BCG BCG Pharmacology & Medication Management in Older Adults

Question 1

Which physiological change in older adults most significantly slows drug metabolism?

Accepted Answer

Reduced hepatic blood flow and enzyme activity

Answer

Decreased renal blood flow

Answer

Increased gastric acid secretion

Answer

Elevated plasma protein levels

Question 2

The Beers Criteria is used in gerontological practice primarily to:

Accepted Answer

Identify potentially inappropriate medications for older adults

Answer

Calculate renal dosing adjustments

Answer

Standardize antibiotic selection in nursing homes

Answer

Guide pain management titration

Question 3

An 80-year-old patient's creatinine is 1.0 mg/dL. What does this value indicate in the context of renal drug dosing?

Accepted Answer

Potentially significant renal impairment despite a 'normal' lab value

Answer

Normal kidney function requiring no dose adjustment

Answer

Hyperfiltration requiring increased doses

Answer

End-stage renal disease

Question 4

Which drug class is most commonly associated with falls in older adults due to its central nervous system effects?

Accepted Answer

Benzodiazepines

Answer

ACE inhibitors

Answer

Proton pump inhibitors

Answer

Thiazide diuretics

Question 5

Polypharmacy in older adults is generally defined as the concurrent use of how many or more medications?

Accepted Answer

5

Answer

3

Answer

8

Answer

10

Question 6

Which of the following best describes the prescribing cascade?

Accepted Answer

Prescribing a new drug to treat side effects of an existing drug, which are misidentified as a new condition

Answer

Titrating a single medication to maximum dose before adding another

Answer

Using multiple drugs from the same class for synergistic effect

Answer

Reducing all medications at the time of discharge