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Week 5 Knowledge Check
QUESTION 1 Name three of the changes in the respiratory system common in older adults.
QUESTION 2Alex is an 82-year-old patient who has presented for his annual check-up. He states he has been feeling more tired lately and has noticed that his ankles have been swelling at the end of the day. Upon auscultation of his heart, you hear a new S3. What are your two differential diagnoses?
QUESTION 3A 78-year-old patient, past one ppd smoker times 10 years (quit 10 years ago) presents with increasing shortness of breath, dyspnea on exertion, and no other symptoms. Name two diagnostic tests you could order to differentiate between asthma and COPD.
QUESTION 4According to the GOLD Pocket Guide to COPD Diagnosis, Management, and Prevention, A Guide for Health Care Professionals, 2017, what would the predicted FEV be for GOLD 4 very severe COPD?
QUESTION 5You are performing a Medicare home assessment on an 84-year-old male. Part of this exam is checking for carotid bruits. Describe two reasons this exam is important in an older adult:
QUESTION 6There are known risk factors for coronary artery disease (CAD). Name the two most important risk factors that can be remedied (modified).
QUESTION 7There are known risk factors for coronary artery disease (CAD). Name the two most important risk factors that cannot be remedied (modified).
QUESTION 8Edna is a typically healthy 80-year-old patient who is now complaining of new shortness of breath when she climbs stairs at home, and she states she has been more tired than usual. List three ROS questions you would want to ask her, using the OLDCARTS method.
QUESTION 9Clara is an 89-year-old African American female who comes to see you in the clinic today. She describes a new complaint of “heartburn” after doing housework. You are concerned about these new symptoms. What information would you seek in your review of symptoms (list at least three)?
QUESTION 10
Your 69-year-old African American female patient has a PMH of asthma. You know that In the United States, asthma is more prevalent in African Americans. List at least three (3) factors that contribute to the development of asthma.
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