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
\u2756 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?
\u2713 Answer: Thorough abd and gyn exam to rule out masses and ID any
tenderness
\u2756 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?
\u2713 Answer: Disorders in behavior and cognition
\u2756 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?
\u2713 Answer: Tremor occurs w\/purposeful movements
\u2756 Which of the following assessments are commonly noted in a pt w\/PD?
\u2713 Answer: Microphagia and bradykinesia
\u2756 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?<\/p>\n\n\n\n
\u2713 Answer: Gingival hyperplasia and nystagmus
\u2756 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?
\u2713 Answer: CBC, LFT, platelet count
\u2756 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:
\u2713 Answer: Temporal lobe
\u2756 An elderly pt has had a CVA in the anterior cerebral circulatory system (frontal lobe).
What symptoms are most likely expressed?
\u2713 Answer: Disorders of behavior and cognition
\u2756 The most common neuro cause of sz in older adults is:
\u2713 Answer: Stroke
\u2756 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?
\u2713 Answer: It is a moderate amplitude tremor that occurs only
w\/movement or activity.<\/p>\n\n\n\n
\u2756 Mr. Andrews experienced a brief onset of R-sided weakness, slurred speech, and
confusion yesterday. The symptoms have resolved. What should you do?
\u2713 Answer: ID modifiable CV risk factors
\u2756 An older male pt is experiencing acute onset of R-sided weakness, slurred speech, and
confusion. What should you do promptly?
\u2713 Answer: Eval for stroke and arrange for transport to the hospital right
away
\u2756 An older adult female pt had a stroke. What symptoms are not usually expressed by pt’s
who have had a vertebrobasilar stroke?
\u2713 Answer: Monocular blindness
\u2756 When assessing an elderly pt who reports tremor, which assessment findings would be
most reliable in ID’ing PD?
\u2713 Answer: Resting tremor, slow unsteady gait, cogwheel resistance
\u2756 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?
\u2713 Answer: Provide trial of foods differing in consistency
\u2756 Which of the following assessment findings is commonly noted in a pt w\/advanced PD?
<\/p>\n","protected":false},"excerpt":{"rendered":"
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