USMLE Forum Archives - USMLE Step 3 - Geriatrics
Geriatrics
drbipinsingh - 06-30-09 16:47
An 87-year-old wheelchair-bound woman is evaluated during a routine examination. She is accompanied by her son. The patient lives in a residential living setting in her own apartment and has recently become socially isolated, no longer visiting with friends, eating in the common dining room, or finding enjoyment from watching television. Her medical history includes hypertension, coronary artery disease, and osteoporosis, for which she takes hydrochlorothiazide, metoprolol, aspirin, calcium carbonate, and alendronate.
On physical examination, the patient appears well-groomed and has a friendly demeanor. The pulse rate is 70/min, and the blood pressure is 125/75 mm Hg. The BMI is 18.3. She is oriented to person, place, and time and is able to ambulate with assistance. Neurologic examination is significant for a resting tremor in the right hand but no other focal findings. Laboratory studies, including complete blood count, basic serum chemistries, and serum thyroid-stimulating hormone level, are normal. Results of the Five-Item Geriatric Depression screen are 1/5.
Which of the following is the most appropriate management option in addressing the current symptom?
drbipinsingh - 06-30-09 16:47
An 87-year-old wheelchair-bound woman is evaluated during a routine examination. She is accompanied by her son. The patient lives in a residential living setting in her own apartment and has recently become socially isolated, no longer visiting with friends, eating in the common dining room, or finding enjoyment from watching television. Her medical history includes hypertension, coronary artery disease, and osteoporosis, for which she takes hydrochlorothiazide, metoprolol, aspirin, calcium carbonate, and alendronate.
On physical examination, the patient appears well-groomed and has a friendly demeanor. The pulse rate is 70/min, and the blood pressure is 125/75 mm Hg. The BMI is 18.3. She is oriented to person, place, and time and is able to ambulate with assistance. Neurologic examination is significant for a resting tremor in the right hand but no other focal findings. Laboratory studies, including complete blood count, basic serum chemistries, and serum thyroid-stimulating hormone level, are normal. Results of the Five-Item Geriatric Depression screen are 1/5.
Which of the following is the most appropriate management option in addressing the current symptom?
The correct answer and explanation will be available after you answer.
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#16
Re: Geriatrics babbu5508 - 08-30-10 00:33 My answer is: a.
Assess hearing and vision...in a eriatric patient wth suspected sychiatric problem evalus\ation of sight and hearing is the foremost to be done..
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