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Geriatric ED Emergencies

Total questions: 24

Worksheet time: 12mins

Name
Class
Date
1.

Which is the most common atypical presentation of infection in older adults? 

a)

Fever

b)

Confusion

c)

Cough

d)

Rash

2.

Older adults with myocardial infarction may present without chest pain.

a)

True

b)

False

3.

Which factor makes recognizing emergencies harder in older adults?

a)

Polypharmacy`

b)

Regular exercise

c)

Good hydration

d)

Strong immune system

4.

Which is a key difference between delirium and dementia? 

a)

Dementia is reversible

b)

Delirium is acute and fluctuating

c)

Both progress slowly

d)

Delirium is permanent

5.

Which arrhythmia is most common in older adults and increases stroke risk?

a)

Ventricular tachycardia 

b)

Atrial fibrillation

c)

Supraventricular tachycardia

d)

Sinus bradycardia

6.

Which symptom is often absent in older adults with pneumonia?

a)

Cough

b)

Shortness of breath

c)

Confusion

d)

Fever

7.

True or False: Falls in older adults may be the first sign of an underlying acute illness.

a)

True

b)

False

8.

Which of the following is most likely to cause acute confusion in older adults?

a)

Urinary tract infection

b)

Chronic hypertension

c)

Osteoarthritis

d)

Stable angina

9.

An 82-year-old presents with syncope while standing. What’s the likely cause? 

a)

Orthostatic hypotension

b)

Stroke 

c)

Vasovagal reaction

d)

Seizure

10.

Which class of medications may mask tachycardia in shock or sepsis? 

a)

Diuretics

b)

beta-blockers

c)

antibiotics

d)

steriods

11.

True or False: Older adults in heart failure may present with confusion instead of shortness of breath. 

a)

True

b)

False

12.

The NIHSS exam is a quick tool to identify what emergency? 

a)

Stroke

b)

Sepsis

c)

Syncope

d)

COPD exacerbation

13.

A patient on warfarin falls and is alert but has a scalp hematoma. What’s the biggest concern? 

a)

Skull fracure

b)

migraine

c)

intracranial hemmorhage

d)

simple bruise

14.

Which of the following is a common atypical presentation of myocardial infarction in older adults?

a)

Skin rash

b)

Abdominal pain

c)

Severe headache

d)

Productive cough

15.

True or false: New onset seizures are uncommon in older adults.

a)

True

b)

False

16.

Which electrolyte abnormality often causes confusion and sometimes seizures? 

a)

Hypokalemia

b)

Hyponatremia

c)

Hypercacemia

d)

Hypomagnesemia

17.

What is the most common source of sepsis in elderly patients? 

a)

UTI

b)

Skin Infection

c)

Pneumonia

d)

Catheter-related

18.

An elderly patient with sepsis is most likely to show which vital sign change first? 

a)

Hypertension

b)

tachypnea

c)

bradycardia

d)

fever

19.

True or False: Hypothermia can be a presenting sign of sepsis in older adults. 

a)

True

b)

False

20.

Which fracture is most common in older adults after a ground-level fall? 

a)

Skull

b)

Clavicle

c)

Wrist

d)

Hip

21.

An elderly patient left on the floor for many hours is most at risk for: 

a)

Dehydration

b)

Rhamdomylosis

c)

Appendicitis

d)

DVT

22.

Which of the following is a red flag for elder abuse? 

a)

Forgetfulness

b)

Chronic Joint Pain

c)

Dry Skin

d)

Injury inconsistent with history

23.

Which change in older adults affects how drugs are metabolized and cleared from the body?

a)

increased liver size

b)

decreased hepatic and renal clearance

c)

faster gastric emptying

d)

increased glomerular filtration

24.

Why are older adults at higher risk for electrolyte disturbances?

a)

Decreased thirst response

b)

Higher muscle mass

c)

increased kidney function

d)

increased metabolism