2nd Quarter 2012 CE Packet

Geriatric Patients

Your Name:
1) Of patients age 75 and older, falls account for ______ of accidental deaths.
A. 25%
B. 35%
C. 60%
D. 75%
2) Falls in the elderly are caused by:
A. decreased vision or hearing
B. poor balance
C. medications
D. all of the above
3) EMS Providers should be practicing injury prevention with all patient groups including the elderly.
A. true
B. false
4) Physiologic changes in the elderly cause our body systems to become less efficient. This can result in signs and symptoms of injury or illness seen:
A. earlier but less frequently than in younger patients.
B. later and less frequently than in younger patients.
C. earlier and more frequently than in younger patients.
D. later but more frequently than in younger patients.
5) Many elderly patients are on multiple medications. This can cause problems by:
A. non-compliance
B. medication interactions
C. forgetfulness of medications to be taken
D. all of the above
6) Many elderly patients suffer from multiple medical conditions. A clue that aids EMS in determining if a patient's current chief complaint is from an underlying chronic condition or a new issue is:
A. patients past medical history
B. patient's medication list
C. gradual or sudden onset of signs and symptoms
D. events leading up to signs and symptom
7) The leading cause of accidental deaths in the elderly is:
A. heart attack
B. stroke
C. falls
D. motor vehicle collision
8) Subdural hematomas in the elderly can be more common in elderly patients because:
A. brain atrophy results in more easily damaged blood vessels
B.  aspirin and anticoagulant therapy
C. less force is required to cause injury
D. all of the above
9) Chest trauma in an elderly patient is often more severe than in younger patients because:
A. chest cavity is less flexible (more rigid), resulting in greater injury.
B. chest cavity is more flexible (less rigid), resulting in greater injury.
C. chest organs are nearer to the chest wall.
D. there is no difference between an elderly patient and a younger patient.
10) Anytime an elderly patient has sustained a traumatic injury, EMS must consider an underlying medical condition to have been the cause of the act that caused the injury:
A. true
B. false
11) Males who are age 85 and older are more likely to commit suicide at a rate ______ times higher than that of the national average.
A. 2
B. 3
C. 4
D. 5
12) Communication with the elderly often complicates an EMS assessment and care. This is because:
A. hearing/vision issues
B. EMS relying on caregivers/family members rather than the patient
C. confusion/dementia issues
D. all of the above
13) Skin changes in an elderly patient include thinning and becoming more fragile. As a result, bruising and tearing becomes common. EMS can minimize additional injury or damage by:
A. limiting contact
B. exercising caution when applying/removing bandages, taking a blood pressure or performing other procedures
C. being proficient as an EMS provider at performing the skills
D. all of the above
14) Elderly patients have a right have a say in their care. This includes the ability to refuse care. It is important that we communicate effectively with the elderly, just as we would with any patient. This is true even if it appears the patient is unaware of our presence or care we are providing. This helps to build a strong patient-caregiver relationship.
A. true
B. false
15) Always be aware of body/physiologic changes in the elderly as making an elderly patient comfortable can often be challenging. We often need to make special precautions when:
A. splinting
B. maintaining body heat
C. performing procedures such as an IV insertion
D. all of the above