‫المملكة العربية السعودية‬

Kingdom of Saudi Arabia

‫وزارة التعليم‬
Ministry of Education
Jouf University ‫جامعة الجوف‬
University Vice Rectorate for ‫وكالة الجامعة للشؤون التعليمية‬
Academic Affairs

College: Applied Medical Sciences – Qurayyat Academic year : 1440-1441 H

Department : Physical Therapy and Health Rehabilitation Semester : second semester - midterm
Course/ code : Geriatric Rehabilitation/ RHS 424 Exam Date: 7/4/2020
Section: ( 62 for male section - 139 for female section ) Exam Time: an hour
Course instructor: Dr: Gaber Sayed Amin Total marks: (20 / )
Student’s name: Student’s ID:
Number of pages : three Number of questions : 1
THE FIRST QUESTION ( 20 Marks)
I- Choose the best answer for each of the following statements: ( / 20 )
A- Advantages of Comprehensive Geriatric Assessment includes:
1- tend to be more comprehensive and more directed.
2- less realistic tool in a busy practice 3- popular among geriatricians.
4- Takes more effort from the patient to complete and answer a questionnaire.
B- Personal History includes:
1- Previous medical history. 2- General state of health
3- Childhood diseases 4- Name and age
C- the elderly are more vulnerable to inadequate nutrition for a number of reasons.
1- unlimited dentition or ill-fitting dentures.
2- increased appetite due to loneliness, depression or appetite-suppressing drugs.
3- prevalent medical conditions including constipation, congestive heart failure and cancer.
4- compensated disabilities resulting in limited access to food or inability to prepare meals.
D- Respiratory rate: become clinically significant if the respiratory rate ………………. breath
per minute.
1- above 14-16 2- above 20-24
3- above 24-28 4- less than 20-24
E- Activities of Daily Living includes:
1- ability to shop 2- prepare food
3- toileting, transferring and feeding. 4- use public transportation
F- Mood involves :
1- perception 2- attention
3- memory 4- depression
G- A number of factors place elderly patients at increased risk for alcoholic complications. They
include
1- Increase in lean body mass. 2- diminished efficiency of hepatic metabolism
3- decrease in brain sensitivity to alcohol. 4- increased efficiency of hepatic metabolism
H- The reduction of body height with aging may result
1- from forward bending of the spine,
2- compression of intervertebral discs and increased joint spaces in the trunk.
3-Intervertebral discs become hydrated and vertebral bodies lose their mineral contents.
4- from backward bending of the spine
I- Changes in lean muscle tissue while there is an increase in fat concentration and body lose
weight, It has been estimated that lean body mass declines by as much as …….. up to 65 years
1- 20% to 30% 2- 5% to 10%
3- 10% to 20% 4- 10% to 15%
J- Exposure to cold, together with the elderly persons, decrease ability to cope with the effects of
changes in ambient temperature due to
1- increase metabolism 2- increase body fats,
3- more efficient peripheral vasoconstriction, 4- poor nutrition,
K- Management of syncope includes:
1- Hypotensive medication should be continued.
2- Small and more frequent meals with more carbohydrate and more protein should be
considered. 3- Irregular aerobic exercise program should be initiated.
4- Prolonged and quiet standing should be avoided.
L- Management approach of fall includes:
1- Drugs that can decrease the risk of falls should be stopped
2- The environment must be with slippery surfaces.
3- no patients benefit from use of an assistive device (e.g., cane, walker).
4- Wheelchair adaptations
M- Gestational diabetes tends to occur around the …………… of pregnancy.
1- the 24th day 2- the 24th week
3- the 24th month 4- the 14th week
N- …...................... measures how much sugar (glucose) is stuck to red blood cells. It also shows
how well your diabetes has been controlled in the last 2 to 3 months.
1- Oral glucose tolerance test 2- Random blood sugar (RBS)
3-Glycohemoglobin A1c 4- Fasting blood sugar
O- Meals plans:
1- increase nutrition-related factors or complications 2- increase blood glucose levels
3- Control blood lipid levels 4- increase the need for additional medications
P- Exercise plans:
1- increase blood glucose levels 2- increase blood lipid levels
3- decrease sensitivity to medications 4- Aid meal planning in controlling weight.
Q- Benefits of exercises includes:
1- Increased strength & flexibility 2- increase blood pressure and slows heart rate
3- decreased HDL (Good) cholesterol 4- increase blood sugar
R- Strategies for persons with IDDM to ex. safely:
1- If blood glucose is 100 mg/dI before exercise the persons should eat a post-exercise snack.
2- If blood glucose is 100- 150 mg/dI, the person can go ahead and eat snack afterwards.
3- If fasting blood glucose 250 mg/dI and ketone bodies present in urine it is advisable for
person to perform exercising immediatly.
4- Self-monitoring of blood glucose levels, (Before, during and after exercises) and its rate of
change notessential.
S- Strategies for persons with NIDDM to ex. safely:
1- Persons with NIDDM should be examined thoroughly after starting exercise to uncover
undiagnosed hypertension, silent ischemic heart disease
2- Exercise stress test is recommended under 35 years of age
3- To improve insulin sensitivity and glycaemic control, exercise to be done at least 3 or 4 days a
week. 4- For weight control, persons exercise 2 to 3 days a week
T- Foot care instructions includes:
1- Avoiding normal temperature 2- Using socks made of elastic bands
3- Avoiding crossing the legs in sitting.
4- Patients with neuropathic feet should perform repetitive weight bearing exercises.

END OF QUESTIONS
With my best wishes