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Yacoub - Geriatrics (metabolic And Endocrine Disorders)

21 Questions
Yacoub - Geriatrics (metabolic And Endocrine Disorders)
Questions and Answers
  • 1. 
    Select the false statements 
    • A. 

      Glucagon causes liver glycogenolysis

    • B. 

      Polyuria is the kidney being overworked to get rid of the excess sugar through excessive urination and then a thirst signal is initiated to dilute the blood and regain water lost in urination

    • C. 

      Albumin in the urine is one of the earliest signs of kidney disease which is a significant risk factor for coronary artery disease.

    • D. 

      Kidney disease will show a decrease in creatinine and BUN on lab results

    • E. 

      Diabetes is the most common cause of neuropathy which results in impaired axonal transport and structural breakdown of nerves

  • 2. 
    Match the fasting blood sugar rankings to the proper value. 
    • A. <100
    • A.
    • B. 100-125
    • B.
    • C. > or = to 126
    • C.
  • 3. 
    Match the correct random blood sugar catergory with teh proper values 
    • A. Normal
    • A.
    • B. Pre-diabetic
    • B.
    • C. Diabetic
    • C.
  • 4. 
    Select the false statements
    • A. 

      Glycated hemoglobin is low in poorly controlled diabetics

    • B. 

      With each 1% increase or decrease in HbA1C add or subtract 35mg/dl respectively or 30mg/dl respectively

    • C. 

      A HbA1c of 7% represents an average blood sugar 70mg.dl or 50mg/dl

    • D. 

      Metformin cannot be used in patients with significant renal diase, liver disease or congestive heart failure

  • 5. 
    Hearing loss due to aging is referred to as ototoxicity, it is progressive, gradual and bilateral. Patients begin to lose high frequencies, conversations become more difficult to hear and background noise interferes with sound . 
    • A. 

      True

    • B. 

      False

  • 6. 
    Match the terms with the proper description 
    • A. Onychomycosis
    • A.
    • B. Actinic Keratosis
    • B.
    • C. Seborrheic keratosis
    • C.
    • D. Basal cell carcinoma
    • D.
    • E. Squamous cell carcinoma
    • E.
    • F. Melanoma
    • F.
  • 7. 
    Which of the following is not characteristic of Rosacea?
    • A. 

      Telangiectasia

    • B. 

      Rhinophymis - overgrowth of sebaceous/connective tissue of the nose

    • C. 

      Erthema Multiforme

    • D. 

      Papules and Pustules

  • 8. 
    What does not occur in the active stage of a herpes zoster episode?
    • A. 

      Rash appears on one side of the body, mostly in the thoracic region

    • B. 

      Flu symptoms as well as pain, burning and numbing in an affected area that usually last 48 hours

    • C. 

      Blisters with the clear fluid becoming cloudy in 3-4 days and burst on the 5th.

  • 9. 
    Which of the following is not a cause of urinary incontinence?
    • A. 

      Bladder inflammation leads to increase stimulation of the detrusor muscle

    • B. 

      The brainstem sending a signal to the detrusor which then contracts and voids

    • C. 

      Decrease function in brain centers that cause inhibition causes include stroke, tumors, spinal cord damage, Alzheimer's, Parkinson's, hypoxia and dementia

    • D. 

      Rapid urine production that leads to high flow of urine into bladder such as diuretics, caffeine and alcohol

    • E. 

      Sphincter malfunction

  • 10. 
    At your exam your 68yoF patient tells you she is being treated for urinary retention. Which of the following is not one of the causes for this condition?
    • A. 

      NSAIDs

    • B. 

      Alpha adrenergic agonists

    • C. 

      Calcium channel blockers

    • D. 

      Beta blockers

    • E. 

      Narcotics and Sedatives

  • 11. 
    Pneumonia 
    • A. 

      Is commonly caused by staph aureus

    • B. 

      Occurs when a blood clot from a vein dislodges and embolizes to the pulmonary arteries

    • C. 

      Is a narrowing of the airways.

    • D. 

      Is the 4th leading cause of death in the elderly

  • 12. 
    Which of the following would not be a treatment for COPD
    • A. 

      Beta-agonist/ Bronchodilators

    • B. 

      Prednisone Flovent

    • C. 

      Flovent and advair

    • D. 

      Anti-cholinergic agents

    • E. 

      Beta blockers

  • 13. 
    Select the statements that would be applied by Chronic bronchitis 
    • A. 

      Patients suffering from this are typically referred to as pink puffers

    • B. 

      Bronchial tubes that carry air to the lungs get inflammed and create mucous

    • C. 

      There is an increase in cardiac output and an increase in weight

    • D. 

      Alveoli are damaged and less O2 enters into the blood.

  • 14. 
    As you age there is a decrease in humoral antibody response due to the decrease in T cells 
    • A. 

      True

    • B. 

      False

  • 15. 
    Match the terms with the proper values 
    • A. Good total cholesterol reading
    • A.
    • B. LDL
    • B.
    • C. HDL
    • C.
    • D. Triglycerides
    • D.
  • 16. 
    Your 45yoF patient has come for her exam. During the case history  she reports that she has pernicious anemia. Select the sentence below that best describes pernicious anemia 
    • A. 

      It is a result of a decrease in B12, therefore she will problem begin to exhibit neurological symptoms

    • B. 

      It is due to a decrease in folate, luckily she will not present with neurologicial symptoms

    • C. 

      It is a result of her bone marrow not making enough blood cells. It also causes pancytopenia

    • D. 

      It is due to a decrease in parietal cells in the gastric mucosa which leads to a loss of the intrinsic factor needed to bind B12 so it can be absorbed into the ileum

    • E. 

      It is the result of NSAID abuse or possibly blood loss.

  • 17. 
    Select the statements that are true regarding hypothyroidism 
    • A. 

      It is most commonly caused by Hashimoto's disease when the body's own T cells attack the thyroid

    • B. 

      Other causes for it include thyroid surgery, iodine deficiency, amiodarone and lithium use.

    • C. 

      Symptoms include palpitations, sweating, tremor, tachycardia, heat intolerance, appearance of goiters and weight lost to name a few

    • D. 

      Decrease in TRH, TSH and an increase in T4 and T3

    • E. 

      Treatment includes levothyroxine

    • F. 

      Eye symptoms include double vision/true von Grafe sign, peri - orbital edema, conjunctival edema, dry eyes and optic atrophy

  • 18. 
    Sulfonylureas, biguanides, meglitinides  can all decrease HbA1c 1.5 to 2%
    • A. 

      True

    • B. 

      False

  • 19. 
    Which class of drugs used to treat DMII did Dr. Yacoub say caused a hyperopic shift initially? 
    • A. 

      Glyburide

    • B. 

      Glipizide

    • C. 

      Avandia

    • D. 

      Byetta

    • E. 

      NPH

  • 20. 
    Metformin is a great drug for diabetes because it rarely causes hypoglycemia, it also lowers lipid levels and it can lead to weight loss
    • A. 

      True

    • B. 

      False

  • 21. 
    Patients with DM2 should not be placed on Lisinopril or aspirin because of the dangers relating to coronary artery disease
    • A. 

      True

    • B. 

      False

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