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Psychopharmacology in Older Adults

Description: This quiz will assess your knowledge of psychopharmacology in older adults.
Number of Questions: 15
Created by:
Tags: psychopharmacology older adults geriatric psychiatry
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Which of the following is NOT a common psychotropic medication used in older adults?

  1. Selective serotonin reuptake inhibitors (SSRIs)

  2. Tricyclic antidepressants (TCAs)

  3. Benzodiazepines

  4. Antipsychotics


Correct Option: D
Explanation:

Antipsychotics are not commonly used in older adults due to their increased risk of side effects, such as tardive dyskinesia.

Which of the following SSRIs is most commonly used in older adults?

  1. Fluoxetine (Prozac)

  2. Sertraline (Zoloft)

  3. Citalopram (Celexa)

  4. Escitalopram (Lexapro)


Correct Option: B
Explanation:

Sertraline (Zoloft) is most commonly used in older adults due to its low risk of side effects and drug interactions.

Which of the following TCAs is most commonly used in older adults?

  1. Amitriptyline (Elavil)

  2. Imipramine (Tofranil)

  3. Doxepin (Sinequan)

  4. Nortriptyline (Pamelor)


Correct Option: D
Explanation:

Nortriptyline (Pamelor) is most commonly used in older adults due to its low risk of anticholinergic side effects.

Which of the following benzodiazepines is most commonly used in older adults?

  1. Lorazepam (Ativan)

  2. Alprazolam (Xanax)

  3. Diazepam (Valium)

  4. Clonazepam (Klonopin)


Correct Option: A
Explanation:

Lorazepam (Ativan) is most commonly used in older adults due to its short half-life and low risk of side effects.

Which of the following antipsychotics is most commonly used in older adults?

  1. Olanzapine (Zyprexa)

  2. Risperidone (Risperdal)

  3. Quetiapine (Seroquel)

  4. Aripiprazole (Abilify)


Correct Option: A
Explanation:

Olanzapine (Zyprexa) is most commonly used in older adults due to its low risk of extrapyramidal side effects.

What is the most common side effect of SSRIs in older adults?

  1. Nausea

  2. Diarrhea

  3. Headache

  4. Dizziness


Correct Option: A
Explanation:

Nausea is the most common side effect of SSRIs in older adults.

What is the most common side effect of TCAs in older adults?

  1. Anticholinergic side effects (e.g., dry mouth, constipation, blurred vision)

  2. Orthostatic hypotension

  3. Sedation

  4. Weight gain


Correct Option: A
Explanation:

Anticholinergic side effects are the most common side effects of TCAs in older adults.

What is the most common side effect of benzodiazepines in older adults?

  1. Sedation

  2. Ataxia

  3. Cognitive impairment

  4. Falls


Correct Option: A
Explanation:

Sedation is the most common side effect of benzodiazepines in older adults.

What is the most common side effect of antipsychotics in older adults?

  1. Extrapyramidal side effects (e.g., tardive dyskinesia, akathisia, dystonia)

  2. Sedation

  3. Orthostatic hypotension

  4. Weight gain


Correct Option: A
Explanation:

Extrapyramidal side effects are the most common side effects of antipsychotics in older adults.

Which of the following is NOT a risk factor for psychotropic medication side effects in older adults?

  1. Age

  2. Polypharmacy

  3. Hepatic impairment

  4. Renal impairment


Correct Option: A
Explanation:

Age is not a risk factor for psychotropic medication side effects in older adults.

Which of the following is a strategy for minimizing the risk of psychotropic medication side effects in older adults?

  1. Start with a low dose and titrate up slowly

  2. Use the lowest effective dose

  3. Avoid polypharmacy

  4. Monitor for side effects regularly


Correct Option:
Explanation:

All of the above strategies can be used to minimize the risk of psychotropic medication side effects in older adults.

Which of the following is a common drug interaction with SSRIs?

  1. Warfarin

  2. Digoxin

  3. Lithium

  4. Alcohol


Correct Option:
Explanation:

SSRIs can interact with warfarin, digoxin, lithium, and alcohol.

Which of the following is a common drug interaction with TCAs?

  1. Anticholinergic drugs

  2. Alcohol

  3. MAOIs

  4. Sympathomimetics


Correct Option:
Explanation:

TCAs can interact with anticholinergic drugs, alcohol, MAOIs, and sympathomimetics.

Which of the following is a common drug interaction with benzodiazepines?

  1. Alcohol

  2. Opioids

  3. Antidepressants

  4. Antipsychotics


Correct Option:
Explanation:

Benzodiazepines can interact with alcohol, opioids, antidepressants, and antipsychotics.

Which of the following is a common drug interaction with antipsychotics?

  1. Anticholinergic drugs

  2. Alcohol

  3. Lithium

  4. Anticonvulsants


Correct Option:
Explanation:

Antipsychotics can interact with anticholinergic drugs, alcohol, lithium, and anticonvulsants.

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