Geriatric Assessment Discussion Solutions

Geriatric Assessment Discussion Solutions
Geriatric Assessment Discussion Solutions
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Question 172
When defining frailty using the Fried
model, which one of the following criteria should be considered?
A. polypharmacy
B. sensory impairment (sight or hearing)
C. performance on ‘Timed Up and Go’
test
D. two or more falls within the last year
E. unintentional weight loss
Question 173
A 91-year-old woman is referred to
the geriatrics outpatient clinic by her GP,
who is concerned that her functional level
is declining. Over the last year she has
become unable to manage her housework,
and carers now assist her with washing
and dressing. She has a past medical history of biventricular cardiac failure and
urinary incontinence. You decided to
apply a screening tool to identify frailty.
Which of the following is assessed in the
PRISMA-7 questionnaire?
A. age
B. gait speed
C. grip strength
D. mood
E. sleep
LEARNING OBJECTIVE:
Factors affecting health status and measurement of health status.
Geriatric Assessment 109
Question 174
You see an 87-year-old woman in the
older persons’ assessment clinic who
has fallen over her front room rug. It
is intended that the five domains are
completed in a ‘comprehensive geriatric assessment’. The carer has not been
contacted yet. What is the next best
step?
A. contacting her carer
B. creation of a problem list
C. intervention
D. personalised care planning
E. regular planned review
Question 175
Which of the following can maximise
the impact of a comprehensive geriatric
assessment?
A. clear barriers in use of information
B. confidential documentation held only
by clinicians
C. development of multi-professional
teams and regular multidisciplinary
team reviews
D. maintaining a hierarchy between
medical and social care staff
E. the comprehensive geriatric assessment must be completed first by a
junior doctor
Question 176
Which of the following statements
is true about the functional and social
assessment during a comprehensive geriatric assessment process?
A. most healthcare consultations are
done at the patient’s home
B. most healthcare consultations are
done with informal carers present
C. one of the main problems with the
Barthel Index is the ‘ceiling effect’
D. ‘step changes’ in function are of little
relevance to goal setting
E. the ‘Timed Up and Go’ test is only a
test of physical ability
Question 177
Which of the following scales defines
frailty as the presence of three of the following five variables: unexplained weight
loss, low grip strength, slow walking,
self-reported exhaustion and low physical activity?
A. Canadian Study of Health and Aging
Clinical Frailty Scale
B. Fried’s ‘Phenotypic frailty’ scale
C. Identification of Seniors at Risk
D. Stable gait, Unstable gait, Help to
walk or Bedridden scale
E. Triage Risk Screening Tool
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