Geriatrics

Question 1

What is the STOPP tool?

Answer 1

The STOPP tool identifies medications where the risk outweighs the therapeutic benefits in certain conditions

Question 2

What is the PRISMA-7 questionnaire?

Answer 2

A validated questionnaire that can be used to confirm frailty in an individual

Question 3

What are the side effects of amitriptyline?

Answer 3

Dry eyes, dry mouth, hypotension (often postural) and delirium

Other side-effects include constipation, urinary retention, arrhythmias (including QT interval prolongation) and hypothermia

Question 4

What are the symptoms of digoxin toxicity?

Answer 4

Gastrointestinal disturbance (nausea, vomiting, abdominal pain), dizziness, confusion, blurry or yellow vision, and arrhythmias

Question 5

Name a drug that can precipitate gout

Answer 5

Indapamide and other thiazide diuretics

Question 6

Name a drug that should be stopped in dementia

Answer 6

Amitriptyline - risk of worsening cognitive impairment

Question 7

How can Lewy body dementia can be differentiated from idiopathic Parkinson’s disease dementia?

Answer 7

Time of onset of the dementia compared to the motor symptoms

PDD is diagnosed if a patient had a Parkinson’s disease diagnosis for at least 1 year

Question 8

What is the START tool?

Answer 8

The START tool suggests medications that may provide additional benefits ie proton pump inhibitors for gastroprotection in patients on medications increasing bleeding risk