Nokea
Which of the following statements about community-based services is true?
- A. Senior centers may be used only by low-income older adults.
- B. Funding for Meals on Wheels is solely from local sources.
- C. Area Agencies on Aging usually do not provide services directly to older adults.
- D. The majority of the Administration on Aging budget goes to nutrition programs and community-based supportive services.
Correct Answer: D
Rationale: The majority of the budget for Area Agencies on Aging goes to nutrition and supportive services for older adults.
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A 75-year-old man presents with the chief concern, “I may have a bladder infection.” Further questioning reveals for several months he has been needing to void every couple of hours (can’t sit through a whole ball game), feels he must go as soon as he feels the urge (he tried putting it off and had urinary leakage), and is getting up two to three times at night to void. He denies delay in voiding or straining to initiate voiding, slow stream, feeling of incomplete emptying, or dribbling after completion of urination. He also denies dysuria and abdominal pain. Which of the following best describes the category or type of his lower urinary tract symptoms?
- A. Prostatism
- B. Overactive bladder
- C. Postmicturition
- D. Storage (irritative)
Correct Answer: D
Rationale: Storage symptoms (irritative) include urgency, frequency, and nocturia, which are characteristic of overactive bladder.
A 78-year-old male was recently diagnosed with Alzheimer’s disease. He scored 23/30 on his Montreal Cognitive Assessment (MoCA) and his clinical presentation is consistent with mild disease. Which of the following is NOT a common side effect of donepezil?
- A. Thrombocytopenia
- B. Bradycardia
- C. Vivid dreams
- D. Gastrointestinal distress
Correct Answer: A
Rationale: Thrombocytopenia is not a common side effect of donepezil, while bradycardia, vivid dreams, and gastrointestinal distress are.
This contagious disease causes fever, headache, stiff neck, photophobia, nausea, vomiting, and altered mental status. What immunization prevents this?
- A. Meningococcal vaccine
- B. Pneumococcal vaccine
- C. Measles, Mumps, and Rubella (MMR) vaccine
- D. Varicella vaccine
Correct Answer: A
Rationale: The meningococcal vaccine prevents infections that cause meningitis.
Why is it important to consider intracranial hemorrhage when a patient presents with epistaxis?
- A. It indicates a possible allergic reaction.
- B. It may suggest a more serious underlying condition.
- C. It is a common cause of nasal congestion.
- D. It usually resolves without treatment.
Correct Answer: B
Rationale: Epistaxis can be a symptom of intracranial hemorrhage, especially if the bleeding is sudden or severe.
A characteristic lesion observed in a male with primary syphilis is a:
- A. Group of small scattered vesicles
- B. Chancre
- C. Papule of many shapes
- D. Non-tender penile indurated nodule
Correct Answer: B
Rationale: A chancre is the hallmark of primary syphilis, typically appearing as a painless, solitary lesion.