Worksheetsgeriatric medicine
Total questions: 15
Worksheet time: 8mins
False about effect of aging on regulators of kidney function
impairs the ability of the procimal tubule to regulate sodium load
vasopressin levels tend to be higher in older individuals
natriuretic peptide are lower in older individuals
effect of sodium homeostasis on the renal tubule is intact
True about the use of H2 blockers among the elderly (Beers Criteria 2019)
H2 receptor antagonists should be avoided on patients with dementia
H2 receptor agonists should be avoided on patients with delirium
methscopolamine may be given to patients with dementia
pyrilamine may be given to patients with delirium
TRUE about SNRIs
should be avoided on those with history of fractures
the risk of hyponatremia is highest durung the first two weeks of treatment
may cause hypertension
all of the above
TRUE about anticholinergics
may cause salivation and diarrhea
meclizine is a 2nd generation anticholinergic drug
the use of diphenhydramine during acute treatment of severe allergic reaction may be appropriate
TRUE about nitrofurantoin
should not be given to all elderly patients
is safe to be given to patients with crea clearance >30ml/min
is not hepatotoxic
may be given for long term use
This drug should not be used as an antihypertensive
terazosin
metoprolol
amlodipine
hydrocholothiazide
All of the following statements are true, except:
clonidine may be used as first line treatment for hypertension
disopyramide may cause orthostatic hypotension
digoxin should not be used in first line treatment of atrial fibrillation
the INR target for thromboembolic protection is 2.0-3.0
A nonbenzodiazepine benzo receptor agonist that should be avoided in the elderly
Zolpidem
Clonazepam
Alprazolam
Diazepam
TRUE about the use of growth hormone
may be given to patients with growth hormone deficiency
elevated levels may cause colon carcinoma
adverse effects include arthralgia
all of the above
TRUE about proton pump inhibitors
may be given more than 8 weeks on high risk patients
adverse effects include vitamin B12 deficiency
may pose a risk to C. difficile infection
all of the above
Drug that can cause EPS and tardive dyskinesia
chlorpropamide
metoclopromide
methocarbamol
desmopressin
orphenadrine should be avoided in the elderly because
increase fracture risk
may cause GI bleeding
risk for hyponatremia
promote fluid retention
All of the following are true, except:
Glimepiride causes severe prolonged hypoglycemia
Tramadol causes SIADH
Ciprofloxacin together with Warfarin decreases the risk of bleeding
Aspirin is used as prevention for colorectal cancer
Ciprofloxacin side effects except:
tendon rupture
delirium
hyperkalemia
osteoporosis
All of the following are TRUE, except:
anticholinergics cause cognitive decline
there is a drug interaction between opioids and gabapentin
Tramadol should be avoided on creatinine clearance <25
