Nokea
An example of synovial joints would be:
- A. Vertebrate bodies of the spine
- B. Scalp
- C. Shoulder
- D. Pubic symphysis of the pelvis
Correct Answer: C
Rationale: The shoulder is an example of a synovial joint, which allows for a wide range of motion.
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A 72-year-old man with colonic diverticulosis was admitted to the hospital with gastrointestinal bleeding and abdominal pain. The following day, the patient was positive on the Confusion Assessment Method (CAM) performed by geriatric consultation services. Which of the following is NOT predisposed by delirium in this patient?
- A. Higher risk of institutionalization
- B. Increased risk of dementia
- C. Shorter length of stay in the hospital
- D. Increased mortality
Correct Answer: C
Rationale: Delirium is associated with increased mortality and risk of dementia, but it generally leads to longer hospital stays.
A component of the mental health assessment includes:
- A. Sense of self-worth
- B. Global assessment of functioning
- C. Intelligence quotient level
- D. History of suicide attempts
Correct Answer: B
Rationale: The global assessment of functioning (GAF) evaluates overall mental health status and functioning.
A 72-year-old woman reports vaginal dryness that interferes with coitus. Her medical history includes type 2 diabetes, hypertension, and osteoarthritis. Medications are glyburide, chlorthalidone, and acetaminophen. What would be your first step in therapy?
- A. Stop glyburide
- B. Stop chlorthalidone
- C. Stop acetaminophen
- D. Start topical vaginal lubricant
Correct Answer: D
Rationale: Topical vaginal lubricants can help alleviate vaginal dryness and improve sexual function.
An older woman who is cared for by a concerned family is particularly likely to suffer from which of the following complications after an episode of gastroenteritis?
- A. Immobility related to overconcern
- B. Continued vomiting caused by too-rapid feeding
- C. Diarrhea resulting from administration of milk products
- D. Constipation related to overtreatment of diarrhea
Correct Answer: D
Rationale: Overtreatment of diarrhea can lead to constipation, especially in older adults.
When assessing a patient's condition, which of the following scenarios would be considered critical trauma?
- A. An elderly woman has fallen and has broken her collarbone.
- B. A 32-year-old man has cut his hand with a kitchen knife.
- C. A child has sustained a fracture of his femur.
- D. A teenager has fallen from a height of greater than 20 feet.
Correct Answer: D
Rationale: A fall from a height greater than 20 feet is considered critical trauma.