Hematology
The earliest lab change after initiating iron therapy.
What is the reticulocyte rise?
First-line treatment for primary hypothyroidism.
What is levothyroxine?
First-line therapy for GAD in older adults.
What is SSRI/SNRI + CBT?
Gold standard for chronic insomnia.
What is CBT-I?
HIV screening should be done at least once for all adults and yearly for this group.
Who are high-risk sexual behavior groups?
Sudden confusion in older adults is most likely this syndrome.
What is delirium?
Macrocytosis + neurologic symptoms indicates deficiency of this vitamin.
What is B12?
The lab used to monitor primary hypothyroidism therapy.
What is TSH?
Excessive worry for ≥6 months defines this disorder.
What is GAD?
This common OTC sleep aid causes confusion in older adults.
What is diphenhydramine?
The best measure of ART response.
What is viral load?
Medications most associated with falls.
What are benzodiazepines?
This test distinguishes B12 deficiency from folate deficiency.
What is methylmalonic acid?
Older adults require this type of levothyroxine dosing.
What is “start low and go slow”?
This antidepressant is not appropriate in older adults due to anticholinergic effects.
What is paroxetine?
Dream-enactment behaviors indicate this disorder.
What is REM Sleep Behavior Disorder?
Older adults with HIV have increased risk of this bone condition.
What is osteoporosis?
First step when evaluating polypharmacy risk.
What is medication review/deprescribing?
Anemia of chronic disease classically shows this pattern on iron studies.
What is low iron + low TIBC + normal/high ferritin?
Low T4 + normal TSH suggests this condition.
What is secondary hypothyroidism?
Depression presenting as cognitive decline in older adults is known as this.
What is pseudodementia?
Chronic insomnia typically develops through stress + this factor.
What are maladaptive coping behaviors?
Persistent low CD4 with undetectable viral load indicates this.
What is immune reconstitution lag?
Serious adverse effect of correcting hypothyroidism too quickly in older adults.
What is arrhythmia or ischemia?
This hematologic disorder presents with pancytopenia and dysplastic marrow.
What is myelodysplastic syndrome?
This medication class commonly reduces thyroid hormone absorption.
What are PPIs or calcium supplements?
Persistent grief with functional impairment beyond 12–18 months is this diagnosis.
What is complicated grief?
Nocturia-related insomnia requires evaluation for these conditions.
What are BPH, HF, or diabetes?
ART failure in older adults is most often due to this cognitive factor.
What is nonadherence from cognitive decline?
Atypical presentation is most common with this condition.
What is infection?