Module Questions

Question 1

Which of the following is NOT a physiological change with aging?
Choose one answer.

a. Decreased inspiratory reserve volume
b. Decreased peristalsis
c. Loss of bone
d. Urinary incontinence

Answer 1

Ans: D

Question 2

A treatment goal for older adults with hypothyroidism and dementia should be:
Choose one answer.

a. Avoiding use of medications
b. Improving cognition, functional ability, and mood
c. Preventing delirium
d. Returning mental status to baseline

Answer 2

Ans: B

Question 3

Presentation of illness may include which of the following?
Choose one answer.

a. Delirium, dehydration, falls
b. Increased function, dehydration, incontinence
c. Pain, increased appetite, weight gain
d. Weight loss, pain, dementia

Answer 3

Ans: A

Question 4

Which of the following symptoms would likely be present in an older adult with diabetes mellitus?
Choose one answer.

a. Burning on urination, polydipsia, delirium
b. Polyuria, polydipsia, and polyphagia
c. Urinary incontinence, weight loss, delirium
d. Weight gain, worsening dementia, hyperactivity

Answer 4

Ans: C

Question 5

Which of the following symptoms would likely be present in an older adult with depression?
Choose one answer.

a. Decreased participation in usual activities, vague complaints, fatigue
b. Hyperactivity, inattention, alteration in level of consciousness
c. Lack of interest in activities, dizziness, confusion
d. Pain, fluctuation in mental status, somatic complaints

Answer 5

Ans: A

Question 6

Commonly used evidence-based pain assessment tools for older adults include:
Choose one answer.

a. Confusion Assessment Method, Verbal Descriptor Scale, Visual Analog Scale
b. Mini Cog, Neuropathic Pain Index, Visual Analog Scale
c. Verbal Descriptor Scale, Visual Analog Scale, Pain Assessment in Advanced Dementia (PAINAD)
d. Wong-Baker FACES Pain Rating Scale, Pain Assessment in Advanced Dementia (PAINAD), patient narrative report

Answer 6

Ans: C

Question 7

Diagnosis of delirium using the Confusion Assessment Method requires the presence of:
Choose one answer.

a. Acute onset and fluctuating course and Inattention only
b. Disorganized thinking and Altered level of consciousness only
c. Acute onset and fluctuating course and Inattention as well as either Disorganized thinking or Altered level of consciousness
d. Acute onset and fluctuating course, Inattention, Disorganized thinking, and Altered level of consciousness

Answer 7

Ans: C

Question 8

During a routine visit, you notice that the older adult patient is responding “I don’t know” to many of your history questions. You consider your patient may need screening for:
Choose one answer.

a. Delirium
b. Dementia
c. Depression
d. Nothing, as this is expected with aging

Answer 8

Ans: C

Question 9

Which of the following should be considered a medical emergency and worked up accordingly?
Choose one answer.

a. Delirium
b. Dementia
c. Depression
d. Weight loss over the past six months

Answer 9

Ans: A

Question 10

Mr. R., a 75 year old male, presents with confusion, atrial fibrillation, weight loss, and muscle weakness. Which of the following blood tests would be most useful in helping diagnosis this primary care patient?
Choose one answer

a. albumin
b. chemistry profile
c. complete blood count
d. thyroid stimulating hormone

Answer 10

Ans: D

Question 11

What are important principles to consider for cancer screening for older adults?
Choose one answer.

a. Life expectancy
b. b. Quality of life
c. Risk versus benefit of screening for the person
d. All of the above

Answer 11

Ans: D

Question 12

Screening mammography is:
Choose one answer.

a. Not recommended for older women
b. Only recommended when covered by Medicare
c. Recommended in combination with breast self exam
d. Recommended for all adult women at intervals individualized based on the patient’s history

Answer 12

Ans: D

Question 13

Which of the following is true about cervical cancer screening in older adults?
Choose one answer.

a. Screening is generally not needed if previous tests were normal and the individual is not at high risk for cervical cancer
b. Screening does not provide valuable information
c. Yearly HPV screening is recommended
d. Yearly PAP tests are recommended

Answer 13

Ans: A

Question 14

The U.S. Preventive Services Task Force and the American Cancer Society both recommend the following for colorectal cancer screening for older adults:
Choose one answer.

a. Colonoscopy every 5 years
b. Yearly sigmoidoscopy
c. Yearly fecal occult blood testing
d. Screening not recommended for this age group

Answer 14

Ans: C

Question 15

Question 5

Which of the following is recommended for prostate cancer screening in older men?
Choose one answer.

a. Yearly digital rectal examination
b. Yearly prostate biopsy
c. Yearly prostatic specific antigen (PSA) test
d. Yearly urinalysis

Answer 15

Ans: A

Question 16

Which of the following is the most accurate statement regarding prostate screening in men according to the American Cancer Society (ACS)?
Choose one answer.

a. Evidence is insufficient for screening
b. Only African Americans should be screened
c. Only those with a family history of prostate cancer are at increased risk of prostate cancer
d. Screen all men beginning at age 45

Answer 16

Ans: A

Question 17

According to the American Cancer Society, women with a history of human papillomavirus (HPV) should continue annual cervical cancer testing after age 65.

True
False

Answer 17

Ans: True

Question 18

Which of the following is true about older adults and chronic illness?
Choose one answer.

a. All older adults develop hypertension that worsens over time
b. The number of chronic illnesses decreases with longevity
c. The number of chronic illnesses rises with longevity
d. The risk of coronary heart disease decreases with age

Answer 18

Ans: C

Question 19

When is it most appropriate to refer an older adult patient to audiology?
Choose one answer.

a. Acute otitis media
b. Any cerumen impaction
c. If the person is willing to use a hearing assisted device
d. Presbycusis

Answer 19

Ans: C

Question 20

ll of the following tests may be used to screen for Abdominal Aortic Aneurysm (AAA) except:
Choose one answer.

a. Abdominal palpation
b. CT scan
c. Magnetic Resonance Imaging (MRI)
d. Ultrasound

Answer 20

Ans: A

Question 21

All of the following are evidence-based screening tests for alcohol misuse except:
Choose one answer.

a. Alcohol Screening Test
b. Alcohol Use Disorders Identification Test (AUDIT) questionnaire
c. CAGE questionnaire
d. The Short Michigan Alcoholism Screening Instrument – Geriatric Version (SMAST-G)

Answer 21

Ans: A

Question 22

Which of the following is least important in gathering information about fall risk?
Choose one answer.

a. Age
b. Extrinsic risk factors
c. Fear of falling
d. Intrinsic risk factors

Answer 22

Ans: A

Question 23

Sexual dysfunction in older adults is:
Choose one answer.

a. Not common and so should not be assessed
b. Not treatable
c. Only due to erectile dysfunction in men
d. Treatable and should be assessed

Answer 23

Ans: D

Question 24

An older adult that presents to the primary care practice with bruises to bilateral upper arms should be assessed for:
Choose one answer.

a. Dementia
b. Elder mistreatment
c. Need for long term care
d. Neglect

Answer 24

Ans: B

Question 25

Which of the following should be the next step if a 5.5 cm abdominal aortic aneurysm is found on physical exam? Choose one answer. a. Nothing, this is a normal finding b. Re-evaluate in 6 months c. Refer to surgeon d. Watchful waiting

Answer 25

Ans: C

Question 26

Which of the following would be the most appropriate tool to assess for fall risk in older adults? Choose one answer. a. Falls Self-Efficacy Scale b. Fear of Falling Likert Scale c. Morse Fall Scale d. Timed Up & Go Test

Answer 26

Ans: D

Question 27

Medicare covers routine eye exams True False

Answer 27

Ans: False

Question 28

The majority of older adults over 65 years of age have at least 1 chronic illness. True False

Answer 28

Ans: True

Question 29

Decreased glomerular filtration rate is a common change of aging in which of the following? Choose one answer. a. Absorption b. Distribution c. Metabolism d. Excretion

Answer 29

Ans: D

Question 30

A guiding principle in prescribing medications to older adults is: Choose one answer. a. Avoid prescribing medications as long as possible b. If a higher medication dose causes confusion, discontinue the medication c. Start low and go slow d. Wean off all medications gradually

Answer 30

Ans: C

Question 31

What medications are important to assess for in older adults? Choose one answer. a. Over-the Counter drugs only b. Prescription drugs only c. Prescription and over-the-over drugs, herbal remedies, and supplements d. What is brought in the brown bag to the office

Answer 31

Ans: C

Question 32

Which is the best test to assess creatinine clearance in older adults Choose one answer. a. Albumin level b. 24-hr urine collection for creatinine clearance c. Serum creatinine d. No test is accurate

Answer 32

Ans: B

Question 33

Your 70 year old male patient is having trouble falling asleep each night for the past few months. He is becoming anxious to fall asleep more recently. Which of the following should be avoided? Choose one answer. a. Antihistamines b. Cognitive behavioral therapy c. Massage therapy d. Polysomnography

Answer 33

Ans: A

Question 34

During a recent hospitalization, your 85 year old patient was started on Lanoxin (Digoxin) 0.25 mg daily for atrial fibrillation and congestive heart failure. As the primary care provider, which would you consider in your plan? Choose one answer. a. Collaborate with the provider who initially prescribed the dose b. Decrease dose to 0.125 mg c. Measure serum level d. All of the above

Answer 34

Ans: D

Question 35

You are assessing Ms. R., a 90 year old female with Alzheimer’s disease living at home with 24 hour aide during a home visit. The aide reports that Ms. R. screams for help and bangs on the table most days for the past few weeks. Which of the following would you suggest to reduce the agitation? Choose one answer. a. Antidepressant b. Antipsychotic c. Cholinergic drug d. Therapeutic activity kits

Answer 35

Ans: D

Question 36

As a primary care provider deciding upon an appropriate medication for an older adult in primary care, which resource would be best? Choose one answer. a. Primary Care Guidelines b. Protocols for Best Practice c. The 2012 American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults d. No resource is best as they medication recommendations change so frequently

Answer 36

Ans: C

Question 37

Which of the following pain medications should be avoided in older adults for its known potential to cause or worsen confusion? Choose one answer. a. Acetaminophen (Tylenol) b. Ibuprofen (Advil/Motrin) c. Meperidine (Demerol) d. Nabumetone (Relafen)

Answer 37

Ans: C

Question 38

To help facilitate patient medication needs in the community, you suggest to your patients that they should: Choose one answer. a. Purchase medications from multiple pharmacies to develop relationships with each of the pharmacists in the neighborhood b. Take only the samples of medication you provide in the office c. Use a mail-order prescription program only d. Use one pharmacy

Answer 38

Ans: D