Timed Up-and-Go Test for Assessing Gait and Mobility

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Questions and Answers

How does aging affect muscle mass?

  • Marked decrease in muscle mass (sarcopenia) due to loss of muscle fibers (correct)
  • Increased specific force
  • Increased muscle mass due to more myofibrils per motor unit
  • Infiltration of muscle bundles with water

What is a common effect of aging on the renal system?

  • Accentuated secretion of acid load
  • Reduced antidiuretic hormone (ADH) release
  • Increased sodium excretion
  • Decreased serum renin and aldosterone levels (correct)

What is a consequence of aging on bone health?

  • Increased osteoclast bone formation
  • Increased bone mineral density
  • Thickening of cartilage matrix
  • Decreased bone mass in men and women (correct)

How does aging affect the nervous system?

<p>Decreased spinal motor neurons (A)</p> Signup and view all the answers

Which of the following is a common age-related change in temperature regulation?

<p>Decreased cutaneous vasoconstriction (A)</p> Signup and view all the answers

What is a typical effect of aging on sexual function?

<p>Prolonged refractory period for erections for men (B)</p> Signup and view all the answers

What does the timed 'up-and-go' test assess?

<p>Mobility (D)</p> Signup and view all the answers

Why is requiring both feet to be off the floor in the up-and-go test important?

<p>It makes the test a better predictor of functional deficits (D)</p> Signup and view all the answers

What is indicated when deficits are detected in a screening test according to the text?

<p>More detailed evaluation and possibly involving a physical therapist (D)</p> Signup and view all the answers

In older women, what may an ovaries or uterus palpable more than 10 years beyond menopause indicate?

<p>Pathology like tumor (B)</p> Signup and view all the answers

When is any adnexal mass in a woman over 50 years considered according to the text?

<p>Malignant until proven otherwise (D)</p> Signup and view all the answers

How can a pelvic examination be conducted if stirrups are uncomfortable for the patient according to the text?

<p>In bed or on a table with knees drawn up (D)</p> Signup and view all the answers

Who is the President and CEO of ABIM Foundation and American Board of Internal Medicine?

<p>Christine K. Cassel, MD, MACP (C)</p> Signup and view all the answers

In which state is Mount Sinai School of Medicine located?

<p>New York (C)</p> Signup and view all the answers

Who is the Editor of the 'Fundamentals of Geriatric Medicine' book?

<p>Rainier P. Soriano, MD (A)</p> Signup and view all the answers

Which individual is both a Professor and Vice Chair of Education at Brookdale Department of Geriatrics and Adult Development?

<p>Rosanne M. Leipzig, MD, PhD (B)</p> Signup and view all the answers

Which medical professional is also the Fellowship Director at Brookdale Department of Geriatrics and Adult Development?

<p>Helen M. Fernandez, MD (B)</p> Signup and view all the answers

Which professional is both an Assistant Professor and Director of Medical Student Education at Brookdale Department of Geriatrics and Adult Development?

<p>Rainier P. Soriano, MD (D)</p> Signup and view all the answers

Which study discusses the association of aortic valve sclerosis with cardiovascular mortality and morbidity in the elderly?

<p>Otto CM et al. (C)</p> Signup and view all the answers

What test is considered a measure of basic functional mobility for frail elderly individuals?

<p>The timed 'up and go' (C)</p> Signup and view all the answers

Which study focuses on reducing mortality from colorectal cancer by screening for fecal occult blood?

<p>Mandel JS et al. (B)</p> Signup and view all the answers

In which study is the prevention of colorectal cancer discussed by colonoscopic polypectomy?

<p>Winawer SJ et al. (D)</p> Signup and view all the answers

Which article addresses the bedside diagnosis of systolic murmurs?

<p>Lembo NJ et al. (D)</p> Signup and view all the answers

What is considered an objective measure of physical function for elderly outpatients?

<p>'Physical performance test' (D)</p> Signup and view all the answers

Which study focused on the lack of effect of a high-fiber cereal supplement on the recurrence of colorectal adenomas?

<p>Alberts et al. (A)</p> Signup and view all the answers

In which publication were the outcomes of modern screening mammography discussed?

<p>J Natl Cancer Inst Monogr (D)</p> Signup and view all the answers

Who explored the chemoprevention of breast cancer in older patients?

<p>Smith-Bindman et al. (C)</p> Signup and view all the answers

Which study questioned the effectiveness of screening mammography in elderly women?

<p>Smith-Bindman et al. (D)</p> Signup and view all the answers

Which publication reported recent trends in U.S. breast cancer incidence, survival, and mortality rates?

<p>J Natl Cancer Inst (A)</p> Signup and view all the answers

Who addressed the lack of effect of a low-fat, high-fiber diet on the recurrence of colorectal adenomas?

<p>Schatzkin et al. (B)</p> Signup and view all the answers

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