Geriatric Patient Assessment Flashcards
7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Geriatric Patient Assessment flashcards as text
Which validated tool is specifically designed to assess nutritional status in elderly patients and includes BMI, weight loss, mobility, and appetite questions?
Answer: Mini Nutritional Assessment (MNA)
The Mini Nutritional Assessment (MNA) is a validated 18-item tool designed specifically for geriatric nutritional screening and assessment.
A 78-year-old patient scores 22/30 on the MMSE. Which category does this score fall into?
Answer: Mild cognitive impairment
MMSE scores of 18–23 indicate mild cognitive impairment, while 24–30 is considered normal and below 18 indicates moderate to severe dementia.
The STOPP/START criteria are used in geriatric pharmacotherapy to identify which of the following?
Answer: Potentially inappropriate medications and prescribing omissions
STOPP (Screening Tool of Older Persons' Prescriptions) identifies potentially inappropriate medications, while START (Screening Tool to Alert to Right Treatment) identifies prescribing omissions.
Which of the following is the most appropriate method to estimate renal function for drug dosing in a frail elderly patient with low muscle mass?
Answer: Cockcroft-Gault using actual body weight
Cockcroft-Gault using actual body weight is recommended for drug dosing in elderly patients, though some guidelines suggest using ideal or adjusted body weight in obese patients.
Which geriatric syndrome is characterized by unintentional weight loss >10 lbs in the past year, exhaustion, slow walking speed, weak grip strength, and low physical activity?
Answer: Frailty
These five criteria constitute the Fried Frailty Phenotype; meeting 3 or more criteria defines frailty in older adults.
An 82-year-old patient on warfarin presents with an INR of 5.8 and minor bleeding. Which is the most appropriate immediate intervention?
Answer: Hold warfarin and administer oral vitamin K
For supratherapeutic INR (4.5–10) with minor bleeding, holding warfarin and administering oral vitamin K 1–2.5 mg is recommended per ACCP guidelines.
Which outcome measure is most appropriate for evaluating functional status changes over time in a nursing home resident?
Answer: Barthel Index
The Barthel Index assesses independence in 10 activities of daily living and is widely validated for monitoring functional status in long-term care settings.