Final Exam: NR 601 / NR601 Latest 2022-2023Primary
Care of the Maturing and Aged Family Practicum
Exam| More than 100 Questions & Answers | Already
Rated A | Chamberlain
❖ 77yo Caucasian female has h/o breast ca. She’s been in remission for 6yrs. As her PCP,
you are seeing her for follow up of her recent c/o intermittent abd pain x3mo and general
malaise. Given the hx above, what will you direct your assessment at during the exam?
✓ Answer: Thorough abd and gyn exam to rule out masses and ID any
tenderness
❖ Older adult pt is being eval’d after a stroke, which affected the anterior cerebral
circulatory system. Which of the following s/s would be positive in the assessment of the
pt?
✓ Answer: Disorders in behavior and cognition
❖ When assessing pt who c/o tremor, you must differentiate essential tremor from PD
tremor. Which of the following assessment findings are consistent with essential tremor?
✓ Answer: Tremor occurs w/purposeful movements
❖ Which of the following assessments are commonly noted in a pt w/PD?
✓ Answer: Microphagia and bradykinesia
❖ An older adult w/a h/o sz disorder comes into the clinic for routine checkup. Although szfree, the pt continues on long-term phenytoin tx. You would assess for which of the
following long-term effects?
✓ Answer: Gingival hyperplasia and nystagmus
❖ An elderly nursing home pt is maintained on phenytoin tx for h/o sz. In addition to
periodic serum drug concentrations, which of the following are needed for annual eval?
✓ Answer: CBC, LFT, platelet count
❖ 78yo female presents w/sz that occurred over the weekend. In selecting the most
important diagnostics for this presentation, it is important to know that the least common
site of sz’s in the elderly is:
✓ Answer: Temporal lobe
❖ An elderly pt has had a CVA in the anterior cerebral circulatory system (frontal lobe).
What symptoms are most likely expressed?
✓ Answer: Disorders of behavior and cognition
❖ The most common neuro cause of sz in older adults is:
✓ Answer: Stroke
❖ You are evaluating an elderly pt’s c/o new onset of hand shaking when he drinks from a
cup. The pt is euthyroid and does not drink ETOH. Which of the following signs indicate
that this tremor is most likely an essential tremor rather than a PD tremor?
✓ Answer: It is a moderate amplitude tremor that occurs only
w/movement or activity.
❖ Mr. Andrews experienced a brief onset of R-sided weakness, slurred speech, and
confusion yesterday. The symptoms have resolved. What should you do?
✓ Answer: ID modifiable CV risk factors
❖ An older male pt is experiencing acute onset of R-sided weakness, slurred speech, and
confusion. What should you do promptly?
✓ Answer: Eval for stroke and arrange for transport to the hospital right
away
❖ An older adult female pt had a stroke. What symptoms are not usually expressed by pt’s
who have had a vertebrobasilar stroke?
✓ Answer: Monocular blindness
❖ When assessing an elderly pt who reports tremor, which assessment findings would be
most reliable in ID’ing PD?
✓ Answer: Resting tremor, slow unsteady gait, cogwheel resistance
❖ 78yo man w/PD is being care for in a nursing home. The nurses observe that he coughs at
mealtime; he has the ability to feed himself w/adaptive equipment. He has had no
aspirations. Oral exam is normal, except during swallow eval you note there is slight
delayed elicitation. You assess that he has only mild dysphagia. You recommend which
of the following as the next step in his care?
✓ Answer: Provide trial of foods differing in consistency
❖ Which of the following assessment findings is commonly noted in a pt w/advanced PD?