Geriatric Failure to Thrive Quiz

A male patient 78 years of age with COPD loses weight despite adequate nutritional intake.This is an example of A) cachexia. B) anorexia. C) dysphagia. D) sarcopenia.

A) Cachexia

Which of the following is one of the top four cancers in the United States? A) Prostate B) Ovarian C) Pancreatic D) Skin cancer

A) Prostate

Which of the following is NOT a change associated with normal aging? A) Ptosis B) Kyphosis C) Ectropion D) Conjunctivitis

D) Conjunctivitis

Which of the following is NOT a chief characteristic of geriatric failure to thrive? A) Delirium B) Depression C) Malnutrition D) Impaired cognition

a) Delirium

A score of 18 on the Mini-Mental State Examination indicates A) normal status. B) mild cognitive impairment. C) moderate cognitive impairment. D) severe cognitive impairment

C) moderate cognitive impairment.

Upon evaluation of a geriatric patient with failure to thrive, the patient is noted to have a history of bipolar depression. She is prescribed several antipsychotic medications, one of which is suspected of causing the tremors that are making eating problematic. The next step is to A) refer to pulmonologist. B) refer to speech therapy. C) refer to geriatric psychiatrist. D) stop the offending medication.

C) refer to geriatric psychiatrist.

Megestrol acetate is contraindicated in patients with a history of A) COPD. B) dementia. C) thromboembolism. D) congestive heart failure.

C) thromboembolism.

Which of the following medications is identified by the Beers list as a potentially inappropriate medication for the elderly patient? A) Aspirin B) Cimetidine C) Amlodipine D) Citalopram

B) Cimetidine

A geriatric patient with a BMI of 19.2 has continued to lose weight despite adequate treatment and is experiencing significant physical impairment. What should be strongly considered as the next step? A) Hospitalization B) Hospice referral C) Giving the patient a 30-day notice to leave facility D) Asking the patient to find another healthcare provider

B) Hospice referral

Which of the following medications has been used in clinical trials to treat geriatric weight loss? A) Fluoxetine B) Megestrol acetate C) Naproxen sodium D) Diphenhydramine

B) Megestrol acetate

Which of the following is NOT a sign of dysphagia or aspiration? A) Wet voice B) Xerostomia C) Recurrent pneumonia D) Coughing or choking associated with eating

B) Xerostomia

Polypharmacy has been defined as the A) use of multiple pharmacies. B) use of more than one medication. C) use of more than five medications. D) refusal to take multiple medications

C) use of more than five medications.

A woman who is 80 years of age has a living will that names her healthcare proxy. She also specifies that she does not want resuscitation or a feeding tube. The living will is activated when the patient A) signs a DNR. B) requires antibiotics. C) goes to the hospital. D) is diagnosed with a terminal illness and is unable to communicate her wishes.

D) is diagnosed with a terminal illness and is unable to communicate her wishes.

A score of 4 on the Geriatric Depression Scale (short form) indicates A) severe depression. B) cognitive impairment. C) positive for depression. D) negative for depression

D) negative for depression

For patients at risk for malnutrition, dieticians would recommend A) a low-fat diet. B) a diabetic diet. C) fluid restriction. D) nutritional supplements.

D) nutritional supplements.

A patient with stroke and poor motor control of the right hand, which makes eating difficult, should have his or her functional ability evaluated by a A) dietician. B) speech therapist. C) physical therapist. D) occupational therapist

D) occupational therapist

A patient with moderate cognitive impairment has no close family members. A close neighbor is designated to make his medical decisions.He is assigned to be the A) counselor. B) healthcare proxy. C) power of attorney. D) healthcare provider

B) healthcare proxy

A gastric feeding tube is NOT an appropriate option for patients with which of the following conditions? A) Stroke B) Parkinson disease C) Advanced dementia D) Radiation therapy of the head or neck

C) Advanced dementia

Which of the following medications is associated with falls in the elderly? A) Fluoxetine B) Mirtazapine C) Naproxen sodium D) Diphenhydramin

D) Diphenhydramin

Which of the following medical conditions contributes to geriatric malnutrition? A) Kyphosis B) Hypertension C) Atrophic gastritis D) Ectopic heartbeats

C) Atrophic gastritis