Quiz
Ageing Block
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Questions in this quiz (38)
1There 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
- Aalkaline
- Bacidic
- Cacidic
- Dalkaline
2Elderly people have a [blank_start]higher[blank_end] volume of distribution of lipophilic drugs than the general population.
- Ahigher
- Blower
3Grapefruit Juice, in theory, causes myalgia in patients who take which of the following medication types?
- AStatins
- BAntimuscarinics
- CCalcium Channel Blockers
- DBeta Blockers
- EACE Inhibitors
4Cranberry juice is known to lower a patient's INR, thus making thromboembolism more likely.
- ATrue
- BFalse
5The end of a human chromosome, which progressively shortens within each cell replication, is called the [blank_start]telomere[blank_end]
- Atelomere
6In humans, a telomere consists of multiple repeats of which single motif:
- ATTAGGG
- BAATCCC
- CCCGTTT
- DGCCAAA
7Relating 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
- AHayflick
8Sepsis in elderly patients usually presents with [blank_start]a decreased[blank_end] temperature
- Aa decreased
- Ban increased
9Delirium typically has a [blank_start]fluctuating[blank_end] course
- Afluctuating
- Bprogressive
10[blank_start]Hypoactive[blank_end] delirium has twice the mortality rate of [blank_start]hyperactive[blank_end] delirium
- Ahyperactive
- Bhypoactive
- CHypoactive
- Dhyperactive
11In 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?- A0
- B1
- C2
- D3
- E4
12In terms of the 4AT score:
A patient whose alertness is judged to be 'clearly abnormal' would receive a score of ...- A1
- B2
- C3
- D4
13In 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]- A0
- B1
- C2
- D1
- E2
- F3
- G2
- H1
- I3
- J4
14In 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]- A2
- B4
- C3
- D1
- E0
- F2
- G3
- H0
- I1
- J2
15In 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]- A4
- B1
- C2
- D3
16The maximum score a patient can get for the 4AT is
- A12
- B8
- C10
- D6
- E16
17In 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]- AHaloperidol
18For sedation of delirious patients, Haloperidol should be given intramuscularly.
- ATrue
- BFalse
19Delirium is a risk factor for developing dementia
- ATrue
- BFalse
20Age related loss of muscle mass and function is called [blank_start]sarcopenia[blank_end]
- Asarcopenia
21Muscle mass starts to decline as of age [blank_start]30[blank_end]
- A30
- B25
- C35
- D40
22The suggested target for physical activity in the elderly population (65+) is the same as it is for the adult population (18-64)
- ATrue
- BFalse
23Weekly 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- A2
- B75
- C150
24Which of the following has been shown to increase muscle function associated with sarcopenia in elderly patients?
- ABeta Blockers
- BACE Inhibitors
- CCalcium Channel Blockers
- DDopamine Agonists
- ELevothyroxine
25When 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.- A1
26In 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.- A6
- B5
- C4
- D10
- E12
- F15
27Smoothest delivery of medicines in palliative care patients is via a continuous subcutaneous infusion using a [blank_start]syringe[blank_end] driver
- Asyringe
28In terms of using Syringe Drivers to administer medications in the elderly, how many different medicines can be mixed together in one syringe?
- AOnly 1
- B2
- C3
29Morphine is [blank_start]two times[blank_end] as potent when given subcutaneously (as opposed to oral administration)
- Atwo times
- Bthree times
- Chalf
30Arrange 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]- AAbsorption
- BMetabolism
- CExcretion
- DDistribution
31Elderly people typically have a [blank_start]decreased[blank_end] small bowel surface area
- Adecreased
- Bincreased
32Protein binding of drugs:
[blank_start]Albumin[blank_end] binds to Acidic Drugs
[blank_start]Alpha-1 Acid Glycoprotein[blank_end] binds to Alkaline Drugs- AAlpha-1 Acid Glycoprotein
- BApolipoprotein
- CAlpha-1 Proteinase Inhibitor
- DAlbumin
33Elderly patients typically have [blank_start]decreased[blank_end] albumin levels and [blank_start]increased[blank_end] alpha-1 acid glycoprotein levels
- Aincreased
- Bdecreased
- Cdecreased
- Dincreased
34Elderly patients typically have a [blank_start]decreased[blank_end] body water level.
- Adecreased
- Bincreased
35Very importantly, the Volume of Distribution of Hydrophilic drugs (lithium, digoxin, etc) in elderly patients is [blank_start]decreased[blank_end].
- Adecreased
- Bincreased
36It is generally accepted that higher doses of medications are needed to achieve the same effects in the elderly population.
- ATrue
- BFalse
37Which of the following minerals interferes with levothyroxine
- ACalcium
- BPotassium
- CSodium
38Verapamil (CCB) should never been given with which drug type, for fear of causing symptomatic heart block?
- ABeta Blocker
- BStatins
- CAnticonvulsants
- DThiazide Diuretics
Information
- Description
- Questions from the 1 week Ageing block. Thought I'd just put them all into one quiz cause it's easier.
- Author
- Matthew Coulson
- Language
- English
- Views
- 30
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