Family Practice Exam Geriatric Care 5

Question 1

A 73-year-old man with Parkinson's disease develops visual hallucinations after starting which of the following medications?

Accepted Answer

Pramipexole (a dopamine agonist)

Answer

Carbidopa-levodopa

Answer

Trihexyphenidyl (an anticholinergic)

Answer

Amantadine

Question 2

A 68-year-old woman presents with sudden painless vision loss in her right eye. Fundoscopic exam shows a 'blood and thunder' appearance with diffuse flame hemorrhages in all quadrants. What is the most likely diagnosis?

Accepted Answer

Central retinal vein occlusion

Answer

Central retinal artery occlusion

Answer

Anterior ischemic optic neuropathy

Answer

Acute angle-closure glaucoma

Question 3

Which of the following best describes the appropriate use of the Confusion Assessment Method (CAM) in geriatric care?

Accepted Answer

Detecting delirium in hospitalized patients

Answer

Screening for baseline cognitive decline in outpatient settings

Answer

Diagnosing dementia severity in memory clinics

Answer

Monitoring response to antipsychotic therapy in nursing homes

Question 4

A 71-year-old woman presents with pain in both hips and shoulders for 3 months, morning stiffness lasting over 1 hour, and ESR of 72 mm/hr. CK is normal. She responds dramatically to prednisone 15 mg/day. What should now be monitored most closely?

Accepted Answer

Blood glucose, blood pressure, and bone density (for steroid side effects)

Answer

Serum ACE levels for treatment response

Answer

Temporal artery biopsy annually

Answer

Monthly CBC to monitor for aplastic anemia

Question 5

An 85-year-old man is being discharged after hip fracture repair. Which intervention has the strongest evidence for preventing delirium in postoperative elderly patients?

Accepted Answer

Early mobilization and reorientation protocols

Answer

Prophylactic haloperidol administration

Answer

Benzodiazepine sedation for nighttime agitation

Answer

Placement in a private room with minimal stimulation

Question 6

A 76-year-old woman is taking multiple medications. Which combination has the highest risk of causing a potentially life-threatening drug interaction?

Accepted Answer

Warfarin and fluconazole

Answer

Lisinopril and metformin

Answer

Metoprolol and atorvastatin

Answer

Amlodipine and omeprazole

Question 7

During a geriatric assessment, a patient scores 8/30 on the MMSE. He was previously independent but now requires help with bathing, dressing, and meals. What stage of dementia does this most likely represent?

Accepted Answer

Moderate dementia

Answer

Mild cognitive impairment (MCI)

Answer

Mild dementia

Answer

Severe dementia