Final Geriatric 602

This what dr. mohammed el-ekol said in the last lecture The exam well include what we take after the med-term only which include 4 lecture of 5 subject OSTEOPOROSIS Geriatric pharmacology Falls Heat related illnesses Comprehensive Geriatric Assessment The exam well be 40 MCQ of 40 mark The dr. give us some of the mcq of the exam not all of them that mean that u have to study all the paper to gain the full mark The question mentioned in this paper is just an example for exam dr . mentioned in the last lecture that may come as it or dont come at all I well underline the key word in each question

OSTEOPOROSIS
Page 1 .. common site of fracture exept : 1. vertebral fractures 2. hip fractures 3. wrist fractures 4. skull fracture

 Page 3 .. this page is very important Example of mcq in this page Age-related osteoporosis. This occurs in both men

and women > 70 years old.

all are endocrine causes of osteo. Exept :

a. Cushings syndrome b. Hypogonadism c. hypothyridisdm d. Hyperparathyroidism osteo. Happen if pt take prednisolone 5 mg / day for more than 1 months all are chronic dis cause osteo. Exept e. Renal impairment f. Liver cirrhosis g. Malabsorption/ post-gastrectomy h. Cataract n.b this is just example u have to study every thing
Page 4 ..impo The following is non modifiable .. etc Page .5

Indication of BMD ((VERY IMPORTANT )) EX. Women age 65 and older and men age 70 and older, regardless clinical risk factors Adults who have a fracture after age 50

PAGE 6 WHO diagnosis (( very very import all of it ))

 Page 7,6,8 . ttt of osteo. is very important There some information was not clarified in the paper 8 about Bisphosphonate: a. BMD at pine and hip increase by 5 10 % b. Dose: A. for prophylaxis :5 mg /day or 35 mg / week B. for treatment : 10 mg /day or 70 mg / week c. contraindication in pt with GERD

EX. pt with osteop and have of GERD which drug is the best

ttt for him A.alendronate, B. etidronate, C. pamidronate D. Calcitonin

Fracture reduction is seen after 1 year of treatment.

Geriatric pharmacology
All pages is important I just well stress on what dr, tell IN LAST lecture I well include some question dr. gave to us during the original lecture of the subject PAGE 1 .. Reduced gastric acid production May alter solubility of aspirin Drugs that contain calcium, magnesium or iron can affect absorption of many fluoroquinolones

 Reduced GI motility Anti histamines and opiods Page 2 .. The percentage

of body weight that is body fat increases from 18 to 36% in men and from 33 to 45% in women. 3

Page

. In the eldery .about 30 % (( all the paragraph)) Page 4 .. After age 30, creatinine clearance decreases an average of 8 mL/min/1.73 m2/decade in about two thirds of persons but remains the same in the rest.

(Ideal weight in kg) (140 - age) _________________________ x (0.85 if female) (72) (serum creatinine in mg/dL) Page 5 Decreased clearance of the following toxic level Aspirin Digoxin Lithium GERIATRIC PRESCRIBING PRINCIPLES Page 6 RISK FACTORS FOR ADEs Page 9
Drugs causing Long QT Page 10

 Warfarin ((all is important ))

Falls & Heat related illnesses

Page 2 All the Intrinsic Factors is import. esp:

Age related changes ((very important)) Page 3 .. Extrinsic factor Page 7 Heat Exhaustion vs Heatstroke Heat exhaustion does not affect mental status. &. Body temperature may be normal or increased up to 40 C Heatstroke Symptoms include temperature > 40 C and altered mental status .. etc Page 8 Drugs & Heatstroke ((( very impotant))

Comprehensive Geriatric Assessment

Page 2 ADLS/AIDLS. Very important

Page 4
All is very important ( the dr. May bring many question

and ask which one of them is for geriatric depression ) Page 6

MMSE .. very important