Geriatric Syndromes Board Review Questions | CME Quick Quiz

Scott Akin, MD, FAAFPEmergency Medicine, Family Medicine, Internal Medicine, Nurse Practitioner, Question of the Week, Urgent Care

Geriatric syndromes CME quiz

Geriatric Syndromes Care

Board Review Questions of the Week
Americans are continuing to live longer and healthier lives. As we age, we become more likely to develop different kinds of health problems called geriatric syndromes that are associated with reduced life expectancy. Diabetes mellitus is associated with an increased prevalence and incidence of geriatric syndrome: functional disabilities, depression, fall, urinary incontinence, malnutrition and cognitive impairment. Geriatric syndrome not only leads to frailty, loss of independence and low quality of life, but also becomes a major obstacle in the treatment and care of diabetic people. To be considered a geriatric syndrome, these conditions must interfere with a person's daily life. Test your knowledge of elderly care treatment with these geriatric questions, courtesy of Med-Challenger online medical education.

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Geriatric Syndromes Treatment Case:

A 75-year-old man with well-controlled diabetes mellitus developed a laceration on his right lower extremity (see Figure). It happened 3 weeks ago.

Diabetic-Laceration-in-right-lower-extremities-Geriatric-Syndrome-75-year-old-man
Figure. Right lower extremity diabetic laceration in a 75-year-old man.

He tells you that he first noticed it after he got out of his car. Since then, he has been using soap and water to clean the wound. He has been applying topical antibiotic ointment and covering the wound with gauze. He described some redness around the wound in the initial 48 hours, but this seems to have resolved.

He is presenting to you because the wound is not healing. He is not experiencing much pain. He denies any fevers or chills and has not noticed any erythema or significant drainage from the wound.

On examination, there is no edema in the lower extremities. His pulses are palpable and his sensation is preserved.

What therapy would you suggest?

Answer Options:

cultures and start empiric oral antibiotics

compression therapy

absorbent dressing such as foam or alginate

debridement


See the answer...


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