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WorksheetsGeriatric ED Emergencies
Total questions: 24
Worksheet time: 12mins
Which is the most common atypical presentation of infection in older adults?
Fever
Confusion
Cough
Rash
Older adults with myocardial infarction may present without chest pain.
True
False
Which factor makes recognizing emergencies harder in older adults?
Polypharmacy`
Regular exercise
Good hydration
Strong immune system
Which is a key difference between delirium and dementia?
Dementia is reversible
Delirium is acute and fluctuating
Both progress slowly
Delirium is permanent
Which arrhythmia is most common in older adults and increases stroke risk?
Ventricular tachycardia
Atrial fibrillation
Supraventricular tachycardia
Sinus bradycardia
Which symptom is often absent in older adults with pneumonia?
Cough
Shortness of breath
Confusion
Fever
True or False: Falls in older adults may be the first sign of an underlying acute illness.
True
False
Which of the following is most likely to cause acute confusion in older adults?
Urinary tract infection
Chronic hypertension
Osteoarthritis
Stable angina
An 82-year-old presents with syncope while standing. What’s the likely cause?
Orthostatic hypotension
Stroke
Vasovagal reaction
Seizure
Which class of medications may mask tachycardia in shock or sepsis?
Diuretics
beta-blockers
antibiotics
steriods
True or False: Older adults in heart failure may present with confusion instead of shortness of breath.
True
False
The NIHSS exam is a quick tool to identify what emergency?
Stroke
Sepsis
Syncope
COPD exacerbation
A patient on warfarin falls and is alert but has a scalp hematoma. What’s the biggest concern?
Skull fracure
migraine
intracranial hemmorhage
simple bruise
Which of the following is a common atypical presentation of myocardial infarction in older adults?
Skin rash
Abdominal pain
Severe headache
Productive cough
True or false: New onset seizures are uncommon in older adults.
True
False
Which electrolyte abnormality often causes confusion and sometimes seizures?
Hypokalemia
Hyponatremia
Hypercacemia
Hypomagnesemia
What is the most common source of sepsis in elderly patients?
UTI
Skin Infection
Pneumonia
Catheter-related
An elderly patient with sepsis is most likely to show which vital sign change first?
Hypertension
tachypnea
bradycardia
fever
True or False: Hypothermia can be a presenting sign of sepsis in older adults.
True
False
Which fracture is most common in older adults after a ground-level fall?
Skull
Clavicle
Wrist
Hip
An elderly patient left on the floor for many hours is most at risk for:
Dehydration
Rhamdomylosis
Appendicitis
DVT
Which of the following is a red flag for elder abuse?
Forgetfulness
Chronic Joint Pain
Dry Skin
Injury inconsistent with history
Which change in older adults affects how drugs are metabolized and cleared from the body?
increased liver size
decreased hepatic and renal clearance
faster gastric emptying
increased glomerular filtration
Why are older adults at higher risk for electrolyte disturbances?
Decreased thirst response
Higher muscle mass
increased kidney function
increased metabolism
