Geriatric Fellowship In-Service Pre-Test

An 80 year-old woman has fallen outside her home twice. She fractured a wrist 3 months ago and has arm and facial ecchymosis from a fall last week. She has a distance history of a MI and is being treated with a diuretic for hypertension. She reports occasional difficulty with balance when walking. Which of the following is the most appropriate first step in evaluating the falls?

Gather additional history and perform physical examination

Order laboratory studies, especially serum electrolytes

Perform electrocardiography

Order CT of the head

Alginate dressings are recommended most for which of the following wounds:

Stage I pressure ulcers

Stage II pressure ulcers with a clean base and no exudate

Stage II-IV pressure ulcers with a light drainage

Stage II-IV pressure ulcers with moderate and heavy drainage

A medical patient admitted to hospice 6 months ago should:

Be discharged from hospice because they have exhausted their lifetime hospice Medicare benefit

Be maintained under hospice

Be maintained under hospice if the attending physician is recommending this approach

Be maintained under hospice if in the opinion of the medical directors of the hospice agency life expectancy remains less than 6 months and the patient desires continuous enrollment

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Geriatric Fellowship In-Service Pre-Test

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