Practice Test Geeks(CCP) Certified Consultant Pharmacist Practice Test
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Geriatric Patient Assessment Flashcards

7 cards from real CCP practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Geriatric Patient Assessment flashcards as text

  1. Which of the following best describes polypharmacy as it relates to geriatric assessment?

    Answer: Use of 5 or more concurrent medications, associated with increased risk of adverse drug events and inappropriate prescribing

    Polypharmacy is conventionally defined as concurrent use of ≥5 medications and is strongly associated with drug-drug interactions, adverse events, falls, and hospitalizations in older adults.

  2. A 84-year-old nursing home resident has a serum creatinine of 0.7 mg/dL. The consultant pharmacist should recognize this value as:

    Answer: Potentially misleading due to reduced muscle mass, masking true renal impairment

    In elderly patients with sarcopenia and low muscle mass, serum creatinine may be falsely low, overestimating GFR and leading to drug overdosing if not accounted for.

  3. Which component is NOT included in a Comprehensive Geriatric Assessment (CGA)?

    Answer: Genetic polymorphism testing

    CGA encompasses functional, cognitive, psychological, nutritional, social, and medication assessment but does not routinely include genetic testing.

  4. An elderly patient with Parkinson's disease develops worsening motor symptoms after starting metoclopramide for gastroparesis. The consultant pharmacist should recommend:

    Answer: Discontinue metoclopramide; consider domperidone or low-dose erythromycin as alternatives

    Metoclopramide is a dopamine antagonist that crosses the blood-brain barrier and can worsen parkinsonism; it is contraindicated in Parkinson's disease.

  5. Which of the following screening tools is most appropriate for identifying depression in elderly long-term care residents?

    Answer: Geriatric Depression Scale (GDS)

    The Geriatric Depression Scale was specifically developed and validated for older adults, using yes/no questions that avoid somatic items that may be confounded by physical illness.

  6. A geriatric patient on chronic NSAIDs for osteoarthritis should routinely be assessed for which two complications most relevant to a consultant pharmacist's medication review?

    Answer: GI bleeding and renal function deterioration

    NSAIDs are associated with GI mucosal injury leading to ulcers and bleeding, and renal prostaglandin inhibition causing acute kidney injury, especially in elderly patients with reduced renal reserve.

  7. Which drug class is most strongly associated with causing orthostatic hypotension in elderly patients, contributing to fall risk?

    Answer: Alpha-1 adrenergic blockers

    Alpha-1 blockers (e.g., terazosin, doxazosin) cause vasodilation and are strongly associated with orthostatic hypotension and syncope, especially in elderly patients with impaired baroreceptor reflexes.