Geriatrics

Question 1

What Mini Cog score is negative for dementia? Positive?

Answer 1

0-2: suggests cognitive impairment
3-5: cognitive impairment less likely
**< 4 should receive more testing

Question 2

Which system is declined in the elderly resutling in delayed clearance of meds?

Answer 2

CYP450

Question 3

4 meds inapropriate for the elderly

Answer 3

Anticholinergics, benzos, muscle relaxers, TCAs

Question 4

Which KATZ score indicated full independence?

Answer 4

6

Question 5

Common skin conditions in the elderly

Answer 5

SKs, AKs, Alopecia
Lentigines (benign)

Question 6

Expected cardiac changes in the elderly

Answer 6

Arteriosclerosis, S4 d/t LV hypertrophy, isolated SHTN

Question 7

Expected respiratory changes in the elderly

Answer 7

Increased AP diameter with less efficient diaphragm

Question 8

Common hearing problem in the elderly

Answer 8

Presbycusis - hearing aids

Question 9

MMSE score indicating no cognitive impairments vs/ severe

Answer 9

24-30: Normal
< 12: Severe

Question 10

Most common cause of dementia

Answer 10

Alzheimers

Question 11

MoCA vs. MMSE

Answer 11

MoCA is more in-depth and more sensitive for picking up mild cognitive impairment

Question 12

MoCA Scoring: normal vs. severe

Answer 12

Out of 30 points
- 26-30: Normal cognition
- 18-25: Mild cognitive impairment
- 11-17: Moderate
- 0-10: Severe cognitive impairment

Question 13

Hallmark sign of Lewy Body dementia

Answer 13

Parkinson’s