GERIATIC NURSING MCQs
A 77 years old woman presents with generalized muscle pain and stiffness for several
hours, worse in the morning. Recently she has right sided headache which worse in the
morning. On examination, her blood pressure is 14/80, pulse is 80/ min, temperature is
37.3*C. her neurologic examination is normal. Her blood counts, urea and electrolytes
are within normal range except ESR is 86 mm in first hour.
What is most likely diagnosis
Giantcell Arteritis
Polyarteritis nodosa
Polymyalgia rheumatica
Multiple myeloma
Key: C
a 70 years old man presents with lower back and buttock pain which is gradually
increasing over the last 7 months, it is burning in character and partially relieved with
analgesics. Pain is so severe that he has to sit down in between while walking downhill
but relative relief while walking uphill and at rest. He has no bladder or bowel
dysfunction.
What is appropriate investigation for diagnosis
CT scan of thoraco-lumber spine
MR scan of thoraco-lumbar spine
Myelography of thoraco-lumbar spine
X ray of thoraco-lumbar spine
Key B
An 80 year old man presents with severe weight loss and anemia for three months. He
has past history of diet controlled diabetes mellitus and hypothyroidism well controlled
with thyroxin. He is cachectic with body mass index of 18.5 Kg/ m2. his hemoglobin is
102g/, TLC is 10 X 10*9/L, bilirubin 34 umol/ L and ALT is 85 u/L. chest x ray has
bilateral opacities. CT chest has bilateral homogenous opacities consisting with
metastatic malignancy.
What is predictor of poor prognosis in this patient
