Final Exam: NR 601 / NR601 Latest 2022-2023Primary Care of the Maturing and Aged Family Practicum Exam| More than 100 Questions & Answers | Already Rated
... [Show More] A | Chamberlain
77yo Caucasian female has h/o breast ca. She's been in remission for 6yrs. As her PCP, you are seeing her for follow up of her recent c/o intermittent abd pain x3mo and general malaise. Given the hx above, what will you direct your assessment at during the exam?
Answer: Thorough abd and gyn exam to rule out masses and ID any tenderness
Older adult pt is being eval'd after a stroke, which affected the anterior cerebral circulatory system. Which of the following s/s would be positive in the assessment of the pt?
Answer: Disorders in behavior and cognition
When assessing pt who c/o tremor, you must differentiate essential tremor from PD tremor. Which of the following assessment findings are consistent with essential tremor?
Answer: Tremor occurs w/purposeful movements
Which of the following assessments are commonly noted in a pt w/PD?
Answer: Microphagia and bradykinesia
An older adult w/a h/o sz disorder comes into the clinic for routine checkup. Although sz-free, the pt continues on long-term phenytoin tx. You would assess for which of the following long-term effects?
Answer: Gingival hyperplasia and nystagmus
An elderly nursing home pt is maintained on phenytoin tx for h/o sz. In addition to periodic serum drug concentrations, which of the following are needed for annual eval?
Answer: CBC, LFT, platelet count
78yo female presents w/sz that occurred over the weekend. In selecting the most important diagnostics for this presentation, it is important to know that the least common site of sz's in the elderly is:
Answer: Temporal lobe
An elderly pt has had a CVA in the anterior cerebral circulatory system (frontal lobe). What symptoms are most likely expressed?
Answer: Disorders of behavior and cognition
The most common neuro cause of sz in older adults is:
Answer: Stroke
You are evaluating an elderly pt's c/o new onset of hand shaking when he drinks from a cup. The pt is euthyroid and does not drink ETOH. Which of the following signs indicate that this tremor is most likely an essential tremor rather than a PD tremor?
Answer: It is a moderate amplitude tremor that occurs only w/movement or activity.
Mr. Andrews experienced a brief onset of R-sided weakness, slurred speech, and confusion yesterday. The symptoms have resolved. What should you do?
Answer: ID modifiable CV risk factors
An older male pt is experiencing acute onset of R-sided weakness, slurred speech, and confusion. What should you do promptly?
Answer: Eval for stroke and arrange for transport to the hospital right away
An older adult female pt had a stroke. What symptoms are not usually expressed by pt's who have had a vertebrobasilar stroke?
Answer: Monocular blindness
When assessing an elderly pt who reports tremor, which assessment findings would be most reliable in ID'ing PD?
Answer: Resting tremor, slow unsteady gait, cogwheel resistance
78yo man w/PD is being care for in a nursing home. The nurses observe that he coughs at mealtime; he has the ability to feed himself w/adaptive equipment. He has had no aspirations. Oral exam is normal, except during swallow eval you note there is slight delayed elicitation. You assess that he has only mild dysphagia. You recommend which of the following as the next step in his care?
Answer: Provide trial of foods differing in consistency
Which of the following assessment findings is commonly noted in a pt w/advanced PD? [Show Less]