12988041
Description
Quiz by Bethany Carter, updated more than 1 year ago
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Created by Bethany Carter
about 6 years ago
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|
Question 1
Question
15% of US population is >65 and 80% have at least one chronic condition.
Answer
- True
- False
Question 2
Question
Signs that a psych issue may have organic etiology:
Answer
-
Onset > 40 yrs
-
Symptoms occur during major illness
-
Altered mental state
-
Eye abnormalities
-
Speech disturbances
-
Psychosis
-
Gait disturbances
-
Abnormal vital signs
Question 3
Question
Always remember to assess for safety: [blank_start]mobility[blank_end], [blank_start]fall risk[blank_end], [blank_start]driving[blank_end].
Answer
-
diet
-
mobility
-
clean clothes
-
fall risk
-
bruising
-
urination
-
"meals on wheels" delivery
-
poor eyesight
-
driving
Question 4
Question
Drugs that can cause hallucinations or psychosis:
Answer
-
Levo-dopa
-
Procainamide
-
Estrogen
-
Steroids
-
ACE inhibitors
Question 5
Question
• Drugs that can cause agitation:
Answer
-
Neuroleptics and antibiotics
-
Benzodiazepines and ARBs
-
Bronchodilators and activating antidepressants
Question 6
Question
Drugs with extensive first pass effect may not be absorbed as well as those with phase II pathways in the elderly.
Answer
- True
- False
Question 7
Question
The following are which type of drugs?
• Amiodarone
• Diazempam
• Chlodiazepoxide
• Clonazepam
• Lidocaine
• Haloperidol
Answer
-
Hydrophilic drugs that build up in the leaner elderly.
-
Lipophilic drugs that get increased in with increased adipose tissue.
-
Protein-bound drugs that are increased in the elderly.
Question 8
Question
What is an issue with Lithium in elderly?
Answer
-
They don't like it.
-
Hydrophilic drugs have decreased distribution with decreased total body water.
-
They are too demented for it to have any effect.
-
It can cause delirium.
Question 9
Question
In prescribing SSRI's to the elderly, consider that:
Answer
-
They may disguise organic conditions.
-
They are only indicated for <65 years old.
-
Decreased fat:muscle ratio can result in serotonin syndrome.
-
Decreased plasma protein results in increased unbound, active drug.
Question 10
Question
Increased renal clearance changes elimination of drugs in elderly.
Answer
- True
- False
Question 11
Question
Risks of benzos with elderly:
Answer
-
Delirium risk
-
Self-neglect risk
-
Dementia risk
-
Fall risk
-
Greater risk of addiction
Question 12
Question
Common side effects of psychotropic drugs in elderly:
o General: [blank_start]Decreased CNS arousal[blank_end]
o Peripheral cholinergic blockade: [blank_start]Urination and constipation[blank_end]
o Central cholinergic blockade: [blank_start]Confusion and memory problems[blank_end]
o Alpha-adrenergic blockade and central pressor blockade: [blank_start]Orthostasis[blank_end]
o Dopamine blockade: [blank_start]Gait and movement[blank_end]
Answer
-
Decreased CNS arousal
-
Dementia
-
Drooling and slurring words
-
Urination and constipation
-
Prolonged QTc
-
Confusion and memory problems
-
Orthostasis
-
Increased HTN
-
Gait and movement
-
Auditory or visual hallucinations
Question 13
Question
Benzodiazepines should be tapered very slowly in elderly clients, 10% per month for chronic users (> 1 month usage).
Answer
- True
- False
Question 14
Question
Types of reversible dementias:
Answer
-
Thyroid disorders
-
B12 deficiency
-
Neurosyphilis
-
Normal pressure hydrocephalus
-
Depression
Question 15
Question
Alcoholic and vascular dementias are irreversible.
Answer
- True
- False
Question 16
Question
Risk factors for dementia:
Answer
-
PPI or benzo use
-
Metabolic syndrome
-
Pesticide or degreasing agent exposure
-
PTSD
Question 17
Question
Treatments for Alzheimer’s disease:
Cholinesterase inhibitors: [blank_start]Donepezil, Rivastigmine, Galantamine[blank_end]
NMDA receptor agonist: [blank_start]Menantine[blank_end]
Answer
-
Cogentin, Artane, Benadryl
-
Donepezil, Rivastigmine, Galantamine
-
Menantine
-
Ecstacine
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