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Geriatrics------- 07
- 1.9. Which of the following cognitive domains is most preserved with age?
- A.
Motor speed
- B.
Spatial orientation
- C.
Language function
- D.
Information processing speed
- E.
Ability to maintain divided attention
- 2.19. The family of a 75-year-old patient is concerned about the patient's safety because the patient has been forgetting to turn off the stove or put perishable food in the refrigerator. The psychiatrist suspects an evolving cognitive disorder. Which of the following is most likely to be the earliest impairment to occur in the patient?
- A.
Inability to name the last three presidents
- B.
Inability to express emotional aspects of speech
- C.
Inability to recall the names and birthdays of siblings
- D.
Inability to demonstrate correct use of a car ignition key
- E.
Inability to recall three words after a three-minute delay
- 3.29. A 91-year-old hospice patient with severe cachexia, end-stage dementia, and renal impairment has stopped eating and drinking. Which of the following comfort measures would be most appropriate?
- A.
Total parenteral nutrition
- B.
Intravenous hydration
- C.
Nasogastric tube feeding
- D.
Frequent small sips of water
- E.
Appetite-inducing medications
- 4.33. Which of the following statements correctly characterizes changes in sleep associated with aging?
- A.
The average total time spent asleep in a 24-hour period decreases.
- B.
On average, the total proportion of sleep time spent in REM sleep decreases.
- C.
REM latency increases and the length of the initial REM period decreases.
- D.
Delta wave amplitude decreases and proportionally less time is spent in stage 3 and stage 4 sleep.
- E.
Individuals over the age of 65 years who sleep longer than 9 hours have decreased mortality compared with those who sleep fewer hours.
- 5.88. The son of a 70-year-old woman calls a psychiatrist to make an appointment for his mother. He reports that he is worried that his mother has become depressed in the last 6 months, but she denies feeling sad and has refused to see a mental health professional. The son mentions that he will be bringing his mother to the appointment under the pretense of having her back pain checked by the doctor. The most appropriate response from the psychiatrist would be to:
- A.
Refer the son to an orthopedic surgeon.
- B.
Try to dissuade the son from using deception.
- C.
Refuse to see the patient under these conditions.
- D.
Agree to see the patient and deal with the situation at the appointment.
- E.
Prescribe the necessary medications over the phone without requiring the patient to come in for a visit
- 6.12. Which of the following clinical syndromes is most commonly comorbid with Parkinson's disease?
- A.
Dementia
- B.
Depression
- C.
Psychosis
- D.
Anxiety
- E.
Alcohol abuse
- 7.92. According to Erik Erikson, an individual over 65 years of age who has developed a sense of satisfaction that life has been productive and worthwhile has successful1y managed the psychosocial task of developing:
- A.
Basic trust.
- B.
Integrity.
- C.
Generativity.
- D.
Intimacy.
- E.
Industry.
- 8.141. When compared to younger adults, anxiety disorders in adults over age 65 have:
- A.
Higher incidence
- B.
Greater prevalence.
- C.
Less comorbidity with alcohol abuse.
- D.
Less association with depressive symptoms.
- 9.144. Which of the following morphologic changes is associated with normal aging?
- A.
Ten percent loss of hippocampal volume per year
- B.
Diffuse cerebral atherosclerosis in fine arterioles
- C.
Loose aggregates of amorphous material with amyloid
- D.
Widespread neurofibrillary tangles in the frontal and temporal cortex
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