17690318
Descripción
Test por Matthew Coulson, actualizado hace más de 1 año
|
Creado por Matthew Coulson
hace más de 5 años
|
|
Pregunta 1
Pregunta
There is a decreased absorption of [blank_start]acidic[blank_end] drugs such as phenytoin, aspirin and penicillins in elderly patients due to an increasingly [blank_start]alkaline[blank_end] gastric pH
Respuesta
-
alkaline
-
acidic
-
acidic
-
alkaline
Pregunta 2
Pregunta
Elderly people have a [blank_start]higher[blank_end] volume of distribution of lipophilic drugs than the general population.
Respuesta
-
higher
-
lower
Pregunta 3
Pregunta
Grapefruit Juice, in theory, causes myalgia in patients who take which of the following medication types?
Respuesta
-
Statins
-
Antimuscarinics
-
Calcium Channel Blockers
-
Beta Blockers
-
ACE Inhibitors
Pregunta 4
Pregunta
Cranberry juice is known to lower a patient's INR, thus making thromboembolism more likely.
Respuesta
- True
- False
Pregunta 5
Pregunta
The end of a human chromosome, which progressively shortens within each cell replication, is called the [blank_start]telomere[blank_end]
Respuesta
-
telomere
Pregunta 6
Pregunta
In humans, a telomere consists of multiple repeats of which single motif:
Respuesta
-
TTAGGG
-
AATCCC
-
CCGTTT
-
GCCAAA
Pregunta 7
Pregunta
Relating to telomeres, the [blank_start]Hayflick[blank_end] limit is the number of times a normal human cell population will divide before cell division stops
Respuesta
-
Hayflick
Pregunta 8
Pregunta
Sepsis in elderly patients usually presents with [blank_start]a decreased[blank_end] temperature
Respuesta
-
a decreased
-
an increased
Pregunta 9
Pregunta
Delirium typically has a [blank_start]fluctuating[blank_end] course
Respuesta
-
fluctuating
-
progressive
Pregunta 10
Pregunta
[blank_start]Hypoactive[blank_end] delirium has twice the mortality rate of [blank_start]hyperactive[blank_end] delirium
Respuesta
-
hyperactive
-
hypoactive
-
Hypoactive
-
hyperactive
Pregunta 11
Pregunta
In terms of the 4AT score:
In terms of Alertness, a patient who has mild sleepiness for <10s after waking then is normal receives which score?
Respuesta
-
0
-
1
-
2
-
3
-
4
Pregunta 12
Pregunta
In terms of the 4AT score:
A patient whose alertness is judged to be 'clearly abnormal' would receive a score of ...
Respuesta
-
1
-
2
-
3
-
4
Pregunta 13
Pregunta
In terms of the 4AT score:
After Alertness, the second part of the 4AT score assesses AMT4, which involves the patient stating their age, DOB, where they are and the current year.
No mistakes warrants a score of [blank_start]0[blank_end]
1 mistake warrants a score of [blank_start]1[blank_end]
2 or more mistakes warrants a score of [blank_start]2[blank_end]
Respuesta
-
0
-
1
-
2
-
1
-
2
-
3
-
2
-
1
-
3
-
4
Pregunta 14
Pregunta
In terms of the 4AT score:
After assessing 4AT, the patient has their attention span assessed. In order to do this, the patient is asked to name the months of the year backwards from December.
Achieves 7 months or more correctly = [blank_start]0[blank_end]
Starts but scores <7 months/refuses to start = [blank_start]1[blank_end]
Untestable (too unwell, too drowsy, etc) = [blank_start]2[blank_end]
Respuesta
-
2
-
4
-
3
-
1
-
0
-
2
-
3
-
0
-
1
-
2
Pregunta 15
Pregunta
In terms of the 4AT score:
After testing attention, the last parameter which is tested is the presence of an acute or fluctuating course (i.e. evidence of significant change or fluctuation in alertness, cognition, etc)
A fluctuating course warrants a score of [blank_start]4[blank_end]
Respuesta
-
4
-
1
-
2
-
3
Pregunta 16
Pregunta
The maximum score a patient can get for the 4AT is
Respuesta
-
12
-
8
-
10
-
6
-
16
Pregunta 17
Pregunta
In delirious patients, which medication is first line for sedation if it is needed (e.g. if patient is psychotic or refusing to stay in bed)?
[blank_start]Haloperidol[blank_end]
Respuesta
-
Haloperidol
Pregunta 18
Pregunta
For sedation of delirious patients, Haloperidol should be given intramuscularly.
Respuesta
- True
- False
Pregunta 19
Pregunta
Delirium is a risk factor for developing dementia
Respuesta
- True
- False
Pregunta 20
Pregunta
Age related loss of muscle mass and function is called [blank_start]sarcopenia[blank_end]
Respuesta
-
sarcopenia
Pregunta 21
Pregunta
Muscle mass starts to decline as of age [blank_start]30[blank_end]
Respuesta
-
30
-
25
-
35
-
40
Pregunta 22
Pregunta
The suggested target for physical activity in the elderly population (65+) is the same as it is for the adult population (18-64)
Respuesta
- True
- False
Pregunta 23
Pregunta
Weekly Physical Activity Guidelines for Adults (18-64) and Elderly (65+):
[blank_start]150[blank_end] minutes of moderate intensity activity
OR
[blank_start]75[blank_end] minutes of vigorous intensity activity
Strength and balance work should also be included at least [blank_start]2[blank_end] times per week
Respuesta
-
2
-
75
-
150
Pregunta 24
Pregunta
Which of the following has been shown to increase muscle function associated with sarcopenia in elderly patients?
Respuesta
-
Beta Blockers
-
ACE Inhibitors
-
Calcium Channel Blockers
-
Dopamine Agonists
-
Levothyroxine
Pregunta 25
Pregunta
When stepping up a patient from codeine to morphine for analgesia, the following must be considered:
10mg of Codeine is equivalent to [blank_start]1[blank_end]mg of morphine.
Respuesta
-
1
Pregunta 26
Pregunta
In order to convert the dosage of MST Morphine to the equivalent dosage of Oramorph, you divide the former by [blank_start]6[blank_end].
For example, a patient on 60mg of MST would take [blank_start]10[blank_end]mg of Oramorph to have the same effect.
Respuesta
-
6
-
5
-
4
-
10
-
12
-
15
Pregunta 27
Pregunta
Smoothest delivery of medicines in palliative care patients is via a continuous subcutaneous infusion using a [blank_start]syringe[blank_end] driver
Respuesta
-
syringe
Pregunta 28
Pregunta
In terms of using Syringe Drivers to administer medications in the elderly, how many different medicines can be mixed together in one syringe?
Respuesta
-
Only 1
-
2
-
3
Pregunta 29
Pregunta
Morphine is [blank_start]two times[blank_end] as potent when given subcutaneously (as opposed to oral administration)
Respuesta
-
two times
-
three times
-
half
Pregunta 30
Pregunta
Arrange the steps of pharmacokinetics in order starting with the point the drug enters the body.
[blank_start]Absorption[blank_end]
[blank_start]Distribution[blank_end]
[blank_start]Metabolism[blank_end]
[blank_start]Excretion[blank_end]
Respuesta
-
Absorption
-
Metabolism
-
Excretion
-
Distribution
Pregunta 31
Pregunta
Elderly people typically have a [blank_start]decreased[blank_end] small bowel surface area
Respuesta
-
decreased
-
increased
Pregunta 32
Pregunta
Protein binding of drugs:
[blank_start]Albumin[blank_end] binds to Acidic Drugs
[blank_start]Alpha-1 Acid Glycoprotein[blank_end] binds to Alkaline Drugs
Respuesta
-
Alpha-1 Acid Glycoprotein
-
Apolipoprotein
-
Alpha-1 Proteinase Inhibitor
-
Albumin
Pregunta 33
Pregunta
Elderly patients typically have [blank_start]decreased[blank_end] albumin levels and [blank_start]increased[blank_end] alpha-1 acid glycoprotein levels
Respuesta
-
increased
-
decreased
-
decreased
-
increased
Pregunta 34
Pregunta
Elderly patients typically have a [blank_start]decreased[blank_end] body water level.
Respuesta
-
decreased
-
increased
Pregunta 35
Pregunta
Very importantly, the Volume of Distribution of Hydrophilic drugs (lithium, digoxin, etc) in elderly patients is [blank_start]decreased[blank_end].
Respuesta
-
decreased
-
increased
Pregunta 36
Pregunta
It is generally accepted that higher doses of medications are needed to achieve the same effects in the elderly population.
Respuesta
- True
- False
Pregunta 37
Pregunta
Which of the following minerals interferes with levothyroxine
Respuesta
-
Calcium
-
Potassium
-
Sodium
Pregunta 38
Pregunta
Verapamil (CCB) should never been given with which drug type, for fear of causing symptomatic heart block?
Respuesta
-
Beta Blocker
-
Statins
-
Anticonvulsants
-
Thiazide Diuretics
¿Quieres crear tus propios Tests gratis con GoConqr? Más información.