FMCLA Geriatric Care and Elder Medicine 3

Question 1

Which feature best distinguishes Lewy body dementia from Alzheimer's disease?

Accepted Answer

Visual hallucinations and fluctuating cognition

Answer

Lewy body dementia is distinguished by recurrent visual hallucinations, fluctuating cognition, and Parkinsonism, which are atypical in Alzheimer's.

Question 2

What is the most appropriate pain management strategy for a cognitively impaired elderly patient who cannot self-report pain?

Accepted Answer

Use behavioral observation scales like PAINAD

Answer

Validated behavioral pain scales like PAINAD assess facial expressions, vocalizations, and body language to detect pain in non-verbal patients.

Question 3

Which intervention is most effective in preventing pressure ulcers in bedridden elderly patients?

Accepted Answer

Regular repositioning every 2 hours

Answer

Repositioning every 2 hours relieves sustained pressure and is the most evidence-based intervention for pressure ulcer prevention.

Question 4

A 75-year-old patient is found to have an ABI (ankle-brachial index) of 0.65. What does this indicate?

Accepted Answer

Moderate-to-severe peripheral arterial disease

Answer

An ABI of 0.4–0.69 indicates moderate-to-severe peripheral arterial disease with significant arterial occlusion.

Question 5

Which type of depression screening tool is validated specifically for use in elderly patients?

Accepted Answer

Geriatric Depression Scale (GDS)

Answer

The Geriatric Depression Scale was developed and validated specifically for older adults and avoids somatic items that confound depression assessment in the elderly.

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA - Family Medicine Certification Longitudinal Assessment Practice Test

FMCLA Geriatric Care and Elder Medicine 3