THIS IS A GROUP WORK

Quiz on Special Considerations in Evaluating Geriatric Surgical Patients

1. Which of the following cardiovascular changes is commonly observed in aging? A) Increased cardiac output
   B) Decreased arterial stiffness
   C) Increased risk of arrhythmias
   D) Enhanced myocardial contractility

2. In geriatric patients, the decline in which organ system increases the risk of postoperative complications like drug toxicity? A) Cardiovascular system
   B) Respiratory system
   C) Renal system
   D) Endocrine system

3. Which of the following is the primary reason for the increased risk of pneumonia in elderly surgical patients? A) Decreased renal function
   B) Impaired respiratory muscle strength
   C) Decreased immune response
   D) Reduced blood pressure regulation

4. How does cognitive impairment in elderly patients affect surgical outcomes? A) It reduces the risk of postoperative infection
   B) It is associated with longer hospital stays and postoperative delirium
   C) It improves recovery times
   D) It does not impact surgical outcomes

5. Why is it important to perform a preoperative medication review in geriatric patients? A) To identify potential drug interactions and adjust medications accordingly
   B) To limit polypharmacy
   C) To evaluate the effect of each medication on postoperative wound healing
   D) All of the above

6. Which of the following is an essential aspect of nutritional management in elderly patients before surgery? A) Ensure an increased intake of high-fat foods
   B) Provide a high-protein diet to support wound healing
   C) Restrict all fluid intake before surgery
   D) Avoid vitamin supplements

7. What is the most common postoperative complication in elderly patients related to mobility? A) Deep vein thrombosis (DVT)
   B) Stroke
   C) Wound infection
   D) Impaired renal function

8. Which of the following is a key indicator that an elderly patient may be at risk for frailty in the perioperative period? A) Increased appetite
   B) Ability to perform activities of daily living without assistance
   C) Significant unintentional weight loss and decreased strength
   D) Enhanced muscle mass

9. In elderly patients, which type of anesthesia is typically more challenging due to age-related changes in body composition? A) General anesthesia
   B) Regional anesthesia
   C) Local anesthesia
   D) Sedation

10. What is the role of rehabilitation in the postoperative care of elderly surgical patients? A) It is not necessary in the elderly
    B) It helps restore functional independence and reduce complications like DVT
    C) It only focuses on pain management
    D) It is recommended only if cognitive decline is present