Medicine College

Iron deficiency anemia is characterized by: Hbg low; MCV low; reticulocyte index low; ferritin low; TIBC high Hbg low: MCV normal; reticulocyte index high; ferritin low; TIBC low Hbg low: MCV low: reticulocyte index Ihigh: ferritin low: TIBC low Hbg low; MCV low; reticulocyte index low; ferritin low; TIBC low Which of the following anti-epileptic drugs is associated with spina bifida? Phenytoin [Dilantin] Lamotrigine [Lamictal] Valproic acid [Depakote] Levetiracetam [Keppra] 83 y/o woman comes to the office foc an exam. She has recently relurned to her home after a MVA that resulted in injuries, a hospital stay complicated by pneumonia and a nursing home stay. She is greatly cl singed since her last office visitt she has lost alot of weight: moves slowly and 15 unablo to rise from her chair without-using her arms. She previousty was an avid golfer and swimmer. She asks what she can do to improve her functionnow that her injuries have heaied. Which of the following is effective in improving function in such a frall eldcr? comprehensivo geriatric assessment Protein supplementation: Anabolic sterolds, such astestosterone. dehydrocplandrosterone Exercise: Horne visits to evaluate function in the home

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Answer 1

A comprehensive geriatric assessment is a multidimensional evaluation that helps identify specific concerns and develop tailored interventions, such as exercise, nutrition, and medication adjustments, to improve function in frail older adults.

A comprehensive geriatric assessment is an effective approach for improving function in frail older adults. This assessment involves a multidimensional evaluation of various aspects of an individual's health and functioning.

It typically includes a thorough medical history review, physical examination, cognitive assessment, assessment of activities of daily living (ADLs) and instrumental activities of daily living (IADLs), assessment of mental health and social support, medication review, and evaluation of nutritional status.

By conducting a comprehensive geriatric assessment, healthcare professionals can identify specific areas of concern and develop tailored interventions to address them.

This approach allows for a holistic understanding of the older adult's overall well-being and helps identify any underlying medical conditions, functional limitations, cognitive impairments, social support needs, and medication-related issues that may contribute to their reduced function.

Based on the assessment findings, appropriate interventions can be recommended. These may include physical therapy or exercise programs to improve strength, balance, and mobility;

Nutritional interventions such as protein supplementation to address malnutrition; modifications to the living environment to enhance safety and accessibility; medication adjustments or deprescribing to minimize adverse effects and interactions; and provision of social support or mental health services as needed.

Overall, a comprehensive geriatric assessment provides a tailored and individualized approach to improve function in frail older adults by addressing their specific needs and optimizing their overall health and well-being.

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Question 14 Not yet answered Marked out of 1.00 Flag question You suspect your patient is in shock. You note the patient's skin is pale. This is likely due to Select one: a. peripheral vasoconstriction O b. peripheral vasodilation O c. an increased heart rate O d. hypothermia

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The patient's pale skin is likely due to peripheral vasoconstriction. Option A is the correct answer.

When a patient is in shock, the body initiates a compensatory response to maintain blood pressure and perfusion to vital organs. One of these responses is peripheral vasoconstriction, where the blood vessels in the skin constrict to redirect blood flow to essential organs such as the heart and brain. This vasoconstriction reduces blood flow to the skin, leading to pallor or pale skin appearance.

Peripheral vasodilation, on the other hand, would result in the opposite effect, causing the blood vessels in the skin to dilate and resulting in flushing or redness.

An increased heart rate, although a common response in shock, would not directly cause pale skin.

Hypothermia refers to abnormally low body temperature and is not directly related to the patient's pale skin in this context.

Therefore, the correct answer is option A: peripheral vasoconstriction.

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