Posttest - Module 5 : Palliative Care in
Non-Cancer Illness and Geriatric Care
Total points 6/10
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1. Which of the following is true for older adults? * 1/1
a. An abrupt decline in any system is always due to disease and not due to ageing
b. All old people have trouble remembering things
c. Ageing leads to loss of decision making capacity
d. Most older adults present with classical symptoms of any disease
2. You would perform Comprehensive Geriatric Assessment in an 80 year *0/1
old man who :
a. Has intractable heart failure
b. Got lost on his way home
c. Has advanced dementia
d. Is having a terminal cancer
3. An intervention to reduce adverse drug reactions in elderly is : * 1/1
a. Frequent change of medication
b. Minimising the number of drugs used
c. Allowing the use of over the counter drugs for simple conditions
d. Giving drugs with a narrow therapeutic index
4. A 72 year old lady Ms.Lucy was brought to the Emergency Room with *1/1
history of agitation and reduced sleep for the last 2 weeks. She had been chair
bound for the last 3 months and has had trouble sleeping on most days and
insists on sitting up the whole night with lights on for the past 6 months. On
evaluation Ms.Lucy was agitated and abusive and had trouble with finding
words and was unable to speak coherently.Which of the following is the most
likely diagnosis in Ms.Lucy:
a. Dementia
b. Pseudodementia
c. Delirium
d. Depression
5. Which of the following is true about Frailty in elderly? * 0/1
a. It is same as undernutrition
b. Loss of reserve leading to inability to withstand minor stress
c. Increased osteoporosis causing vertebral compression fracture
d. All of the above
6. Which is true in management of end stage/ advanced heart failure ? * 1/1
a. Stop use of furosemide as there is no benefit in advanced stages
b. Continue cardiac medications such as diuretics, ACEIs and nitrates as long as
there is symptomatic benefit
c. Avoid use of morphine as it causes sedation in older adults
d. Do not discuss deactivation of devices such as ICDs and LV assist devices
7. A 67 year old man with history of hypertension, ischemic heart disease *1/1
and osteoarthritis was recently diagnosed with stage 2 Alzheimer’s Disease.
He gives history of wandering and inability to recollect recent events and go
out of the house on his own for the past 1 year. Which of the following is true
for him?
a. He needs to be vaccinated with pneumococcal and influenza vaccines as per
schedule
b. He should stop aggressive management of diabetes and hypertension
c. His mobility should be restricted within his room to prevent risk of falls and
accidents
d. He requires HPV and Hepatitis B vaccination
8. A 70 year old man walks into your clinic and tells you that he has fallen *0/1
thrice in the last six months. The most important initial
assessment/investigation will be:
a. CT scan of brain
b. MRI of cervical spine
c. EEG
d. Gait and Balance assessment
9. Factors that increase the probability of falls and accidents in elderly. * 0/1
a. Cognitive impairment
b. Bright lights
c. Use of flat slippers
d. Hand rails in the bathroom
10. Which of the following is true for Palliative care in Non cancer illness * 1/1
a. Prognosis is uncertain in most cases
b. They are less likely to receive palliative care
c. End of life care may extend for years rather than weeks or months
d. All of the above
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