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Unit D Quiz
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All of the answers are found in our notes...

Unit D Quiz

 

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 adults.

 

 

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 contraction?

 

 

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 hx?

            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?

                        a. Lipitor

                        b. Corgard

                        c. Serafem

                        d. Fosamax

 

 

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

                        b. women

                        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 for pneumonia

 

 

 

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 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 Arthritis?

 

 

 

 

56. Which of the following drugs will you be giving to your pt for treatment of RA?

      a. Celexa

      b. Cerebryx

      c. Cefizox

      d. Celebrex

 

 

 

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 an

      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:

      a. Permax

                              b. Sinemet       

      c. Eldepryl

      d. Kineret

      e. Symmetrel

 

 

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

      a. Cognex

      b. Namenda

      c. Exelon

      d. Aricept

      e. Reminyl

 

 

 

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

      c. 788,000

      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

      a. polyuria

      b. hemoptysis

      c. polydipsia

      d. polyphagia

 

 

 

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

      a. SluRP

      b. burp

      c. TURF

      d. TURP

      e. NuRp

 

 

 

 

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 regarding sexuality.

 

 

 

 

81. Elizabeth Kubler-Ross’s 5 stages of grief are:

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