1. Name 3 normal psychosocial concepts associated with middle age?
2. All of the following are typical of tasks of the middle aged adult except:
a. establishing an economic standard of living
b. adjusting to death of spouse or friends
c. assisting children w/growth & development
d. accepting & adjusting to physical changes
3. Name 3 normal psychosocial concepts associated with old age?
4. Name 5 physiological changes associated with middle age?
5. Chronic illness beings in the ___________.
6. Name 4 types of elder abuse: _________, __________, __________, __________.
7. T or F: Once an elderly person starts to forget where he put his keys, he
should move into a nursing home because he surely has dementia.
8. Our physical environment during the first
____ years of life, has a profound influence on our health/development later in life.
9. T or F: hereditary traits can lead to Ca+ or fatty acid deposits & obstruction
in the vessels of an otherwise healthy middle-aged adult.
10. Angiotensin II Receptor Blockers act by _____________________.
11. Name 2 physiological changes associated with old age?
12. What influences the effects of aging?
13. How does the aging process affect the CV system in middle aged people?
14. T or F: During middle age, resting HR increases & takes longer to return
to normal after exertion.
15. Cardiac output and stroke volume diminish by approximately ________ in older
16. Calcification and fibrosis of the arteries _______ blood flow, and _________
oxygen to the body.
17. ACE Inhibitors act by _________________.
18. Define atherosclerosis.
19. Define Arteriosclerosis.
20. Atherosclerosis is treated by what classes of medications?
21. Vasodilators act by ______________________________.
22. Name 3 causes of hypertension.
23. Hypertension is defined as any person with a systolic blood pressure of _________
or a diastolic blood pressure of ___________.
24. Name the 5 categories of medications to treat hypertension.
25. Beta-Adrenergic Blockers act by ___________________.
26. Beta-Adrenergic Blockers require the
_________________ to be above ______________.
27. Name 2 diuretics that inhibit the reabsorption of sodium.
28. What classification of medications increases the force of the myocardial
29. The medication referred to in question 28 __________ cardiac output, and
___________ the heart rate by _____________ the conduction throught the SA and AV nodes.
30. Which of the following is the most useful question to ask during a health
a. tell me about your diet
b. what kinds of things do you normally eat?
c. do you eat a lot of red meat?
d. What did you eat for dinner last night? How
about lunch & breakfast?
e. Do you eat enough vegetables?
31. When asking pts about medications
ask about ________ & ________ not just Rx meds.
32. List 5 things you might
see indicating a CV problem during assessment.
33. Which of these is the best
way to assess for activity intolerance?
a. have the pt do 15 jumping jacks or 10 push-ups
b. have the pt walk up a flight of stairs
c. ask the pt to move from the bed to the chair
d. do Tae Bo w/the pt in the hospital room
e. have the pt perform ROM exercises
34. Your pt doesn’t believe
that you have a clue what you’re doing & keeps asking you questions to test your knowledge. She asks you the difference
between Arteriosclerosis & Atherosclerosis. You tell her:
a. Arteriosclerosis is caused by smoking but smokers & non-smokers get Atherosclerosis
b. they’re really the same things, Dr.s just invent extra words to sound intelligent
c. Arteriosclerosis is what it’s called in men, Atherosclerosis is what it’s called in women, but both are the same as “hardening
of the arteries”
d. Arteriosclerosis is a broad term for thickening & hardening arteries w/loss of elasticity, of which Atherosclerosis is a form caused by plaques.
e. Atherosclerosis is a broad term for thickening & hardening arteries w/loss of elasticity, of which Arteriosclerosis is a form.
35. a. 1 in 6
b. 1 in 5
c. 3 in 8
d. 2 in 7
e. 4 in 9
people have HTN
36. T or F: orthostatic HTN
is only a possible side effect of antihypertensive medications if the pt is morbidly obese
37. T or F: ACE inhibitors
work by reducing myocardial stimulation & decreasing O2 demand on the heart
38. T or F: Ca+ channel blocker
effects are seen in the myocardium & vascular smooth muscle
39. Which of these is an Angiotensin
II receptor blocker listed w/its method of action?
a. quinepril (Accupril) blocks vasoconstriction, blocks secretion of aldosterone
b. verapamil (Calan) inhibits transport of calcium into myocardium & vascular smooth muscle cells
c. losartan (Cozaar) blocks the conversion of Angiotensin I to Angiotensin II
d. irbesartan (Avapro) blocks vasoconstriction, blocks secretion of aldosterone
e. enalapril (Vasotec) blocks the conversion of Angiotensin I to Angiotensin II
40. Mrs Smith is 54 & was
dx w/ HTN 18 years ago. She’s in the hospital after having her gallbladder out. You are about to give her her AM meds.
Her temp 98.4, pulse 48, resps 14, & her BP is 137/86. Which of her meds will you not give her this AM?
41. Name 3 common CV tests.
42. Name 4 physiological changes
of the respiratory system that come w/aging.
43. Your pt is visibly SOB,
when you start asking him about his dietary habits he complains that he’s not been hungry & when he does eat, it’s
not very much. Which is true?
a. pt c/o epistaxis
b. pt c/o anorexia
c. pt is on a diet
d. pt c/o anorexia nervosa
e. pt needs a dietary consult
44. T or F: Fungal pneumonia
is the easiest to treat
45. PCP (Pneumocystis carinii
Pneumonia) is common in
a. AIDS pts
c. men w/HTN
d. elderly pts w/G-tubes or J-tubes
46. T or F: For a pt w/pneumonia,
it’s important to restrict fluids to help reduce the amount of fluid in the lungs
47. T or F: Phenergan w/codeine
is the remedy of choice for all elderly pts w/pneumonia
48. Name 3 IV antibiotics given
49. Which of the following
statements is not true?
a. TB can occur in kidneys & bones as well as in the lungs
b. TB is acquired through droplets
c. The WHO estimates that ¼ of the world has TB
d. TB is not easy to contract, it usually takes prolonged contact w/an infected person
50. T or F: TB pts w/a productive
cough who expel pieces of cheesy looking stuff must have aspiration pneumonia
51. T or F: people infected
w/TB always have a productive cough & high fever almost immediately after becoming infected
52. T or F: the best dx for a suspected
TB pt presenting w/several symptoms is the Mantoux test
53. The first TB med was developed
in the 50’s. What is it called & what 2 medications usually get paired w/it?
54. Name 3 changes in the neuromuscular
system that come w/aging?
55. What part of a joint swells in Rheumatoid
56. Which of the following drugs will you
be giving to your pt for treatment of RA?
57. What is the name of the chemo drug
that works well for young RA pts?
58. Symptoms of Dementia include all of
the following except:
a. affinity for Jerry Lewis movies
b. decrease in memory
c. increased agitation
d. fear of spraying water
59. T or F: when interacting w/a Dementia
pt, it is helpful to always try to reorient the pt to reality.
60. Parkinson’s disease is due to
a. increase in norepinephrine
b. decrease in norepinephrine
c. decrease in dopamine
d. increase in dopamine
61. Medications used to treat low
levels of an important neurotransmitter in Parkinson’s disease include all of the following except:
62. T or F: Anticholinergics block
cholinergic activity in the central nervous system, slow nervous system activity, & relax rigidity
63. T or F: a definitive diagnosis for
Alzheimer’s can be made by psych tests, MRI, & CAT scan
64. T or F: Alzheimer’s pts
are often the most difficult to deal w/in the morning, calming down & become more cooperative as the day wears on.
65. The following Alzheimer’s medication
works by preventing the binding of glutamate in the CNS
66. T or F: Protonix, Pepcid, Carafate,
& Reglan all work in the same way to prevent stomach ulcers.
67. How many Americans have Diabetes Mellitus
a. 7 million
b. 2 billion
d. 10 million
e. 100 million
68. Insulin is normally made in the
a. inlets of Laugerhaus
b. Theta cells of the pancreas
c. Beta cells of the pancreas in the islets of Laugerhaus
d. islets of Langerhans
d. Beta cells of the pancreas in the inlets of Langerhans
69. Clinical symptoms of DM include all
of the following except
70. Fasting glucose greater than _______
on 2 occasions will likely lead your Dr to dx you w/DM.
71. T or F: if you can’t find 70/30
in the med drawer, just mix NPH & Regular insulin in a syringe.
72. T or F: because the onset of
the new long-acting insulin Symlin is almost an hour, it’s appropriate to give it up to an hour before breakfast.
73. T or F: sliding scale insulin, or “coverage”
is always NPH insulin.
74. What percentage of middle aged men
will experience prostate problems?
75. T or F: BPH is a precancerous condition
that always requires prostate removal.
76. BPH surgery is nicknamed
77. B&O suppositories contain
_____________ & _____________ which have relaxing & pain killing effects.
78. T or F: As women age, vaginal pH increases
& the vagina shortens
79. T or F: As men age, they often develop
pendulous breasts, ear cartilage & nose growth.
80. Name 3 things to consider about a person
Kubler-Ross’s 5 stages of grief are: