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Ageing Block

Description

Questions from the 1 week Ageing block. Thought I'd just put them all into one quiz cause it's easier.
Matthew Coulson
Quiz by Matthew Coulson, updated more than 1 year ago
Matthew Coulson
Created by Matthew Coulson about 5 years ago
5
1
0

Resource summary

Question 1

Question
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
Answer
  • alkaline
  • acidic
  • acidic
  • alkaline

Question 2

Question
Elderly people have a [blank_start]higher[blank_end] volume of distribution of lipophilic drugs than the general population.
Answer
  • higher
  • lower

Question 3

Question
Grapefruit Juice, in theory, causes myalgia in patients who take which of the following medication types?
Answer
  • Statins
  • Antimuscarinics
  • Calcium Channel Blockers
  • Beta Blockers
  • ACE Inhibitors

Question 4

Question
Cranberry juice is known to lower a patient's INR, thus making thromboembolism more likely.
Answer
  • True
  • False

Question 5

Question
The end of a human chromosome, which progressively shortens within each cell replication, is called the [blank_start]telomere[blank_end]
Answer
  • telomere

Question 6

Question
In humans, a telomere consists of multiple repeats of which single motif:
Answer
  • TTAGGG
  • AATCCC
  • CCGTTT
  • GCCAAA

Question 7

Question
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
Answer
  • Hayflick

Question 8

Question
Sepsis in elderly patients usually presents with [blank_start]a decreased[blank_end] temperature
Answer
  • a decreased
  • an increased

Question 9

Question
Delirium typically has a [blank_start]fluctuating[blank_end] course
Answer
  • fluctuating
  • progressive

Question 10

Question
[blank_start]Hypoactive[blank_end] delirium has twice the mortality rate of [blank_start]hyperactive[blank_end] delirium
Answer
  • hyperactive
  • hypoactive
  • Hypoactive
  • hyperactive

Question 11

Question
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?
Answer
  • 0
  • 1
  • 2
  • 3
  • 4

Question 12

Question
In terms of the 4AT score: A patient whose alertness is judged to be 'clearly abnormal' would receive a score of ...
Answer
  • 1
  • 2
  • 3
  • 4

Question 13

Question
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]
Answer
  • 0
  • 1
  • 2
  • 1
  • 2
  • 3
  • 2
  • 1
  • 3
  • 4

Question 14

Question
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]
Answer
  • 2
  • 4
  • 3
  • 1
  • 0
  • 2
  • 3
  • 0
  • 1
  • 2

Question 15

Question
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]
Answer
  • 4
  • 1
  • 2
  • 3

Question 16

Question
The maximum score a patient can get for the 4AT is
Answer
  • 12
  • 8
  • 10
  • 6
  • 16

Question 17

Question
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]
Answer
  • Haloperidol

Question 18

Question
For sedation of delirious patients, Haloperidol should be given intramuscularly.
Answer
  • True
  • False

Question 19

Question
Delirium is a risk factor for developing dementia
Answer
  • True
  • False

Question 20

Question
Age related loss of muscle mass and function is called [blank_start]sarcopenia[blank_end]
Answer
  • sarcopenia

Question 21

Question
Muscle mass starts to decline as of age [blank_start]30[blank_end]
Answer
  • 30
  • 25
  • 35
  • 40

Question 22

Question
The suggested target for physical activity in the elderly population (65+) is the same as it is for the adult population (18-64)
Answer
  • True
  • False

Question 23

Question
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
Answer
  • 2
  • 75
  • 150

Question 24

Question
Which of the following has been shown to increase muscle function associated with sarcopenia in elderly patients?
Answer
  • Beta Blockers
  • ACE Inhibitors
  • Calcium Channel Blockers
  • Dopamine Agonists
  • Levothyroxine

Question 25

Question
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.
Answer
  • 1

Question 26

Question
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.
Answer
  • 6
  • 5
  • 4
  • 10
  • 12
  • 15

Question 27

Question
Smoothest delivery of medicines in palliative care patients is via a continuous subcutaneous infusion using a [blank_start]syringe[blank_end] driver
Answer
  • syringe

Question 28

Question
In terms of using Syringe Drivers to administer medications in the elderly, how many different medicines can be mixed together in one syringe?
Answer
  • Only 1
  • 2
  • 3

Question 29

Question
Morphine is [blank_start]two times[blank_end] as potent when given subcutaneously (as opposed to oral administration)
Answer
  • two times
  • three times
  • half

Question 30

Question
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]
Answer
  • Absorption
  • Metabolism
  • Excretion
  • Distribution

Question 31

Question
Elderly people typically have a [blank_start]decreased[blank_end] small bowel surface area
Answer
  • decreased
  • increased

Question 32

Question
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
Answer
  • Alpha-1 Acid Glycoprotein
  • Apolipoprotein
  • Alpha-1 Proteinase Inhibitor
  • Albumin

Question 33

Question
Elderly patients typically have [blank_start]decreased[blank_end] albumin levels and [blank_start]increased[blank_end] alpha-1 acid glycoprotein levels
Answer
  • increased
  • decreased
  • decreased
  • increased

Question 34

Question
Elderly patients typically have a [blank_start]decreased[blank_end] body water level.
Answer
  • decreased
  • increased

Question 35

Question
Very importantly, the Volume of Distribution of Hydrophilic drugs (lithium, digoxin, etc) in elderly patients is [blank_start]decreased[blank_end].
Answer
  • decreased
  • increased

Question 36

Question
It is generally accepted that higher doses of medications are needed to achieve the same effects in the elderly population.
Answer
  • True
  • False

Question 37

Question
Which of the following minerals interferes with levothyroxine
Answer
  • Calcium
  • Potassium
  • Sodium

Question 38

Question
Verapamil (CCB) should never been given with which drug type, for fear of causing symptomatic heart block?
Answer
  • Beta Blocker
  • Statins
  • Anticonvulsants
  • Thiazide Diuretics
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