Finals

Question 1

4 stages of progression to disability [Nagi Disability Model] describes: ***

Answer 1

1. disease
2. impairment
3. functional limitations
4. disability

Question 2

What is the Model of disabling process? ***

Answer 2

Disease/pathology along with lifestyle/inactivity leads to

Impairment–>functional limitation–> disability

Question 3

Senior fitness test has 6 items which includes:

Answer 3

1, 2. upper & lower body strength

3. flexibility
4. aerobic endurance
5. dynamic balance
6. agility

Question 4

Senior fitness test includes:

Answer 4

a. 30 second chair stand
b. arm curl
c. 2 minute walk
d. chair sit & reach test
e. back scratch
f. 8 foot up & go

Question 5

Key factors in aging successfully: ***

Answer 5

1. maintains high physical/cognitive fx
2. avoiding disease & disability
3. engages in social & learning activities

Question 6

Common signs/sx of pneumonia: ***

Answer 6

a. increase temp & pulse
b. abnormal resp
c. productive cough (thick, colored sputum-green/brown)

Question 7

a. dull pain under sternum (usually increasing in intensity, dull in nature, spread to left neck/arm in less than 20 min)

b. profuse perspiration
c. abdominal angina
d. pale/flushed face***

are all signs and sx of: ***

Answer 7

angina pectoris

Question 8

Chest pain that is “crushing”, like “elephant on chest” that may radiate to jaw/left arm are signs and sx of:

(along with irreg pulse/resp, profuse sweating, anxiety, weakness, drop in BP, paleness, syncope, SOB)***

Answer 8

MI

Question 9

Tremors (pill-rolling), stooped posture, arms flexed, slowness in voluntary movement are signs of:

Answer 9

Parkinson’s

Question 10

Big, fat, red, painful toe is:

Answer 10

podagra

Question 11

_____ have symptoms of: ***

• polyuria
• polyphagia
• polydipsia
• weight loss

Answer 11

diabetes

Question 12

Uric acid accumulation in joints produced by liver where the kidneys can’t keep up along with podagra are Signs/Sx of: ***

Answer 12

gout

Question 13

Females with hip fractures are __x more at risk to have a 2nd hip fracture.

Answer 13

4

Question 14

___% of hip fx patients greater than 50 YO die in 1 year post-fracture

Answer 14

24

Question 15

Dx of osteoporosis is by:

Answer 15

a. low bone density
b. interval change in bone density
c. Prediction of likelihood of fracture
d. T score

Question 16

For osteoporosis, T score of 2.5 or lower is at the:

Answer 16

hip/spine/ prior spine/hip fracture

Question 17

For osteoporosis, T score of 1.0 to -2.5 is at the:

Answer 17

femoral neck/ total hip/ spine

Question 18

Recommendations for calcium/Vit D supplement for men & women over 65 YO is ______ mg/day

Answer 18

1500

Question 19

______ involves elderly with diabetes with: ***

• hot/dry/ flushed skin
• increased urination, thirst, and hunger
• HA
• confusion
• sweet fruity breath
• weakness
• low bp
• unconsciousness

Answer 19

hyperglycemia

Question 20

______ involves elderly with diabetes with: ***

• hunger
• weakness/dizziness
• shakiness
• cold/moist/clammy/pale skin
• HA
• rapid shallow resp
• nervousness/excitement
• rapid pulse

Answer 20

hypoglycemia

Question 21

Male or female: ***

General structure of pelvis is thick & heavy

Answer 21

male

Question 22

Male or female:

General structure of pelvis is thin & light

Answer 22

female

Question 23

Male or female:

Greater pelvis is deep

Answer 23

male

Question 24

Male or female:

Greater pelvis is shallow

Answer 24

female

Question 25

Male or female: Lesser pelvis & Pubic arch is wide

Answer 25

female

Question 26

Male or female: Lesser pelvis & Pubic arch is narrow

Answer 26

male

Question 27

Male or female: Pelvis inlet is oval

Answer 27

female

Question 28

Male or female: Pelvis inlet is heart shaped.

Answer 28

male

Question 29

Male or female: Pelvis outlet is small

Answer 29

male

Question 30

Male or female: Pelvis outlet is large

Answer 30

female

Question 31

Male or female: Obturator foramen is round.

Answer 31

male

Question 32

Male or female: Obturator foramen is oval.

Answer 32

female

Question 33

___ baby boomers live in the US today.

Answer 33

76 million (qtr of the US pop)

Question 34

[T/F] Muscle/tendon changes are at the motor plate where the sarcolemma are fewer, shorter, become smoother & decrease surface area therefore decrease stimulation potential.

Answer 34

true

Question 35

[T/F] Aging reduces available energy due to reduction in size & number of mitochondria. ***

Answer 35

true

Question 36

[T/F] Aging increase fat/fibrinous tissue within muscle and decrease ability for muscle repair. Scar tissue is increased therefore there is slower, weaker, irregular contractions with longer recovery period.

Answer 36

true

Question 37

[T/F] With aging, less able to keep out substances in the epidermis such as chemicals, microorganisms, athletes foot, fissures.

Answer 37

true

Question 38

[T/F] With aging in the dermis (provide skin with strength & elasticity) less water, more crosslinking of collagen, therefore thinner and less elastic-fissures.

Answer 38

true

Question 39

[T/F] With aging, subcutaneous tissue (provides protection & insulation for underlying skin--typically is poorly vascularized) has less skin support with increased sheer force, decreased fat--less cushion, callous/corns.

Answer 39

true

Question 40

[T/F] With aging, there is nerve loss (sensory & motor), loss of coordination, and loss of reflexes. ***

Answer 40

true

Question 41

____ is a leading cause of death in US and plays a role in chronic illness of aging.

Answer 41

Physical inactivity

Question 42

[T/F] In the cardiovascular system, aging will REDUCE: - resting & maximal cardiac output - stroke volume - maximal HR - response to Sympathetic nerv system stimulation

Answer 42

true

Question 43

[T/F] In the cardiovascular system, aging will INCREASE: - systolic BP - peripheral resistance - total cholesterol & LDL particle number

Answer 43

true

Question 44

[T/F] Resting cardiac output can remain stable with condition exercise in absence of disease, however---the cardiac output will be reduced even in healthy aging.

Answer 44

true

Question 45

[T/F] In resp system, aging will REDUCE: - lung surface area - alveolar elasticity - forced expiratory volume (FEV 1) - maximal oxygen consumption (VO2 max) - P O2

Answer 45

true

Question 46

[T/F] Aging will increase chest wall stiffness in resp system.

Answer 46

true

Question 47

[T/F] Neuronal loss is normal in the aging brain, but the ability to learn remains generally unchanged.

Answer 47

true

Question 48

[T/F] Recall memory is affected more than cognitive fx in normal aging.

Answer 48

true

Question 49

At age 1, birth weight _____

Answer 49

triples

Question 50

At age 1, ___% growth in height.

Answer 50

50

Question 51

After age 1, growth slows to ____ of infant rate.

Answer 51

half

Question 52

After age 2, gain _____ lbs per year.

Answer 52

5-7

Question 53

After age 2, grow ___ inches per year.

Answer 53

2

Question 54

____% of older than 65 have a chance of falling out of a chair. ***

Answer 54

more than 1/3

Question 55

Why do we shrink as we age?

Answer 55

- changes in IVD - changes in menisci - increased osteoclastic activity over osteoblasts - increase kyphosis

Question 56

What information do you need to gather to look at geriatrics nutritional status?

Answer 56

a. where the meals are coming from b. how many meals per day c. SES

Question 57

Most common fx from a fall:

Answer 57

spine hip forearm.... ...leg, ankle, pelvis, upper arm, and hands

Question 58

[T/F] About 1 out of 5 hip fx patients die within a year of their injury. ***

Answer 58

true

Question 59

In 2001, the rates of fall injuries for adults 85 and older were __-__x that of adults 65-74.

Answer 59

4-5x

Question 60

Nearly ___% of deaths from falls in 2004 were among people 75 and older.

Answer 60

85

Question 61

Women are ___% more likely than men to have a non-fatal fall injury. ***

Answer 61

67

Question 62

[T/F] Synovial fluid decrease in volume secondary to decreased blood flow where it is LESS elastic as are adjacent ligament structure with LESS movement-joint contract to position.

Answer 62

true

Question 63

Fertilization occurs in:

Answer 63

ampulla

Question 64

Implantation occurs in :

Answer 64

along the anterior/posterior wall

Question 65

[T/F] In Osteoporosis, be aware that alcohol can deplete your calcium reserves--this happens bc alcohol raises your PTH levels.

Answer 65

true

Question 66

[T/F] Women has lower bone mass and tend to live longer; also experience a sudden drop in estrogen at menopause that accelerates bone loss.

Answer 66

true

Question 67

[T/F] Polymyalgia rheumatica may occur in the elderly along with decrease muscle mass.

Answer 67

true

Question 68

[T/F] There is loss of dendritic arborization during aging.***

Answer 68

true

Question 69

[T/F] Progesterone is secreted by the corpus luteum (signaled from hCG production) in the endometrium to prevent shedding of the endometrial lining. *** When implantation does not occur, decreasing progesterone levels permit sloughing of the uterine lining.

Answer 69

true

Question 70

[T/F] Reduced gastric secretions lead to an increased post prandial gastric pH (6.5) when aging. ***

Answer 70

true