An 85-year-old man with chronic obstructive pulmonary disease presents to your office with his daughter with the complaint of new onset chest pain, shortness of breath, and cough. He is clearly tachypneic and has tactile fremitus and egophony and crackles heard at the right lung base. His daughter just wants you to give him an antibiotic pill so that she can take him home. You are concerned that he might need to be hospitalized and require IV antibiotics. What statement is true?

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Question 1 of 5

An 85-year-old man with chronic obstructive pulmonary disease presents to your office with his daughter with the complaint of new onset chest pain, shortness of breath, and cough. He is clearly tachypneic and has tactile fremitus and egophony and crackles heard at the right lung base. His daughter just wants you to give him an antibiotic pill so that she can take him home. You are concerned that he might need to be hospitalized and require IV antibiotics. What statement is true?

A. All older adults with pneumonia must be treated for methicillin-resistant Staphylococcus aureus (MRSA) and Pseudomonas infection. B. Treatment decisions for pneumonia are based on its severity, the presence of comorbid illnesses, and a prior history of MRSA or Pseudomonas respiratory infection. C. All older adults with pneumonia must be treated in hospital. D. Pulse oximetry, respiratory rate, and chest radiography would not be helpful for the diagnosis and management of pneumonia in older adults.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Healthcare providers should recommend that older adults engage in which one of the following?

A. 150 minutes of moderate intensity physical activity weekly B. 20 minutes of moderate intensity physical activity 3 days per week C. 10 minutes of vigorous physical activity most days of the week D. 30 minutes of vigorous physical activity 3 days per week

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

An 84-year-old woman complains of nausea and vomiting for the past 3 days. She is at high risk for delirium. Which of the following interventions may prevent the onset of delirium?

A. Early mobilization B. Ensuring 6 hours of uninterrupted sleep per night C. Treating volume depletion D. Treating anxiety with lorazepam

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Which of the following is not a risk factor for late-life depression?

A. Family history of depression B. Disability C. History of stroke D. History of a myocardial infarction

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

Which of these clinical vignettes are not part of the Fried frailty paradigms?

A. Mrs. P has a caregiver comb her hair now because of inability to hold her arm up long enough to brush it herself. B. Mr. J has just been diagnosed with congestive heart failure after a recent admission to the hospital for a myocardial infarction. C. Mr. K has been losing weight for the last year despite family support of bringing food and negative workup for a more insidious cause. D. Mrs. T tells you she spends the majority of her time in her chair and only walks to the bathroom now because she gets too fatigued for minor home care tasks.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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