Free PreviewSample Geriatrics & Psychiatry questions
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Sample MCQ 1Which nonpharmacologic intervention reduces delirium risk in hospitalized older adults?
A. Orientation, sleep promotion, mobility and sensory aids
B. Routine restraints
C. Nightly sedatives for all patients
D. Prolonged bed rest
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Correct Answer: Option AMulticomponent measures that support orientation, sleep, mobility, hydration and vision/hearing reduce delirium risk.
A patient has recurrent unexpected panic attacks and persistent fear of another attack. What is the most likely diagnosis?
A. Panic disorder
B. Specific phobia only
C. Schizophrenia
D. Somatic symptom disorder
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Correct Answer: Option ARecurrent unexpected panic attacks followed by ongoing concern or behavioral change are characteristic of panic disorder.
A patient with severe depression expresses a specific plan and intent to die. What is the immediate priority?
A. Ensure safety and urgent psychiatric assessment
B. Schedule routine follow-up in 6 months
C. Avoid asking about access to means
D. Provide sleeping pills only
Show Answer & Explanation
Correct Answer: Option ASpecific suicidal intent and plan indicate high acute risk requiring immediate safety measures and urgent assessment.
An older adult with recurrent falls, cognitive complaints and urinary incontinence has a broad-based magnetic gait. What condition should be considered?
A. Normal-pressure hydrocephalus
B. Parkinson disease only
C. Cerebellar tumor only
D. Peripheral neuropathy only
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Correct Answer: Option AThe combination of gait impairment, cognitive decline and urinary symptoms suggests normal-pressure hydrocephalus.
A patient with alcohol dependence develops tremor, agitation, hallucinations and autonomic hyperactivity 2 days after stopping alcohol. What is the treatment priority?
A. Benzodiazepines and supportive care
B. Antipsychotic monotherapy only
C. Opioids
D. Insulin infusion
Show Answer & Explanation
Correct Answer: Option AAlcohol withdrawal is treated primarily with benzodiazepines, together with thiamine, fluids and monitoring according to severity.