Family Practice Exam Geriatric Care 3

Question 1

A 79-year-old woman with no prior psychiatric history presents with acute onset confusion, disorientation, and visual hallucinations over 24 hours. What is the most likely diagnosis?

Accepted Answer

Delirium

Answer

Delirium is characterized by acute onset, fluctuating course, inattention, and altered consciousness, distinguishing it from chronic dementias.

Question 2

Which of the following is the MOST common precipitant of delirium in hospitalized elderly patients?

Accepted Answer

Urinary tract infection

Answer

Infection, particularly urinary tract infection, is the most frequently identified precipitant of delirium in hospitalized older adults.

Question 3

An 84-year-old nursing home patient has a Stage III pressure ulcer on his sacrum. What is the most important factor in promoting wound healing?

Accepted Answer

Adequate nutritional support including protein intake

Answer

Adequate protein intake (1.2–1.5 g/kg/day) is the most critical nutritional factor for pressure ulcer healing and tissue repair.

Question 4

A 72-year-old man presents with symmetric proximal muscle weakness and difficulty rising from a chair. ESR is 85 mm/hr. Creatine kinase is normal. What is the most likely diagnosis?

Accepted Answer

Polymyalgia rheumatica (PMR)

Answer

PMR classically presents in patients over 50 with proximal muscle pain/stiffness, elevated ESR, and normal CK, distinguishing it from inflammatory myopathies.

Question 5

Which screening test is recommended for abdominal aortic aneurysm (AAA) in primary care according to USPSTF guidelines?

Accepted Answer

One-time abdominal ultrasound in men aged 65-75 who have ever smoked

Answer

USPSTF recommends a one-time abdominal ultrasound screening for AAA in men aged 65–75 who have ever smoked (at least 100 cigarettes lifetime).

Family Practice Exam Practice Test

Family Practice Exam Practice Test

Family Practice Exam Geriatric Care 3