AMC Clinical Geriatric Assessment 2

Question 1

A 76-year-old woman reports involuntary urine leakage whenever she coughs, sneezes, or exercises. Which type of urinary incontinence does this presentation describe?

Accepted Answer

Stress incontinence

Answer

Stress incontinence is characterised by involuntary urine leakage during activities that raise intra-abdominal pressure, such as coughing, sneezing, laughing, or physical exertion, due to urethral sphincter insufficiency.

Question 2

Using the 15-item Geriatric Depression Scale (GDS-15), which score threshold indicates probable depression requiring further clinical assessment?

Accepted Answer

Score ≥ 5

Answer

A GDS-15 score of 5 or more indicates probable depression warranting further assessment and clinical intervention, while a score of 0–4 is considered within the normal range for older adults.

Question 3

Which validated risk assessment tool is most widely used in Australian hospitals to determine pressure injury risk in elderly inpatients?

Accepted Answer

Braden Scale

Answer

The Braden Scale is the most widely used and validated pressure injury risk assessment tool in Australian hospitals, assessing six domains: sensory perception, moisture, activity, mobility, nutrition, and friction/shear.

Question 4

An 81-year-old woman presents with multiple unexplained bruises and appears frightened of her adult son who accompanies her. You suspect elder abuse. What is the most appropriate immediate action?

Accepted Answer

Interview the patient privately and assess her safety and wishes

Answer

The immediate priority is to create a safe, private environment to interview the patient alone, assessing her safety, mental capacity, and wishes before determining further action in accordance with her autonomy.

Question 5

An 85-year-old frail woman is being discharged after hip arthroplasty. Which element of the discharge plan has the strongest evidence for preventing early hospital readmission?

Accepted Answer

Coordinated transitional care including medication reconciliation, timely follow-up, and carer education

Answer

Coordinated transitional care programmes that integrate medication reconciliation, timely follow-up, and structured patient and carer education have the strongest evidence for reducing 30-day readmission rates in frail older adults.

AMC Clinical Practice Test

AMC Clinical Practice Test

AMC Clinical Geriatric Assessment 2