MCQs in Geriatric Medicine for Postgraduate Examinations

Roger Gabriel

• Publisher: CRC Press
• Year: 2021
• ISBN:
  9781000515503
• Edition: 1
• Topic: Medicine
• Subtopic: Medical Theory, Practice & Reference

Part of the Masterpass series, this highly authoritative guide covers all the required topics, with emphasis on important areas ensuring candidates are thoroughly tested. MCQs in Geriatric Medicine for Postgraduate Examinations is ideal for postgraduate doctors wanting to succeed in elderly medicine biased MCQs such as candidates for the Diploma in Geriatric Medicine and registrars in geriatric medicine reading for their specialty certificates. It is also highly recommended for Part I MRCP candidates requiring a grasp of this rapidly increasing branch of medicine in terms of information, number of patients and cost to the state. The overall proportions of topics are.suggested by the Royal College of Physicians, London but I have added more questions proportional to the importance of some topics.When you have cracked all 350, you will have the MCQ examiners on toast. Roger Gabriel, in the Preface.

Questions 1–350

1. 1 An asymptomatic man of 75 years had some routine blood tests upon joining a new surgery. Results:

Hb	11.2
MCV	114
reticulocyte count	0.3%
platelets	89
wbc	2.9
creatinine	85

What was the likely diagnosis?

1. A vitamin B₁₂ deficiency
2. B haemolysis
3. C aplastic anaemia
4. D iron deficiency
5. E myelofibrosis

1. 2 Which one of the following is an infrequent feature of a transient ischaemic attack (TIA)?

1. A loss of consciousness
2. B aphasia or dysphasia
3. C amaurosis fugax
4. D hemiparesis
5. E hemisensory disturbance

1. 3 An elderly person consulted her doctor because for many months she was ‘always wet’. From which of the following list of drug groups could a suitable prescription be chosen?

1. A an α-blocker
2. B an anticholinergenic
3. C an antimuscarinic
4. D a 5α-reductase inhibitor
5. E none of these

1. 4 What is the most likely low energy impact pelvic bone damage in an elderly person?

1. A a superior ramus
2. B an inferior ramus
3. C both
4. D separation of the pubic symphysis
5. E a sacral insufficiency fracture

1. 5 George Gross, bed bound but only 7 years away from the Queen’s telegram, was admitted to a community hospital to allow his wife a period of respite. Over a week he developed a distended, tympanic abdomen. There was anorexia and some retching.

What was the likely explanation?

1. A ascites
2. B aerophagia
3. C constipation
4. D small bowel obstruction
5. E large bowel volvulus

1. 6 Emily Green attended her doctor on account of her husband of 60 years, who had been disturbing her sleep because of his involuntary twitching and moving of his legs for the first hours after they retired to bed. The patient’s eyes were sunken and papillary responses to light and accommodation were slow. Deep tendon reflexes were absent in both legs. Edward Green’s results:

Hb	10.2
MCV	88
ferritin	100
CRP	7
CK	128

Which was the drug of choice to help the Greens?

1. A ferrous sulphate
2. B quinine
3. C levodopa
4. D zopiclone
5. E ropinirole

1. 7 Tom ‘Banting’ Best celebrated 60 years of insulin therapy on his 78th birthday. He had developed a deep ulcer on the base of his 5th right metatarsal.

Examination: ulcer 1.5 cm deep, punched out with regular edges; skin: pale, cool and hairless; nails: atrophic; no pulses palpable below femorals; capillary refill time 5 seconds.

What treatment should not be used?

1. A skin grafting
2. B tight diabetic control
3. C compression bandaging
4. D expert podiatry
5. E prescription of vitamin C and zinc supplements

1. 8 A woman of 80 years with diabetes had periods of confusion. She was registered blind due to retinopathy. A district nurse visited each day at 7.30 a.m. to measure blood glucose and give 20 units of insulin glargine. BM figures ranged from 7.7 to 10 mmol/L; HbA_1c 6.55% (48 mmol/mol).

What was needed to be done?

1. A increase glargine by 4 units
2. B decrease glargine by 2 units
3. C organise a dementia screen
4. D obtain a ...