Psychopharmacology in Older Adults
Assess your knowledge of psychotropic medication use in older adults, including medication selection, side effects, and drug interactions specific to geriatric populations.
Questions
Which of the following is NOT a common psychotropic medication used in older adults?
- Selective serotonin reuptake inhibitors (SSRIs)
- Tricyclic antidepressants (TCAs)
- Benzodiazepines
- Antipsychotics
Which of the following SSRIs is most commonly used in older adults?
- Fluoxetine (Prozac)
- Sertraline (Zoloft)
- Citalopram (Celexa)
- Escitalopram (Lexapro)
Which of the following TCAs is most commonly used in older adults?
- Amitriptyline (Elavil)
- Imipramine (Tofranil)
- Doxepin (Sinequan)
- Nortriptyline (Pamelor)
Which of the following benzodiazepines is most commonly used in older adults?
- Lorazepam (Ativan)
- Alprazolam (Xanax)
- Diazepam (Valium)
- Clonazepam (Klonopin)
Which of the following antipsychotics is most commonly used in older adults?
- Olanzapine (Zyprexa)
- Risperidone (Risperdal)
- Quetiapine (Seroquel)
- Aripiprazole (Abilify)
What is the most common side effect of SSRIs in older adults?
- Nausea
- Diarrhea
- Headache
- Dizziness
What is the most common side effect of TCAs in older adults?
- Anticholinergic side effects (e.g., dry mouth, constipation, blurred vision)
- Orthostatic hypotension
- Sedation
- Weight gain
What is the most common side effect of benzodiazepines in older adults?
- Sedation
- Ataxia
- Cognitive impairment
- Falls
What is the most common side effect of antipsychotics in older adults?
- Extrapyramidal side effects (e.g., tardive dyskinesia, akathisia, dystonia)
- Sedation
- Orthostatic hypotension
- Weight gain
Which of the following is NOT a risk factor for psychotropic medication side effects in older adults?
- Age
- Polypharmacy
- Hepatic impairment
- Renal impairment
Which of the following is a strategy for minimizing the risk of psychotropic medication side effects in older adults?
- Start with a low dose and titrate up slowly
- Use the lowest effective dose
- Avoid polypharmacy
- Monitor for side effects regularly
Which of the following is a common drug interaction with SSRIs?
- Warfarin
- Digoxin
- Lithium
- Alcohol
Which of the following is a common drug interaction with TCAs?
- Anticholinergic drugs
- Alcohol
- MAOIs
- Sympathomimetics
Which of the following is a common drug interaction with benzodiazepines?
- Alcohol
- Opioids
- Antidepressants
- Antipsychotics
Which of the following is a common drug interaction with antipsychotics?
- Anticholinergic drugs
- Alcohol
- Lithium
- Anticonvulsants