Updated: 7/24/2017

Changes in the Elderly

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Topic
Overview
  • Sexual
  • Sexual interest does not decrease
    • Men
      • Slower erection/ejaculation
      • Longer refractory period
    • Women
      • Vaginal shortening, thinning, dryness
  • Sleep
    • ↓ REM sleep
    • ↓ Slow-wave sleep
    • ↑ Sleep latency
    • ↑ Awakenings during the night 
  • Psychiatric
    • Depression is more prevalent
    •  Suicide rate
      • Males 65-74 years of age have the highest suicide rate in the US
  • Intelligence
    • Intelligence does not decrease
  • Decreased
    • Visiual acuity
    • Hearing 
      • presbycusis
        • the result of destruction of cochlear hair cells
        • related to physiologic aging
    • Immune response
    • Bladder control
    • Renal function
    • Pulmonary function
    • GI function
    • Muscle mass
      • Increased fat

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Questions (2)
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(M1.ST.13.3) You are a sleep physician comparing the results of several hypnograms taken in the sleep lab the prior night. You examine one chart which shows decreased REM sleep, less total time sleeping, and more frequent nocturnal awakenings. Which of these patients most likely exhibits this pattern? Tested Concept

QID: 105673
1

A healthy 3-year-old male

4%

(4/93)

2

A healthy 9-month-old female

8%

(7/93)

3

A healthy 40 year-old male

1%

(1/93)

4

A healthy 20-year-old female

4%

(4/93)

5

A healthy 75-year-old male

80%

(74/93)

M 1 E

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