answer :T
Quiz :What is used to help prevent and occasionally treat
erythema and maceration that occur with fecal incontinence? -
√Answer :skin barrier cream
Quiz :T/F Erectile dysfuction is the most common sexual
problem in men. - √Answer :T
Quiz :What is the most common cause of ED and the most
prevalent form? - √Answer :MC- Neurovascular
MP- Vascular
Quiz :In what setting are most female cases of urinary
incontinence found? - √Answer :70% nursing home dwelling
Quiz :What is the most common presentation of erectile
dysfunction? - √Answer :gradual onset with intact libido-
vascular, neurogenic or other organic cause
Quiz :What drugs are first line therapy for ED? - √Answer :type
5 phosphodiesterase inhibitors- slidenafil 25-50mg or verandifil
5-10mg for men having neurogenic ED
Quiz :What is a common urogenital sx of female sexual
dysfunction? - √Answer :difficulty with lubrication
Quiz :What questions should be asked of a women with sexual
dysfunction? - √Answer :dyspareunia, lack of vaginal lubrication,
previous negative sexual experiences such as rape, child
abuse or domestic violence
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