Geriatrics Medical Specialty Quiz

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  • 1/10 Questions

    Which of the following factors is important to consider when selecting and monitoring medication therapy in geriatric patients?

    • The presence of concurrent disease states
    • Cost of therapy
    • Patient's renal function
    • A, B, and C
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About This Quiz

If you are a medical student or scholar, then we have brought an amazing geriatrics medical specialty quiz for you. What do you know about geriatrics? Geriatrics, or you can also call geriatric medicine, is known as a medical specialty that is focused on providing care for the unique and specific health needs of older adults. Here are some questions on geriatrics and related. These questions will test as well as educate you more. All the best.

Geriatrics Medical Specialty Quiz - Quiz

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  • 2. 

    Geriatric patients may require smaller doses of medications than younger patients because of:

    • Decreased hepatic metabolism

    • Decreased renal function

    • Decreased lean body mass

    • All of these

    Correct Answer
    A. All of these
    Explanation
    Geriatric patients may require smaller doses of medications than younger patients because of several factors. Firstly, they may experience decreased hepatic metabolism, meaning their liver may not be as efficient in processing and metabolizing drugs. Secondly, they may have decreased renal function, which affects the clearance and elimination of medications from the body. Lastly, geriatric patients often have decreased lean body mass, which can affect the distribution and concentration of drugs in their system. Therefore, all of these factors contribute to the need for smaller medication doses in geriatric patients.

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  • 3. 

    ADRs in geriatric patients:

    • May occur due to inappropriate medication prescribing.

    • May mimic conditions of old age.

    • Are not dose-related

    • A and B

    Correct Answer
    A. A and B
    Explanation
    ADRs in geriatric patients may occur due to inappropriate medication prescribing and may mimic conditions of old age. This means that the side effects experienced by older patients can be a result of medications that have been prescribed inappropriately for their age group. Additionally, some adverse drug reactions can manifest as symptoms that are commonly associated with old age, making it difficult to distinguish between medication side effects and natural aging processes. Therefore, both options A and B are correct.

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  • 4. 

    T.D. is a 68-year-old female brought to the ED with a fracture of the left arm after falling at home. She says that she became dizzy before falling.   Which of the following medications may have contributed to this patient’s fall?

    • Atorvastatin

    • Famotidine

    • Haloperidol

    • None

    Correct Answer
    A. Haloperidol
    Explanation
    Haloperidol is an antipsychotic medication that is commonly associated with dizziness and orthostatic hypotension as side effects. These side effects can increase the risk of falls, especially in elderly patients like T.D. Therefore, it is likely that Haloperidol may have contributed to this patient's fall. Atorvastatin is a statin used for cholesterol management and is not typically associated with dizziness or falls. Famotidine is an H2 blocker used for acid reflux and is also not commonly associated with dizziness or falls. Therefore, the correct answer is Haloperidol.

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  • 5. 

    Which of the following medications may need dosage adjustments in geriatric patients because of decreased renal function?

    • Atorvastatin

    • Famotidine

    • Dabigatran

    • B and C

    Correct Answer
    A. B and C
    Explanation
    Geriatric patients often experience a decline in renal function, which can affect the clearance of certain medications from their system. Atorvastatin, a statin used to lower cholesterol, is primarily metabolized by the liver and does not require dosage adjustments based on renal function. Famotidine, a medication used to reduce stomach acid, and Dabigatran, an anticoagulant, both undergo renal elimination and may require dosage adjustments in geriatric patients with decreased renal function. Therefore, the correct answer is B and C.

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  • 6. 

    In bipolar elderly, regarding mania and depression, cycles become: 

    • No changes

    • Less frequent, greater amplitude

    • More frequent with lower amplitude

    • More frequent, increased amplitude

    Correct Answer
    A. More frequent, increased amplitude
    Explanation
    As elderly individuals with bipolar disorder age, their cycles of mania and depression tend to become more frequent and have increased amplitude. This means that they experience more episodes of both mania and depression, and these episodes are more intense and severe. This pattern is commonly observed in older adults with bipolar disorder and may be attributed to various factors such as changes in brain chemistry, medication adjustments, and overall decline in physical and mental health.

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  • 7. 

    Sexual activity in the elderly is most associated with:

    • Partner availability

    • Frequency of sexual activities when younger

    • Cognitive status

    • None of these

    Correct Answer
    A. Partner availability
    Explanation
    As people age, the availability of a sexual partner becomes a significant factor in their sexual activity. Older adults who have a partner are more likely to engage in sexual activities compared to those who are single or widowed. This is because having a partner provides the opportunity and motivation for sexual intimacy. Factors like frequency of sexual activities when younger and cognitive status may have some influence, but partner availability is the most closely associated with sexual activity in the elderly.

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  • 8. 

    A 68-year-old woman presents with a several-day history of acute agitation, food refusal, delusions of nihilism, and auditory hallucinations. She has a history of chronic bipolar disorder and more recent cognitive and functional decline. The mini-mental status examination (MMSE) score was 24/30. What is the most appropriate treatment at this time?

    • Antipsychotic

    • Antidepressant

    • Acetylcholinesterase inhibitor

    • Electroconvulsive therapy

    Correct Answer
    A. Electroconvulsive therapy
    Explanation
    Electroconvulsive therapy (ECT) is the most appropriate treatment at this time for this patient. The patient's symptoms, including acute agitation, food refusal, delusions, and auditory hallucinations, suggest a severe psychiatric condition that requires immediate intervention. ECT is an effective treatment option for severe psychiatric disorders, especially when there is a risk of harm to self or others. Additionally, the patient's history of cognitive and functional decline, along with a MMSE score of 24/30, indicates a possible underlying neurodegenerative disorder, which may further support the use of ECT in this case.

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  • 9. 

    The following is characteristic of geriatric psychopharmacology/drug metabolism in the elderly:

    • Increased renal clearance

    • Decreased enzyme function impairing conjugation

    • Decreased hydroxylation

    • Decreased excretion due to biliary congestion

    Correct Answer
    A. Decreased hydroxylation
    Explanation
    In geriatric psychopharmacology, the process of hydroxylation, which is the addition of a hydroxyl group to a drug molecule, is decreased in the elderly. This means that the metabolism of drugs that undergo hydroxylation is impaired, leading to slower breakdown and elimination from the body. This can result in increased drug levels and prolonged effects, increasing the risk of adverse reactions and drug interactions in the elderly population.

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  • 10. 

    Geriatric patients exhibit an altered pharmacodynamic response to which of the following classes of medications?

    • Nonsteroidal anti-inflammatory agents (NSAIDs)

    • Beta blocking agents

    • Angiotensin converting enzyme inhibitors (ACEIs)

    • A and B

    Correct Answer
    A. Beta blocking agents
    Explanation
    Geriatric patients exhibit an altered pharmacodynamic response to beta blocking agents. This means that the way their bodies respond to these medications is different compared to younger patients. Geriatric patients may experience a greater reduction in heart rate and blood pressure when taking beta blockers, which can increase the risk of side effects such as dizziness and falls. Therefore, special caution and monitoring are required when prescribing beta blockers to older patients.

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  • Current Version
  • Aug 24, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jul 26, 2012
    Quiz Created by
    TMMCRX
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