Nokea
Which of the following best describes the components included in a patient's Social History (SH)?
- A. A summary of the patient's medical history and family background
- B. Lifestyle factors, social habits, and living conditions
- C. The patient's current medications and allergies
- D. Details about the patient's physical examination findings
Correct Answer: B
Rationale: Social History (SH) includes lifestyle factors, social habits, and living conditions, which impact overall health.
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The National Institute of Neurologic Disorders and Stroke (NINDS) criteria for PD require a confirmatory autopsy but would rate as “probable” if three of the four primary clinical features were present. Which of the following lists three primary clinical features of PD?
- A. Fatigue, postural instability, gait dysfunction
- B. Rigidity, resting tremor, urinary urgency
- C. Rigidity, bradykinesia, resting tremor
- D. Freezing, sleep disturbance, arthralgias
Correct Answer: C
Rationale: The three primary features of PD are rigidity, bradykinesia, and resting tremor.
Barriers to detecting elder mistreatment include all except:
- A. The tendency for many older adults to falsely claim they are being abused
- B. The fear that one might be institutionalized if one admits to being abused
- C. The shame that older adults feel if they have been a victim of abuse
- D. The difficulty that healthcare providers have making a determination regarding abuse if the victim has dementia
Correct Answer: A
Rationale: Many older adults do not falsely claim abuse, so this is not a significant barrier.
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 patient presents with an elongated head with bony prominence of the forehead, nose, and lower jaw. These facial features could be suggestive of:
- A. Nephrotic syndrome
- B. Acromegaly
- C. Cushing’s syndrome
- D. Parkinson’s disease
Correct Answer: B
Rationale: Acromegaly is characterized by enlargement of bones and soft tissues, leading to features like a prominent jaw and forehead.
Which pathogen is associated with common urinary tract infections?
- A. E. coli
- B. Klebsiella
- C. Streptococcus
- D. Proteus mirabilis
Correct Answer: A
Rationale: E. coli is the most common pathogen responsible for urinary tract infections.