Geriatric

T&F Questions
1-There is no difference in short term memory in the elderly over 75+ vs. 50+. (false)
2-In the United Sates, an older American is defined as 65years age. (true)
3-60% of men aged 85 and older are widowed. (false)
4-In general older women outnumber older men. (true)
5-The cost of healthcare dramatically rises for people age 65 and older. (true)
6-The chronic health problems commonly found in the aging population are hypertension, arthritis and heart
disease. (true)
7-Alzheimer disease is the most common form of dementia. (true)
8- Alzheimer disease is diagnosed by only neurological tests. (false)
9-gerontology is a branch of medicine that deals with the health of elderly. (false|)
10-The drugs absorbed more quickly in elderly. (false)
11-The impact of age on heart leads to increased cardiac output. (false)
12-Healthy food habits and regular physical activity are required to
improve the quality of life of elderly. (true)
13-healthproffestionals have a duty care towards a person in their care. (true)
14-The medical treatment can be withdrawn at age of 80. ( false)
15- The nurse can break confidentiality when the relative ask. (false)
16-The presence of invasive indwelling device is the most common risk factor for infection in old person. (true)
17-secondery insomnia has an identifiable cause while primary does not. (true)
18-Alcohol has effect on medications such as pain killers. (true)
19-older drinkers are less likely to fall than younger. (false)
20-National and global statics indicates 80 age and older is the fastest growing age group. (true)
21-you should hold arm of persons with sight loss to guide them. (false)
22-Infection is one of reasons that cause the old person to lose weight. (true)
23-loss of subcutaneous fat is one of physical consequences of malnutrition. (true)
24-decreaseg glomerular filtration rate is a physiological cause of dehydration. (false)
25-in an older person the drugs are expected to be less excreted. (true)
26- An older person who can not recall where he placed his keys, he likely suffers from psychosis. (false)
27-Aphasia means difficulty in reading, understanding, and speaking. (true)
28- All medication may not need dosage adjustment in geriatric patients. (false)
29-ADRs in geriatric patients may mimic conditions of old age. (true)
30- The medical history and patient renal functions are only factors needed for selecting medications in geriatric
patients. (false)
31-Urge incontinence leads to slow and constant urine drippling. (false)
32-urinary tract infections lead to transient urine incontinence. (true)
MCQ Questions
1-Occasionally, other health conditions may mimic Alzheimer disease. What are they?
a)Side effects of medicine b)dehydration
c)nutrition d)all of the above
2-Which age group has the highest rate of Alzheimer cases reported?
a)60- 65 b) 50 and older c) 85 and older d)74-84
3-The average time from the onset of symptoms of Alzheimer to death is how long?
a)20 years b)8 years d)6years d)4 years

3-Oral drugs may be absorbed less quickly in older people because:

a)Decreased gastrointestinal motility. b)Increased hepatic metabolism.

c)increased kidney function. D)increased receptors in the heart.

4-Geriatrics is defined as:

a) a branch of medicine that focuses on providing life insurance for adults aged 65 and older.
b) a discipline of medicine that focuses on providing medical care for adults aged 65 and under.
c) a medical discipline that focuses on improving the quality of life for middle-aged adults.
d) a branch of medicine that focuses on providing medical care for adults aged 65 and older.
5-Who make decisions concerning an older person’s healthcare:
a)The older person b)health professionals
c)nearest relatives d)medical staff
6-At which age medical treatment can be withdrawn:
a) 60 b) 50 c)80 d)no age
7-Who is responsible for making changes in order to improve sleep:
a) the person affected b) the staff
c) the organization d) all of the above
8-Geriateric patients require dose adjustment because of:
a) decreased hepatic metabolism b) decreased renal function
c) all of the above c) none of the above
9- Geriatric patients exhibit altered pharmacodynamics response to:
a) NSAIDs b) Beta blockers
c) ACEIs c) a and b
10-The following are brain changes seen with aging:
a)faster alpha rhythm b)increased receptors
c)cortical atrophy d)increased neurotransmitters
11- Brain of elderly show the following:
a)Ventricular enlargement b)increased EEG frequency
c)increased slow wave sleep d)increased gray-white density
12-What is the best treatment for post- menopausal women:
a)Estrogen b)Psychotherapy and antidepressant
c)anti-depressant and estrogen d) anti- depressant
13- Aging is:
a)pathological process occurs to some persons. b)health study
c)physiological process common to all living organisms. d)grey hair.
14-In bipolar elderly, regarding mania and depression, cycles become:
a)More frequent with increased amplitude. b)less frequent
c) More frequent with decreased amplitude. d)no change
15- Regarding late-life depression, the following is true:
a) Inter-episode period is not affected b)Recurrence rate is the same
c)Severity is predictive of poor prognosis d)relapse rate is the same
16-geriatric psychopharmacology / drug metabolism in the elderly is characterized by:
a)increased albumin b)decreased rate of hepatic acylation
c)increased metabolism d)decreased rate of hepatic oxidation
17- The prevalence of alcohol abuse in elderly:
a)Decreased compared to younger age b) The same as younger
c)Equal in men and women d) Has no relation to elderly
18-What is the most common form of elder abuse?
a)emotional b)financial c)neglect d)physical
19-What is the most common psychiatric disorder after age 65?
a) Alcohol abuse b) Severe cognitive impairment
c) Mood disorders d) Anxiety disorders
20- An elderly patient with a history of alcohol abuse in the past is at an increased risk of:
a)depression and dementia b)depression only
c)dementia only d)no depression or dementia
21- Suicide in the elderly:

a) Social isolation is not an important factor. b) It is more frequent in females

c)It is not correlated to alcohol use d) It is more frequently lethal

22- Which tryciclic antidepressant is the most preferable in the elderly:
a) Imipramine b) Nortriptyline c) Amitriptyline d) Doxepin
23- Which of the following sleep changes are seen in the elderly?
a) increased total REM sleep b)Decreased wakefulness
c) Decreased slow wave sleep d) Less frequent REM periods
24- Which of the following statements regarding aging is correct?
a) the elderly have a reduced verbal fluency. b) The elderly have a reduced speed of motor response.
c) The elderly have reduced analytical skills.
d) The elderly have a reduced capacity for complex visuo-spatial skills.
25-Which of the following pharmacokinetic changes has the least effect on drug in the elderly:
a) Absorption b)distribution c)protein binding d)metabolism
26- Which of the following is NOT seen in the pharmacokinetics of aging?
a) No change to conjugation b) Decreased liver blood flow
c) Decreased oxidation d) Increased liver enzymes
27-elderly urinary incontinence occurs due to problem in:
a)nervous system b)lower urinary tract disorders
c)all of the above d)none of the above
28-elderly stress incontinence occurs due to:
a)excessive mental stress b)weakness of the muscles of pelvic floor and urinary bladder sphincter
c)increased bladder muscle tone d)none of the above
29-constipation means:
a)irregular motions b)less than one stool per day
c)less than 3 bowel movement per day with difficult painful evacuation d)bloody stool
30-which of the following are life style causes of constipation:
a)lack of fibers in diet b)good hydration
c)all of the above d)none of the above
31-the following leads to constipation as a side effect:
a)beta blockers b)diuretics
c) Alcohol d)antibiotics
32-Risk of fall includes:
a)impaired cognition b)life style
c)history of fall c)weight
33-Study of aging and all issues related to it:
a)geriatric medicine b)health study
c)gerontology d)gertiaterian
34-Geriatrics:
a) is more multidimensional than gerontology. B) uses a biopsychosocial model.
c) helps the elderly gain greater insight into the meaning of life.
d) focuses on preventing and managing disease in later life.
35-During the classical period, old age was considered:
a) ugly b) wisdom c) beautiful d) heroic
36-Historically, the status of elderly was related primarily to their:
a) health b) property c) wisdom d) ability to work
36-Ageism is a:
a) political movement. B) religious philosophy.
c) prejudice against any age group, young or old. D)mark of status
37-Gerontophilia means:
a) fear of aging. b) aversion of aging.
c) hatred of aged. d) honoring old age
38-Men have higher death rates from all causes except:
a) heart disease b) diabetes
c) suicide d) cancer
39-The increase in life expectancy for both males and females is due to:
a) being the ideal weight for one’s stature. b)genetic factors
c)low blood pressure d)all of the above
40-The old-age dependency ratio is the number of people:
a) over 80 years of age relative to the rest of the population.
b) 65 years of age and older relative to the rest of the population.
c) 65 years of age and older relative to the working-age population (18-64).
d) over 80 years of age relative to the working-age population (18-64).
41-A part of geriatric history that should be reviewed is:
1-pervious hospitalization.
2-Immunixations.
3-medication review.
4-familiy history.
42-The causes of urinary incontinence in elderly include all except:
1-parietal lobe disease.
2-diuretic therapy.
3-Immobility.
4-severe constipation.
43-Which of the following medications classes has been associated with the risk of fall:
1-proton pump inhibitor.
2-beta2 Agonist.
3-antibiotics.
4-Sedatives.
44-All are risk factor of dementia except:
1-Age.
2-Smoking.
3-gender.
4-level of education.
45-early warning sign of Alzheimer’s disease include all except:
1-Mood and personality changes.
2-Inability to recognize objects.
3-Gradual loss of long term memory.
4-problem is speaking the right words.
46-One of the following is not essential during geriatric evaluation:
1-Tongue color.
2-Cognition.
3-Sensory change.
4-Mobility.
47-The following should not be reviewed at every geriatric visit:
1-Medications.
2- Family history.
3-Sensory changes.
4-Continence.
48-The best test used to asses kidney function in elderly is:
1-serum K.
2-Serum Na.
3- creatinine clearance.
4- All of the above.
49-Elderly are liable to develop pressure ulcers due to all the following except:
1-Decreased skin elasticity.
2-Nutritional deficiency.
3-decreased sebaceus secretion.
4- Increased subcutaneous fat.
50-Which of the following is the most common complication of falls:
1-Hip fracture.
2-infections.
3-Recurrence of fall.
4-abrasions.
51-Aging is associated with the following physiological changes except:
1-decreased liver function.
2-decresed renal function.
3-decreased bone mass.
4-increased cardiac output.
52-All of the following are true about infection in elderly except:
1-High fever.
2-hypothermia.
3-normal temperature.
4-subnormal temperature.
53-In postural hypotension, systolic blood pressure dropped by:
1-10mmHg.
2-5mmHg.
3-15mmHg.
4-20mmHg.
54-The following affect geriatric response to drugs except:
1-Decreased renal function.
2-Decreased liver function.
3-Decreased cardiac output.
4-Decreased proportion of fat to muscle.
55-GFR starts to decrease after the 4th decade:
a) 10ml/h/year.
b)10ml/min/decade.
c)10ml/day/decade.
d)10ml/day/year.
56-The following are features of delirium in elderly except:
1-Acute onset.
2-Inattention.
3-chronic onset.
4-Altered level of consciousness.
57-The following are not geriatric emergencies except:
1-Delirium.
2-Hypotension.
3-Acute bronchitis.
4- acute myocardial infarction.
58-Risk factor of delirium include all except:
a) urinart tract infection.
b) polymedications.
c) dehydration.
d) Benign prostatic hypertrophy.
59-Intrinsic causes of fall in elderly include:
1-Darkness.
2-Crowded house.
3-Syncope
4-wet floors.
60-Fibres in diet has all except:
1-delay gastric emptying.
2-Increased fecal bulk.
3-Accelerate glucose absorption.
4- decreased serum cholesterol.
61-Geriatrics
a) a)is more multidimensional than gerontology.
b) uses a biopsychosocial model.
c) helps the elderly gain greater insight into the meaning of life.
d) d)focuses on preventing and managing disease in later life.
62-All of the following were aspects of modernization that contributed to lower status of the
elderly except:
a)values of equality b) control of property. C) education d) health technology
63-Which of the following was an important cause of the change in society’s attitudes toward the
elderly in the 1800’s?
a. urban and industrial growth
b. higher birthrates
c. religious freedom
d. advances in medicine
64-Gerontology is the study of the aging process from:
a) childhood to late life. b) maturity to old age.
c) middle age to retirement. d) retirement to death.
65- Stress in continence in elderly means:
a) Desire to void urine b)Leakage of urine from full bladder c) Leakage of urine with
activity d) Leakage of urine due to fistula
66- The following are causes of stool incontinence in elderly except:
a)Delirium b) Stool impaction c) infection
d)physical activity
67- Which of the following not complication of urinary in continence:
a) Hypertension b) Fall c) Fracture d) Infection

68-Subtypes of stool incontinence include the following except:

a) Active b) passive c) Urge d) Functional
69-Elderly are liable to develop pressure ulcers due to all the following except:
1-Decreased skin elasticity.
2-Nutritional deficiency.
3-decreased sebaceus secretion.
4- Increased subcutaneous fat
70- Which of the following is NOT seen in the pharmacokinetics of aging?
1-No change to conjugation
2-Decreased liver blood flow
3- Decreased oxidation
4- Increased liver enzymes
71- One of following is Geriateric manifestations:
a) Bright skin b) Sarcopenia c) Defined face contour d) Melanosis
72- Which of the following statement is true:
a) The risk of drug –drug interaction increased with age.
b) No drug interactions occur in elderly.
c) Multi drugs combinations are safe in elderly.
d) Drugs hemodynamics has no effect on elderly.
73- Combination of Warfarin and Acetylsalicylic acid in elderly increased the risk of:
a)Coagulopathy b) Anemia c) Bleeding d) Infection
74-The following are limitations in treating elderly except:
a) Limiting dose flexibility b) duration of illness
c)Medical comorbidities d) Body weight
75- Pharmacodynamic interactions means:
a) One drug stops the action of the other drug.
b) One drug changes the response to the other drug.
c) One drug has no effect on the other drug.
d) Dose limitation of the drugs.
76- The term Ageism was coined by:
a) Robert Butler b) Igntaz Nascher c) DR O. Sharma
d) Dr Sharad Gokhale
77-Which condition in characterized by progressive loss of bone density making older adult more prone to fractures?
a) Osteoporosis b) Arthritis c) Gout d) Tendinitis
78-Dementia and depression are strongly related to:
a) Economic status of the elderly. b) Patients less than age of 60.
c) Patients over the age of 65. d) A decreased quality of life and functional deficit.
79-Which organ is responsible for drug metabolism in elderly and must be considered in drug prescription for elderly:
a) Intestine b) Liver c) Kidney d) Pancreas