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Midterm Exam: NR 601 / NR601
( Update 2025 / 2026) Primary Care of the Maturing & Aged Family Practicum Questions & Answers – Chamberlain
Question:
most common cause of hypothyroidism older adults
Answer:
Hashimoto’s
Question:
difference of older and younger pts with hypothyroidism
Answer:
older adults usually have fewer, more vague symptoms might have weight loss!
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Question:
before replacing thyroid hormone in older adults?
Answer:
assess if they have CAD- need a stress test before treatment
Question:
starting dose and increment of thyroid hormone older adult
Answer:
start low, go slow 12.5-25 mcg every 6 weeks
Question:
definition anemia
Answer:
females <12 males <13
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Question:
causes of IDA in older adult
Answer:
GI bleeding: blood thinner or GI disease (gastritis, diverticulitis, etc.)
Low iron intake from food (poor nutrition)
Question:
anemia from CKD
Answer:
In patients with CKD, as the GFR declines, there is also a gradual decline in patients' Hb level
Question:
anemia eval is warranted when
Answer:
when the Hb declines 1 g/dl in < 5 years or 2 g/dl in <10 years fatigue s/s of bleeding, recent surgery alcoholism prior blood transfusions
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Question:
unexplained IDA
Answer:
should get endoscopy and fecal blood testing
Question:
referral to hematology/oncology
Answer:
Thrombocytopenia < 120 x 109/L Neutropenia < 1000 109/L Abnormal peripheral blood smear Unexplained macrocytosis Unexplained requirement for RBC transfusions
Question:
breast cancer screening recommendations
Answer:
50-74 years old, every 2 years
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