Chapter 19 Test Bank Geriatrics

Medical Language for Modern Health Care, 4e (Allan)

Chapter 19 Geriatrics

1) The study of the social, mental, and physical aspects of aging is called

A) gerontology

B) gerontologist

C) geriatrics

D) geriatrician

E) geriontologist

2) A physician trained in the care of elderly individuals is called a

A) gerontologist

B) geriatrician

C) geriatrics

D) gerontology

E) gerontist

3) A synonym for the term aging is

A) geriatrics

B) Alzheimer disease

C) dementia

D) senescence

E) longevity

4) The age to which individual humans aspire to live and the process of getting there is called

A) aging

B) senescence

C) life span

D) life expectancy

E) longevity

5) The average length of life for any given population is called

A) aging

B) life expectancy

C) life span

D) longevity

E) senescence

6) The most common form of dementia is ________ ________.

7) All the following statements regarding changes in the integumentary system related to senescence are true EXCEPT

A) the skin thickens and loses elasticity

B) wrinkles appear, and the skin hangs loose

C) hair becomes thinner and grayer

D) melanocytes die, and age spots appear

E) changes in the integumentary system begin in a person's forties

8) Changes which occur in the special senses as a person ages include all the following EXCEPT

A) presbyopia

B) cataracts

C) increased cerumen production

D) ossicles become stiffer

E) a decline in the number of cochlear hair cells

9) In the term sarcopenia, the suffix means

A) a condition

B) pertaining to

C) flesh

D) deficiency

E) production

10) A wasting, or diminished volume of a tissue or organ is called ________.

11) In the term sarcopenia, the root/combining form means

A) deficiency

B) flesh

C) sacrum

D) condition

E) pertaining to

12) The plural form of the singular term lentigo is

A) lentigos

B) lentigoes

C) lentigum

D) lentigines

E) lentiges

13) A specialist in the study of disease or the characteristics of a disease is a ________.

14) Identify the root and its meaning in the term dementia.

A) ia; condition

B) de; without

C) dement; old age

D) mentia; brain

E) ment; mind

15) The prefix in the term polypharmacy means

A) extra

B) many

C) increased

D) drugs

E) routes of administration

16) ________ is the medical term that refers to an unfavorable response to medical or surgical treatment, caused by the treatment itself.

A) Incontinence

B) Iatrogenic

C) Exacerbation

D) Instability

E) Sequel

17) The medical term that refers to the inability to prevent the discharge of urine or feces is ________.

18) The leakage of urine when coughing, laughing, sneezing, or bending over due to weak bladder muscles is called

A) urge incontinence

B) stress incontinence

C) overflow incontinence

D) functional incontinence

E) mixed incontinence

19) A term derived from the Latin meaning knowledge is

A) dementia

B) delirium

C) hallucination

D) cognition

E) heredity

20) The root in the term hallucination means

A) imagination

B) process

C) illusion

D) perception

E) visual

21) The name of the document in which a person appoints another person to make medical decisions on their behalf when that person is unable to do so is called a

A) living will

B) DNR order

C) HIPAA authorization

D) medical (durable) power of attorney

E) POLST

22) A type of facility or program that provides care to the dying and their families is ________.

23) A flat EEG is indicative of which of the following conditions?

A) Minimally conscious state

B) Persistent vegetative state

C) Brain death

D) Dementia

E) Alzheimer disease

24) The root in the term vegetative means

A) growth

B) vegetable

C) brain dead

D) immobile

E) shrinkage

25) A legal document signed by the patient dealing with the types and extent of medical treatment the person wishes to have during the process of dying is called a (n)

A) DNR order

B) HIPAA

C) POLST

D) advance medical directive

E) medical (durable) power of attorney

26) A patient who refuses CPR would have which of the following abbreviations in the living will?

A) HIPAA

B) POLST

C) DNR

D) PVS

E) MCS

27) The two documents contained within an advance medical directive are a

A) HIPAA and a DNR

B) PVS and an MCS

C) living will and a DNR

D) medical (durable) power of attorney and a HIPAA

E) living will and a medical (durable) power of attorney

28) In one of the theories of senescence, antioxidants are thought to act by

A) causing a total and permanent cessation of all vital functions

B) using oxygen in the body to protect cells from damage

C) killing bacteria resistant to other common agents

D) preventing cell damage by removing free radicals

E) reversing damage to neurons

29) Tough rules on the privacy of medical information is mandated by the

A) CDC

B) NIH

C) HIPAA

D) DNR

E) POLST

30) Which of the following terms means characteristic of old age?

A) Aging

B) Senile

C) Geriatrics

D) Senescence

E) longevity

31) Read this selection: Atherosclerotic plaques narrow arteries and trigger thrombosis, leading to strokes and heart attacks. In veins, valves become weaker, and blood flows back and pools in the legs, leading to poor venous return to the heart and heart failure. Which of the following statements best describes a patient with this condition?

A) Vessels are dilated.

B) Cardiovascular accidents are unlikely.

C) This usually occurs in children and adolescents.

D) The circulatory system is functioning well.

E) Clotting and MI are complications.

32) Which of the following terms has a suffix meaning state of?

A) Glaucoma

B) Integrate

C) Longevity

D) Senescence

E) Senility

33) Of the following statements, which one best describes the changes in the urinary system due to senescence?

A) Blood flow to the kidneys increases

B) Urine output increases

C) Control of blood pressure is lost

D) Kidney function decreases

E) The risk of UTIs decreases

34) A lentigo is

A) an age-related change in the vascular system.

B) a type of dementia.

C) an age spot.

D) the duration of life beyond the normal expectation.

E) a neurological deterioration.

35) Which of the following statements best describes the changes that occur in the skeletal system as a person ages?

A) A person's bones begin to soften as they age.

B) Osteoporosis results in increased deposition within the bone.

C) A person develops more synovial fluid and thicker articular cartilage.

D) Bones become brittle and can break, especially in women after menopause.

E) The bone-forming and bone-destroying cells are not involved.

36) Which of the following terms has a word element meaning reduce suffering?

A) Palliative

B) Longevity

C) Vegetative

D) Terminal

E) Hospice

37) The R in the abbreviation DNR stands for

A) relief

B) remedy

C) resuscitate

D) remove

E) respond

38) A synonym for the medical term autopsy is

A) dissection

B) postmortem

C) coroner

D) pathology

E) mortician

39) Which of the following changes in the respiratory system does NOT occur because of the aging process?

A) The lungs become more elastic.

B) The lungs become less elastic.

C) The rib cage becomes less flexible.

D) The number of alveoli is reduced.

E) Hypoxic changes occur in other organ systems.

40) The P in the abbreviation PVS stands for

A) palliative

B) polyp

C) persistent

D) permanent

E) postmortem

41) The term that is used to refer to the transmission of characteristics from parents to offspring through genes is

A) genetics

B) genealogy

C) geriatrics

D) pediatrics

E) heredity

42) As a person ages, the function of the immune system declines. Which of the following activities would be best to protect an elderly person against disease transmission?

A) Have a physical examination done on a yearly basis.

B) Limit contact with relatives and friends during the winter months.

C) Stay indoors as much as possible.

D) Receive a yearly influenza vaccine and other vaccines as needed.

E) Take a multivitamin daily.

43) Which of the following statements regarding the administration of medications to elderly individuals is accurate?

A) Multiple medications can be given to elderly individuals without problems.

B) When giving multiple medications to elderly individuals, the dosage of each medication must be reduced by half.

C) Medication dosages may need to be adjusted in the elderly based on liver or kidney impairment.

D) Elderly individuals should never be given more than five medications simultaneously.

E) Medications administered to elderly individuals in the evening are better tolerated than if they are given in the morning.

44) An acute altered state of consciousness with agitation and disorientation is called

A) senescence

B) delusion

C) delirium

D) hallucination

E) dementia

45) The loss of urine before one can get to the toilet is called ________ incontinence.

A) stress

B) urge

C) overflow

D) functional

E) mixed

46) The term for difficulty in balance is

A) instability

B) immobility

C) incontinence

D) dementia

E) visuospatial

47) A state that differs from MCS and PVS, in which an individual is unresponsive and keeps his eyes closed, is a ________.

48) A formal document written by a physician that is based on a patient's current medical condition and wishes is abbreviated as a

A) DNR

B) POLST

C) HIPAA

D) BD

E) PVS

49) The prefix in the term antioxidant means

A) oxidize

B) against

C) free

D) forming

E) before

50) A 78-year-old female patient needing a yearly physical exam would consult a physician specializing in

A) geriatrics

B) orthopedics

C) gynecology

D) urology

E) cardiology

51) Choose the statement that indicates the longevity of Americans is increasing.

A) The incidence of Alzheimer disease is decreasing annually.

B) The American culture is changing, placing a higher value on the aged population.

C) The pharmaceutical industry is developing flu vaccines.

D) The number of people older than 80 years old is expected to increase by 1 million from 2010 to 2020.

E) One in seven individuals, or almost 15% of the population, is 65 or older.

52) Lentigo is a normal consequence of

A) polypharmacy

B) senescence

C) presbyopia

D) delirium

E) Alzheimer disease

53) The incidence of rheumatoid arthritis increases as people age because

A) the body might generate autoimmune-altered molecules with advanced age.

B) aging often brings about muscle atrophy with associated weakness.

C) the cartilage of joints normally wears down with age.

D) the body decreases the production of collagen, starting at age 30.

E) diseases such as rheumatoid arthritis can take a long time before signs and symptoms become apparent.

54) The abbreviation that means an unintended result from taking a medication is

A) OTC

B) ADE

C) DNR

D) MCS

E) PDA

55) An EEG is a useful test to help determine

A) the degree of osteoporosis a person has

B) if a cardiac arrhythmia is present

C) a person's renal function

D) whether brain death is present

E) whether early onset Alzheimer disease is present

56) Care that is given to a patient to keep a patient comfortable rather than to save them from dying is called ________ care.

A) palliative

B) iatrogenic

C) resuscitative

D) curative

E) comfort

57) Mr. Han would like his daughter to make his medical decisions should he become unable to make them for himself. What does Mr. Han need to do?

A) Complete a living will.

B) Ask the physician assistant to write the order in his medical chart.

C) Appoint his daughter as his medical power of attorney.

D) Request a DNR order.

E) Ask his daughter to sign the HIPAA form

58) The type of care that hospice provides is typically

A) acute

B) intensive

C) palliative

D) emergency

E) rehabilitative

59) The overall term for diseases characterized by a decline in memory and cognitive (thinking) skills is

A) atrophy

B) senility

C) dementia

D) lentigo

E) delirium

60) Mrs. Fischer, an 88-year-old female, was brought to the doctor's office to see the nurse practitioner by her adult son. He states that over the past six months, she frequently believes she is back in her high school days. The nurse practitioner suspects she might be suffering from

A) instability

B) incontinence

C) dementia

D) hallucinations

E) delirium

61) Mixed incontinence is usually a combination of

A) functional and overflow incontinence

B) stress and overflow incontinence

C) urge and functional incontinence

D) stress and urge incontinence

E) functional and stress incontinence

62) One of the benefits of aging is

A) increased wisdom.

B) quick reflexes.

C) increased collagen production.

D) improved cognition.

E) financial security

63) Inability to control bowel movements is ________ incontinence.

A) stress

B) overflow

C) fecal

D) urge

E) mixed

64) Which of the following statements is true regarding dementia?

A) Dementia is a normal consequence of aging.

B) Symptoms must be present for six months for a diagnosis of dementia to be made.

C) Polypharmacy is a leading cause of dementia in the elderly.

D) It is common for patients with dementia to have renal insufficiency.

E) Dementia can be reversed once the underlying cause is treated.

65) Lewy bodies are associated with

A) a minimally conscious state

B) type II diabetes

C) senescence

D) Alzheimer disease

E) a form of dementia

66) Mrs. Owens has terminal cancer but does not want her family to know her condition. The document that instructs her healthcare provider to keep this information private is abbreviated

A) POLST

B) DNR

C) HIPAA

D) POA

E) MCS

67) Osteopenia and sarcopenia can be prevented by

A) beta blockers

B) proper hydration

C) calcium supplements

D) exercise

E) hormone replacement therapy

68) Often, a patient does not show signs and symptoms of COPD until they are over 40 years of age because

A) COPD is a result of the cumulative effects of smoking.

B) people do not visit the doctor on a regular basis until they are elderly.

C) pulmonary function tests are not administered on young people.

D) renal blood flow is maintained at a normal rate until age of 40.

E) other health problems can trigger the signs and symptoms of COPD.

69) An 86-year-old man falls and is unable to get up. When his son helps him up, he can walk without any pain. What is the likely reason he was unable to get up after falling?

A) Hip fracture

B) Immobility incontinence

C) Lack of muscle strength

D) Osteoporosis

E) Stroke

70) Mr. Hogan is a 94-year-old man who has a decreased appetite. This is most probably due to

A) overhydration

B) decline in the number of taste cells

C) increase in lentigines

D) sarcopenia

E) a side effect of medications

71) A decrease in the formation of urine is often the result of aging on which body system?

A) Integumentary

B) Muscular

C) Respiratory

D) Cardiovascular

E) Urinary

72) Sarcopenia often occurs as aging of the ________ system.

A) muscular

B) integumentary

C) urinary

D) skeletal

E) immune

73) The most common cause of ADE in the elderly population is

A) senility

B) hallucinations

C) polypharmacy

D) Lewy bodies

E) dementia

74) Senescence of the eyes is often demonstrated by the presence of

A) sharper vision

B) drooping eyelids

C) loss of peripheral vision

D) cataracts

E) strabismus