MRCGP AKT Category: Older Adults

AKT-5486

A 65-year-old woman is seen for follow-up. You had previously seen her with chronic shortness of breath and symptoms of heart failure. After primary care investigation, she was urgently referred to the cardiologists due to an abnormal ECG and elevated brain natriuretic peptide level. The echocardiogram performed by the cardiologists confirmed a diagnosis of heart failure with left ventricular dysfunction.
Her current medications include: lisinopril 10 mg daily, atorvastatin 20 mg daily, furosemide 20 mg daily, and pantoprazole 40 mg daily.
During examination, her blood pressure is 130/80 mmHg, pulse rate is 75 beats per minute and regular, her lungs are clear, and heart sounds are normal. There is no peripheral edema.
What is the most appropriate next step in her pharmacological management at this point?

AKT-5487

What is the accurate statement about pharmacology in elderly individuals?

AKT-5473

You are preparing to conduct a search for all your elderly patients who need the yearly flu shot. Which of the following groups should not be included in the registry?

AKT-5474

John is a 91 year old man with severe dementia. He has been relatively stable over the past two years with a gradual decline in cognition. The nursing home contacts you to report that he has been exhibiting more aggressive behavior, including swearing and hitting staff, over the past month and requests a review. What would be the most suitable approach to managing this situation?

AKT-5475

A senior, delicate lady is admitted to the nearby nursing home following a stroke. How can her risk of developing a pressure ulcer be evaluated appropriately?

AKT-5476

Barbara is a 78-year-old woman who lives alone and manages most activities of daily living independently. Her GP wants to assess her frailty with a view to identifying the need for extra support.

Which of the below is most useful for that assessment?

AKT-5477

During a new patient consultation for an 82-year-old man who has recently joined the practice, you observe that he is significantly underweight and suspect that he may be malnourished. As per NICE guidelines, what is the BMI threshold for diagnosing malnutrition?