AMC Clinical Geriatric Assessment

Question 1

Which assessment tool is most commonly used to measure functional independence across activities of daily living in elderly patients?

Accepted Answer

Barthel Index

Answer

Mini-Mental State Examination (MMSE)

Answer

Geriatric Depression Scale (GDS)

Answer

Timed Up and Go test (TUG)

Question 2

An 82-year-old woman presents after her second fall this month. Which single intervention has the strongest evidence for reducing fall risk in community-dwelling older adults?

Accepted Answer

Medication review with withdrawal of high-risk medications

Answer

Calcium and vitamin D supplementation

Answer

Hip protectors

Answer

Home safety modifications alone

Question 3

On the Mini-Mental State Examination (MMSE), which score range indicates moderate dementia?

Accepted Answer

10–17

Answer

24–30

Answer

18–23

Answer

Below 10

Question 4

A 78-year-old man with known dementia becomes acutely confused and agitated in hospital. Which feature most distinguishes delirium from worsening of his underlying dementia?

Accepted Answer

Acute onset with a fluctuating course

Answer

Presence of visual hallucinations

Answer

Cognitive impairment

Answer

Disorientation to time and place

Question 5

According to the Fried Frailty Phenotype, which combination of criteria defines frailty?

Accepted Answer

Three or more of: unintentional weight loss, exhaustion, low physical activity, slow gait speed, and grip weakness

Answer

Two or more of: weight loss, cognitive impairment, low physical activity, slow gait, and weakness

Answer

Three or more of: weight loss, cognitive impairment, incontinence, slow gait, and social isolation

Answer

Two or more of: weight loss, exhaustion, low physical activity, slow gait, and cognitive impairment

Question 6

When reviewing medications in a 75-year-old patient using the Beers Criteria, which drug class is most commonly identified as potentially inappropriate in older adults due to fall and cognitive risks?

Accepted Answer

Benzodiazepines

Answer

ACE inhibitors

Answer

Beta-blockers

Answer

Statins

Question 7

Which nutritional screening tool was specifically developed and validated for use in elderly populations aged 65 and over?

Accepted Answer

Mini Nutritional Assessment (MNA)

Answer

Malnutrition Universal Screening Tool (MUST)

Answer

Nutritional Risk Screening 2002 (NRS-2002)

Answer

Simplified Nutritional Appetite Questionnaire (SNAQ)