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Chapter 6. Principles of Pharmacotherapy in Elderly Patients

Pharmacotherapeutics for Advanced Practice 3rd Edition by Virginia Poole Arcangelo, Andrew M. Peterson

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Chapter 6. Principles of Pharmacotherapy in Elderly Patients

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. Principles of prescribing for older adults include:
A. Avoiding prescribing any newer high-cost medications
B. Starting at a low dose and increasing the dose slowly
C. Keeping total dose at lower therapeutic range
D. All of the above

 

 

ANS:  B                    PTS:   1

 

  1. Sadie is a 90-year-old patient who requires a new prescription. What changes in drug distribution with aging would influence prescribing for Sadie?
A. Increased volume of distribution
B. Decreased lipid solubility
C. Decreased plasma proteins
D. Increased muscle to fat ratio

 

 

ANS:  C                    PTS:   1

 

  1. Glen is an 82 year old who needs to be prescribed a new drug. What changes in elimination should be taken into consideration when prescribing for Glen?
A. Increased GFR will require higher doses of some renally excreted drugs
B. Decreased tubular secretion of medication will require dosage adjustments
C. Thin skin will cause increased elimination via sweat
D. Decreased lung capacity will lead to measurable decreases in lung excretion of drugs

 

 

ANS:  B                    PTS:   1

 

  1. A medication review of an elderly person’s medications involves:
A. Asking the patient to bring a list of current prescription medications to the visit
B. Having the patient bring all of their prescription, over-the-counter, and herbal medication to the visit
C. Asking what other providers are writing prescriptions for them
D. All of the above

 

 

ANS:  D                    PTS:   1

 

  1. Steps to avoid polypharmacy include:
A. Prescribing two or fewer drugs from each drug class
B. Reviewing a complete drug history every 12 to 18 months
C. Encouraging the elderly patient to coordinate their care with all of their providers
D. Evaluating for duplications in drug therapy and discontinuing any duplications

 

 

ANS:  D                    PTS:   1

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