MTM Geriatric Pharmacotherapy 4

Question 1

An elderly patient with type 2 diabetes is prescribed glipizide. What is the primary concern specific to older adults with this medication?

Accepted Answer

Hypoglycemia due to prolonged insulin secretion

Answer

Sulfonylureas like glipizide stimulate insulin secretion regardless of glucose level, increasing hypoglycemia risk in older adults who may not recognize symptoms.

Question 2

Which statement best describes the pharmacodynamic changes relevant to geriatric patients receiving warfarin?

Accepted Answer

Older adults have increased sensitivity to warfarin's anticoagulant effect

Answer

Older adults exhibit increased pharmacodynamic sensitivity to warfarin, requiring lower doses to achieve the same anticoagulant effect.

Question 3

A 72-year-old man on levodopa/carbidopa for Parkinson's disease develops confusion after starting a new medication. Which drug class is the most likely culprit?

Accepted Answer

Antipsychotics (especially first-generation)

Answer

First-generation antipsychotics block dopamine receptors and can worsen Parkinson's symptoms and cause confusion in older patients.

Question 4

What is the significance of the Medication Appropriateness Index (MAI) in geriatric pharmacotherapy?

Accepted Answer

It provides a structured 10-criterion tool to assess appropriateness of each medication

Answer

The MAI evaluates each medication against 10 criteria including indication, effectiveness, dosage, directions, interactions, and practicality to ensure appropriateness.

Question 5

An 85-year-old patient with osteoporosis is prescribed alendronate. Which counseling point is most critical to prevent adverse effects?

Accepted Answer

Take with a full glass of water and remain upright for at least 30 minutes

Answer

Bisphosphonates must be taken upright with a full glass of water to prevent esophageal irritation and ulceration.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Geriatric Pharmacotherapy 4