AMC Clinical Geriatric Assessment 2

Question 1

A 76-year-old woman reports involuntary urine leakage whenever she coughs, sneezes, or exercises. Which type of urinary incontinence does this presentation describe?

Accepted Answer

Stress incontinence

Answer

Urge incontinence

Answer

Overflow incontinence

Answer

Functional incontinence

Question 2

Using the 15-item Geriatric Depression Scale (GDS-15), which score threshold indicates probable depression requiring further clinical assessment?

Accepted Answer

Score ≥ 5

Answer

Score ≥ 3

Answer

Score ≥ 8

Answer

Score ≥ 10

Question 3

Which validated risk assessment tool is most widely used in Australian hospitals to determine pressure injury risk in elderly inpatients?

Accepted Answer

Braden Scale

Answer

Waterlow Scale

Answer

Norton Scale

Answer

PUSH Tool

Question 4

An 81-year-old woman presents with multiple unexplained bruises and appears frightened of her adult son who accompanies her. You suspect elder abuse. What is the most appropriate immediate action?

Accepted Answer

Interview the patient privately and assess her safety and wishes

Answer

Immediately contact police

Answer

Confront the son directly about your concerns

Answer

Discharge with a community nurse referral

Question 5

An 85-year-old frail woman is being discharged after hip arthroplasty. Which element of the discharge plan has the strongest evidence for preventing early hospital readmission?

Accepted Answer

Coordinated transitional care including medication reconciliation, timely follow-up, and carer education

Answer

Providing a written medication list at discharge

Answer

Ensuring a GP follow-up appointment is booked

Answer

Arranging outpatient physiotherapy appointments

Question 6

What is the primary purpose of advance care planning (ACP) for older Australians?

Accepted Answer

To document a person's values, goals, and preferences to guide future healthcare if they lose decision-making capacity

Answer

To legally prevent any life-sustaining treatment from being administered

Answer

To appoint a medical power of attorney to manage the person's financial affairs

Answer

To ensure all elderly patients have a 'do not resuscitate' order in place

Question 7

A family requests that their 88-year-old mother with severe dementia be resuscitated in all circumstances, contrary to her valid advance care directive requesting comfort measures only. What is the most appropriate course of action?

Accepted Answer

Honour the patient's advance care directive as it represents her autonomous decision when competent

Answer

Follow the family's wishes as they are the legal next of kin

Answer

Proceed with resuscitation as family consent overrides prior directives

Answer

Refer to the hospital ethics committee before any decision is made