Transitions and Miscellaneous Topics

Question 1

When updating the patients problem list should the older patient be present?

Answer 1

Yes, helps their understanding of the context of their health assessment

Question 2

Are there good screening guidelines in place for health screening over the age of 70?

Answer 2

No, USPSTF and similar organizations lack direct evidence

Question 3

A mammogram every 1-2 years is recommended for breast cancer screening starting at age 40 (to 50) to what age?

Answer 3

Up to 75

Question 4

When should you screen for diabetes in older patients?

Answer 4

Perform yearly fasting glucose testing if patient has symptoms of diabetes, or every three years if patient has risk factors

Question 5

What is the USPSTF’s recommendation for osteoporosis screening?

Answer 5

Screen women 65 years or older with bone density testing

Question 6

At what age should Hepatitis C no longer be done?

Answer 6

After age 79

Question 7

What is the most common neurologic complication in geriatric patients?

Answer 7

Delirium

Question 8

What is the only opioid definitevly associated with delirium?

Answer 8

Meperidine

Question 9

Older surgical patients should be evaluated and screened for what at time of admission?

Answer 9

Dementia and history of alcohol abuse

Question 10

What lung expansion modalities can be used to decrease respiratory complications in geriatric post-operative patients?

Advanced age is associated with what lung changes?

Answer 10

• Chest physiotherapy
• Deep breathing exercises
• Incentive spirometry and OPEP
• CPAP

Decreased chest wall compliance and respiratory muscle strength

Question 11

Should beta blockers be continued around surgery and administered perioperatively to high risk individuals?

What about statins?

Answer 11

Yes

Statins are indicated in the perioperative period and shouldn’t be stopp

Question 12

The BEERS criteria is used to screen for

Answer 12

Polypharmacy