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Clinical Assessment III- Bates Flashcards > Geriatrics > Flashcards

Flashcards in Geriatrics Deck (29)
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1

which part of the BP is usually elevated for the elderly?

Systolic component

2

what can cause postural hypotension in the elderly?

Dehydration
Peripheral Vascular Disease
Polypharmacy

3

Does respiration rate typically change in the elderly?

No, usually remains unchanged

4

What three things you must rule out when you see actinic purpura?

Abuse (bruises)
Hemoglobinopathies
Anticoagulants

5

Which is cancerous- actinic purpura or actinic keratoses?

Actinic keratoses

6

What is actinic keratoses a precursor for?

Squamous cell CA

7

What is inability to hear in the upper ranges with age?

Presbycussis

8

What could a pulsating mass in the neck be?

The aorta (gets a little torturous)

9

What are the 2 most common murmurs in elderly?

Aortic stenosis
mitral valvue regurgitation

10

What may an S3 indicate?

Volume overload LV

11

What might be the only sign of hyperthyroidism in elderly?

Elevated temperature

12

what is sarcopenia?

Loss of muscle mass/ strength

13

What are the three positions for the Rhomberg 3?

Feet together
Feet 1/2 tandem
feet full tandem

14

What is presbyopia?

Near sightedness

15

What is a secondary infection related to angular cheilitis?

Candida

16

What type of skin tumor has telangiectatic vessels visible?

Basal cell carcinoma

17

What type of spot on the fundi is a sign of macular degeneration?

drusen

18

What are the two types of macular degeneration?

dry atrophic (more common, less severe)
wet exudative (neovascular)

19

What suggests glaucoma?

increased cup-to-disc ratio

20

How is CO maintained?

Increased SV even with decreased heart rate

21

Why is there atypical presentations of common complaints in the abdomen?

blunting

22

What is the chair-rise test?

To assess quad strength: rise from chair without using hands; allow 2-3 attempts

23

Delirium

Rapid functional change in mental status that fluctuates within minutes to hours (acute infection, post-op, withdrawal)

24

What is Age-related decline?

sporadic; difficulty with names, mild forgetfulness, or reduced concentration, affects function

25

What is MCI?

memory impaired with no cognitive deficits or functional decline

26

Alzheimer's

progressive global deterioration: multiple domains; short term memory, language, executive function, sequential tasks (repeat questions, lose objects, become lost in familiar surroundings, aphasia, apraxia)

27

Mini-cog

1: 3 word recall
2: draw simple clock to specific time
3: recall the words in step 1

28

On the mini-cog exam what score is demented?

0: no words recalled
1-2 words recalled with abnormal clock

29

On mini-cog exam what score is non-demented?

1-2 words recalled with normal clock
recall all 3 words