Question 1

The Beers List Drugs refers to ________.

Accepted Answer

A)   inappropriate drugs used in hospitalized, young adults
B)   most commonly abused prescriptions in older adults
C)   medications that should not be used in those who are cognitively impaired
D)   inappropriate drugs used in the ambulatory elderly population

Question 2

The liver is a major site of drug metabolism.

Accepted Answer

A) True 
 B)False

Question 3

Polypharmacy refers to pharmacy shopping by patients.

Accepted Answer

A) True 
 B)False

Question 4

Polypharmacy is only a problem if there are negative outcomes or adverse events.

Accepted Answer

A) True 
 B)False

Question 5

Excretion is the primary role of which organ/system?

Accepted Answer

A)   Circulatory
B)   Hepatic
C)   Cardiovascular
D)   Renal

Question 6

Which statement best describes polypharmacy?

Accepted Answer

A)   Using more than five drugs at a time
B)   Using more than two drugs at a time
C)   Using multiple drugs for multiple conditions
D)   Going to multiple pharmacies

Question 7

Match each term to the definition listed below.
-Hepatic dysfunction

Accepted Answer

A)  Absorption
B)  Cumulative effect
C)  Distribution
D)  Metabolism
E)  excretion

Question 8

Match the following medications with the reason they may be considered inappropriate for adults over 65 years of age.
-Cardiac glycosides (digoxin)

Accepted Answer

A)  Cognitive impairment, fall risks
B)  GI bleeding, increased cardiovascular risks
C)  Orthostatic hypotension, tachycardia
D)  May lower seizure threshold
E)  Breast and endometrial cancerF) Multiple drug interactions, decreases absorption of other medicationsG) Toxicity due to renal clearanceH) Increased blood pressure

Question 9

Match each item with the correct statement below.
-List of PIMs (potentially inappropriate medications)  for nursing home residents based on a national survey of geriatric experts, most recently updated in 2015.

Accepted Answer

A)  Polypharmacy
B)  BEERs list drugs
C)  Medication-related problems (MRPs) 
D)  Comprehensive medication review (CMR) 
E)  Medication Therapy Management (MTM)  B

Question 10

Hepatic dysfunction more likely affects ________.

Accepted Answer

A)   absorption
B)   metabolism
C)   distribution
D)   excretion

Question 11

Match each term to the definition listed below.
-Excessive use of drugs or prescriptions or many drugs given at one time

Accepted Answer

A)  Absorption
B)  Cumulative effect
C)  Distribution
D)  Metabolism
E)  excretion E

Question 12

MRPs or medication-related problems may be mistaken for which problem?

Accepted Answer

A)   A normal consequence of aging
B)   Behavioral changes
C)   Cognitive impairment
D)   Parkinsons

Question 13

Thinning skin associated with the aging process may impair absorption of transdermal medications.

Accepted Answer

A) True 
 B)False

Question 14

Medication Therapy Management (MTM) and Comprehensive Medication Review (CMR) may be compensated to pharmacies by some insurance companies to improve patient safety.

Accepted Answer

A) True 
 B)False

Question 15

NSAIDS carry real danger of serious complications.

Accepted Answer

A) True 
 B)False

Question 16

If a patient has taken a drug for many years, the same dose is considered to be safe and effective as he grows older because he will have built a tolerance for it.

Accepted Answer

A) True 
 B)False  False

Question 17

Distribution in older adults is affected by all of the following, EXCEPT ______.

Accepted Answer

A)   decreased albumin production by the liver
B)   circulatory compromise
C)   decrease in total body water
D)   decreased renal function

Question 18

Absorption of medications may be affected by which of the following?

Accepted Answer

A)   Aging, thinner skin
B)   Decrease in muscle mass
C)   Decreased gastric motility
D)   All of the above.
E)   None of the above.

Question 19

Prescribing of medications is the third leading intervention experienced by older adult patients.

Accepted Answer

A) True 
 B)False

Question 20

Match each term to the definition listed below.
-Delivery of a substance from the bloodstream into tissues and fluids of body

Accepted Answer

A)  Absorption
B)  Cumulative effect
C)  Distribution
D)  Metabolism
E)  excretion

Exam 27: Drugs and Older Adults

The Beers List Drugs refers to ________.

Correct AnswerverifiedShow Answer

The liver is a major site of drug metabolism.

Correct AnswerverifiedShow Answer

Polypharmacy refers to pharmacy shopping by patients.

Correct AnswerverifiedShow Answer

Polypharmacy is only a problem if there are negative outcomes or adverse events.

Correct AnswerverifiedShow Answer

Excretion is the primary role of which organ/system?

Correct AnswerverifiedShow Answer

Which statement best describes polypharmacy?

Correct AnswerverifiedShow Answer

Match each term to the definition listed below. -Hepatic dysfunction

Correct AnswerverifiedShow Answer

Match the following medications with the reason they may be considered inappropriate for adults over 65 years of age. -Cardiac glycosides (digoxin)

Correct AnswerverifiedShow Answer

Match each item with the correct statement below. -List of PIMs (potentially inappropriate medications) for nursing home residents based on a national survey of geriatric experts, most recently updated in 2015.

Correct AnswerverifiedB

Hepatic dysfunction more likely affects ________.

Correct AnswerverifiedShow Answer

Match each term to the definition listed below. -Excessive use of drugs or prescriptions or many drugs given at one time

Correct AnswerverifiedE

MRPs or medication-related problems may be mistaken for which problem?

Correct AnswerverifiedShow Answer

Thinning skin associated with the aging process may impair absorption of transdermal medications.

Correct AnswerverifiedShow Answer

Medication Therapy Management (MTM) and Comprehensive Medication Review (CMR) may be compensated to pharmacies by some insurance companies to improve patient safety.

Correct AnswerverifiedShow Answer

NSAIDS carry real danger of serious complications.

Correct AnswerverifiedShow Answer

If a patient has taken a drug for many years, the same dose is considered to be safe and effective as he grows older because he will have built a tolerance for it.

Correct AnswerverifiedFalse

Distribution in older adults is affected by all of the following, EXCEPT ______.

Correct AnswerverifiedShow Answer

Absorption of medications may be affected by which of the following?

Correct AnswerverifiedShow Answer

Prescribing of medications is the third leading intervention experienced by older adult patients.

Correct AnswerverifiedShow Answer

Match each term to the definition listed below. -Delivery of a substance from the bloodstream into tissues and fluids of body

Correct AnswerverifiedShow Answer

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B

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E

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False

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