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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 Beers Criteria medication class is associated with the highest risk of falls and hip fractures in older adults?

    Answer: Benzodiazepines and sedative-hypnotics

    Benzodiazepines and sedative-hypnotics are explicitly listed in the Beers Criteria as high-risk for older adults due to their association with sedation, cognitive impairment, and falls.

  2. A consultant pharmacist conducting a comprehensive medication review in a skilled nursing facility should routinely assess which parameter related to swallowing in elderly patients?

    Answer: Dysphagia and ability to swallow whole tablets

    Dysphagia is common in elderly patients and affects medication delivery; pharmacists must assess swallowing ability and recommend appropriate formulations when indicated.

  3. Which pain assessment tool is most appropriate for an elderly patient with moderate-to-severe dementia who cannot self-report pain?

    Answer: PAINAD (Pain Assessment in Advanced Dementia)

    PAINAD uses behavioral observations (breathing, vocalization, facial expression, body language, consolability) to assess pain in non-verbal dementia patients.

  4. What is the primary reason anticholinergic medications are of particular concern in geriatric patients?

    Answer: Age-related decline in cholinergic neurons increases vulnerability to anticholinergic adverse effects

    Age-related loss of cholinergic neurons and reduced acetylcholine synthesis make elderly patients more susceptible to anticholinergic adverse effects such as confusion, urinary retention, and constipation.

  5. Which laboratory value is the most reliable indicator of long-term nutritional status and correlates with clinical outcomes in geriatric patients?

    Answer: Serum albumin

    Serum albumin (half-life ~20 days) reflects chronic nutritional status and is a strong predictor of morbidity, mortality, and length of hospital stay in elderly patients.

  6. A 76-year-old patient is started on a new SSRI for depression. Which adverse effect should the consultant pharmacist specifically monitor for in this geriatric patient?

    Answer: Hyponatremia

    SSRIs are a leading cause of drug-induced SIADH and hyponatremia in elderly patients, which can cause confusion, falls, and seizures.

  7. The Timed Up and Go (TUG) test in elderly patients measures which of the following?

    Answer: Mobility and fall risk based on time to rise, walk 3 meters, turn, and return to sitting

    TUG measures the time for a patient to stand from a chair, walk 3 meters, turn around, walk back, and sit down; >12 seconds indicates fall risk.