Pretend you are a teacher preparing a quiz for the text I will provide. 
            Each quiz question should follow the format below. 
            Ensure that you carefully recheck the questions and answers for accuracy. 
            The output should be a ready-to-use list of dictionaries for the Python eval function:

            [

                    "question": "WRITE THE QUESTION HERE",
                    "options": ["A) OPTION_1", "B) OPTION_2", "C) OPTION_3", "D) OPTION_4"],
                    "answer": INDEX_OF_CORRECT_ANSWER_IN_OPTIONS_LIST,
                    "explanation": "EXPLAIN WHY THE ANSWER IS CORRECT"

            ]

            Text:
            ▪ Prone to respiratory 
infection. 
3-Cardiovascular 
system. 
 
 
 
 
▪  Decreased 
in 
number 
of 
pacemaker cell. 
▪  Valves may become  
▪ Rigid and thicker. 
▪  Decreased 
of 
elasticity of the heart 
and blood vessels. 
▪ Decreased 
of 
the 
heart ability to pump 
effectively. 
▪ Prone to orthostatic 
hypotension 
and 
Falls. 
▪ Increased prevalence 
of dysrhythemia. 
▪ High 
risk 
of 
hypertension. 
▪ Atherosclerosis 
and 
arteriosclerosis 
increase in old age. 
ﺩﺍﻟﻴﺎ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﺑﻮﺑﻜﺮ ﺍﻟﻌﺮﻳﺎﻥ
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
2023/2024
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16 
 
4-Gastrointestinal 
tract. 
 
 
▪ Loss of teeth. 
▪ Delay in esophageal 
empting. 
▪ Decreased 
muscle 
tone. 
▪ Altered peristalsis. 
▪ Reduced 
salivary 
flow 
and 
gastric 
secretion. 
▪ Impaired absorption 
of major nutrient. 
▪  Periodontal 
disease 
are common 
▪ Prone to swallowing 
dysfunction. 
▪ Prone to constipation. 
5- Musculoskeletal 
system. 
 
 
 
▪ Decreased in muscle 
mass. 
▪ Decreased in bone 
mass. 
▪ Shorting 
in 
the 
vertebral column. 
▪ Loss of bone density. 
▪ Degeneration 
of 
bones and muscle. 
▪ Decreased in muscle 
strength. 
▪ Fracture 
due 
to 
osteoporosis. 
▪ Kyphosis 
of 
the 
upper thoracic. 
▪ Weakness and loss of 
coordination of the 
muscles. 
▪ Chang in gait. 
6-Nervous system 
 
 
▪ Loss 
of 
neurons/nerve fibers. 
▪ Reduced 
cerebral 
circulation. 
▪ Shrinks of the brain 
cell due to atrophy. 
▪ Cerebral ischemia. 
▪ Delayed 
reaction 
time. 
▪ Reduced 
span 
of 
attention, 
and 
concentration. 
▪ Difficult in copping 
with multiple stimuli. 
 
ﺩﺍﻟﻴﺎ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﺑﻮﺑﻜﺮ ﺍﻟﻌﺮﻳﺎﻥ
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
2023/2024
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17 
 
▪ Ability to recall long 
past 
events 
than 
recent events. 
7- Urinary system 
 
 
▪ Decreased number of 
functioning 
nephrons. 
▪ Reduced 
bladder 
tone and capacity. 
▪ Weakness of bladder 
muscle. 
▪ Decreased 
bladder 
capacity. 
▪ Decreased 
blood 
flow to the kidney. 
▪ Prostates 
enlargement in  
▪ Most elderly men. 
▪ -Incontinence may be 
common. 
▪ High risk to kidney 
diseases. 
▪ Problems of urinary 
retention. 
8-Reproductive 
system. 
 
-Males 
 
 
 
-Females 
 
 
 
- Testes 
become 
smaller and less firm. 
▪ Decreased size of 
penis. 
▪ Hormonal depletion 
leads to decrease of 
viable 
spermatozoa 
and sexual energy. 
▪ Prostates 
enlargement. 
 
▪ Decline 
of 
sexual 
performance related 
to decline in both 
frequency 
and 
duration of erection. 
 
 
 
▪ -Slower 
sexual 
response. 
▪ Dryness and itching 
ﺩﺍﻟﻴﺎ ﻋﺒﺪﺍﻟﺮﺣﻤﻦ ﺍﺑﻮﺑﻜﺮ ﺍﻟﻌﺮﻳﺎﻥ
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
UG_31147493@i-nursing.tanta.edu.eg
2023/2024
2023/2024
2023/2024
18 
 
9- Vital signs. 
 
 
 
Pulse 
Temperature 
 
 
 
Blood pressure. 
▪ Thickness 
of 
the 
vaginal wall. 
▪ Less elasticity and 
narrowing in size. 
▪ Decreased in vaginal 
secr

            Quiz: