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Quiz Geriatrics | Urinary Incontinence | Dementia

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Quiz Geriatrics
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  Geriatrics 14Mar2009DO NOT DISTRIBUTE - 1 - Geriatrics #1 – Aging Impacts on Health Care (Demographics) 1) In 1900, the elderly population (>65) was approximately 1 in 24. Approximately whatnumber of the U.S. population (2005) is elderly now?a) 1 in 2 b) 1 in 4c) 1 in 8d) 1 in 12e) 1 in 242) The elderly population (>65) is expected to increase by what percentage by the year 2030, when compared to the 35-million in 2000?a) 5% b) 15%c) 24%d) 36%e) 44%3) The population of adults older than 85 is expected to increase by what percentage bythe year 2030, when compared to 2000?a) 5% b) 15%c) 24%d) 36%e) 44%4) Which of the following represents the largest percentage?a) Men living with spouse b) Men living alonec) Women living with spoused) Women living alonee) Other 5) Which of the following is NOT currently a state with a significant elderly population?a) Pennsylvania b) Californiac) New York d) Floridae) Minnesota6) For the average 75-year-old, approximately what percentage has at least onedisability?a) 25% b) 20%c) 15%d) 10%e) 5%7) According to JAMA in December 2001, what percentage of elderly patients isreceiving inappropriate prescriptions?a) 5% b) 10%c) 15%  Geriatrics 14Mar2009DO NOT DISTRIBUTE - 2 -d) 20%e) 25%8) The average 75-year-old has at least how many chronic conditions?a) 1 b) 2c) 3d) 4e) 59) Which of the following is true of the elderly?a) Make up 13% of the population b) Make up 36% of hospital staysc) Make up 49% of all days of hospital cared) Make up 50% of all physician hourse) All of the above10) What percentage of all hospital admissions are caused by inappropriate drug prescribing?a) 3% b) 7%c) 13%d) 17%e) 23%11) Which of the following would be paid by Part B of Medicare?a) Hospitals b) Nursing homesc) Ambulancesd) Home-care agenciese) Hospice programs12) Which of the following is currently the most common scenario for patients 65 or older who are eligible for Part B?a) If entitled to Part A (e.g. paid taxes for 10 years), Part B is free b) Part B has a monthly cost and is usually paid by personal check c) Part B has a monthly cost and is usually paid by credit cardd) Part B has a monthly cost and is usually deducted from a monthly pay check e) Part B has a monthly cost and is usually deducted from a social security check 13) An 86-year-old white female presents to the ER with chief complaint of shortness of  breath. The patient is admitted to the hospital medical floor for bilateral pneumonia.During the stay, it was noted that the patient has been falling at home. The patientreceived IV antibiotics for 48-hours and was switched to PO antibiotics on the third dayof admission. The patient was seen by her primary care physician during her stay. The primary care physician consulted a geriatric service for rehabilitation evaluation and wasrecommended to start in-patient physical therapy. It was also recommended that the patient be transferred to a Transitional Care Unit (Short-Term Skilled Nursing Facility)for 7-10 days of rehabilitation for ambulatory dysfunction and strengthening. The patienthas Medicare Part A and Part B with Highmark Blue Cross insurance for secondary. Who pays for the acute hospital stay?a) Medicare Part A  Geriatrics 14Mar2009DO NOT DISTRIBUTE - 3 - b) Medicare Part Bc) Highmark Blue Crossd) Medicare Part B and Highmark Blue Crosse) Patient (out of pocket)14) In the above 86-year-old patient, who pays for the majority of the physician’s fees?a) Medicare Part A b) Medicare Part Bc) Highmark Blue Crossd) Medicare Part B and Highmark Blue Crosse) Patient (out of pocket)15) In the above 86-year-old patient, who pays for in-patient physical therapy?a) Medicare Part A b) Medicare Part Bc) Highmark Blue Crossd) Medicare Part B and Highmark Blue Crosse) Patient (out of pocket)16) In the above 86-year-old patient, who pays for the short-term rehabilitation stay?a) Medicare Part A b) Medicare Part Bc) Highmark Blue Crossd) Medicare Part B and Highmark Blue Crosse) Patient (out of pocket)17) What chronic condition has the highest prevalence among persons aged 65 and over?a) Arthritic symptoms b) Heart diseasec) Hypertensiond) Chronic obstructive pulmonary diseasee) Cancer 18) Who has the lowest life expectance to age 65 in the United states?a) White males b) White femalesc) Black malesd) Black females19) What is the most common cause of death in patients aged 65 or older?a) Diseases of the heart b) Malignant neoplasmsc) Cerebrovascular diseased) Chronic lower respiratory diseasee) Influenza and pneumonia20) Which of the following insurance plans covers all traditional Medicare benefits plusadditional services but restricts the patient to a single network?a) Fee-For-Service Medicare b) Medicaidc) Medigap insuranced) Medicare Advantage plan  Geriatrics 14Mar2009DO NOT DISTRIBUTE - 4 - Geriatrics #2 – Cellular Aging & Tissue (Biology) 1) Earl Stadtman of the National Institute of Health (NIH) said which of the following isthe cause of aging as a disease?a) Atrophy of cells b) Free radical damage to cellsc) Programmed cell apoptosisd) Spontaneous loss of cellular functione) Decreased cell production due to enzymes2) Which of the following is associated with primary aging (senescence)?a) Heart disease b) Diabetesc) Hypertensiond) Osteoporosise) Presbycusis3) Which of the following refers to aging where deleterious effects are minimized?a) Normal aging b) Senescencec) Healthy agingd) Disease4) Which of the following is NOT part of normal aging?a) Glucose intolerance b) Memory impairmentc) Chronic alcohol abused) Vision impairmente) Muscle strength loss5) Which of the following involves the transfer of electrons and can lead to altered geneexpression, altered enzyme activity, and altered signaling pathways?a) Redox b) Oxidationc) Glycationd) Cross-linking6) Which of the following is a common area for cells to be lost due to apoptosis andnecrosis with aging, as this area has many non-dividing cells?a) Bone b) Liver c) Spleend) Braine) GI tract7) Which of the following describes the Hayflick phenomenon (e.g. in fibroblasts)?a) Loss of chromosome ends over time b) Loss of cell division due to telomere lossc) A limited doubling capacity of cellsd) A decrease in free radical damage over timee) p53 recognition of cell damage8) What is the common vertebrate telomere sequence added to the 3’ end of DNA byactive telomerase?
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