30 Questions
What percentage of those diagnosed with HIV were over 50 years old in 2015 according to the CDC?
50%
What is the name of the therapy that is a polypharmacy?
HAART
What is a significant predictor of how someone will react to medications?
General health
Which of the following medications has a high risk of ADRs in the elderly?
All of the above
What is a common effect of anticholinergic syndrome in the elderly?
Dry mouth
What is the percentage of ADRs with 8 or more medications?
100%
What is the effect of age on creatinine clearance?
It declines by 10% per decade
Why is BUN a poor indicator of renal function in the elderly?
Due to decreased muscle mass and other factors
What is the effect of age on cardiac output?
It decreases, which raises plasma levels
What is a cultural consideration in medication use in the elderly?
Use of folk remedies not regulated by the FDA
What is an example of a medication that may require dosage adjustment in the elderly?
Highly protein-bound drug
What is a potential consequence of polypharmacy in the elderly?
Increased risk of adverse drug reactions
What is a potential interaction between warfarin and certain foods?
Decreased effect of warfarin
What is a potential side effect of anticonvulsants?
Gingival hyperplasia
What should be monitored when prescribing anticoagulants?
PT, PTT, INR, and anti-Xa
What is a potential interaction between sedatives and hypnotics and other medications?
Increased effect of PO anticoags
What is a potential side effect of diuretics?
Postural hypotension
What is a potential interaction between antidepressants and other medications?
Increased effect of ETOH
What is a key factor in the loss of organ function?
Social risk factors such as poverty
What is the purpose of a formalized, comprehensive review of an older patient's daily activities?
To assess cognition and functional ability
What is an indicator of declined physical function?
All of the above
What is assessed using the NMSE tool?
Cognition
What is a goal of individualized aging care?
To assess individual aging process
What is required for complex care?
Special knowledge
What percentage of patients are diagnosed with a terminal illness and experience a gradual progressive decline in health?
16%
What is the primary purpose of the Patient Self-Determination Act?
To seek informed consent from patients before providing healthcare
What is the term for a medical order written and signed by a doctor, legally valid in end-of-life care?
DNR
What is a consequence of cardiovascular hazards of immobility?
Venous dilation and stasis dependent edema
What is a risk factor for rapid readmission in elderly patients?
All of the above
What is the primary purpose of a '5 Wishes' document?
To express treatment preferences for end-of-life care
This quiz covers the effects of HIV on older adults, including the decline of immune function, cognitive aging, and the impact of medications on older individuals. It also explores the predictors of how someone will react to medications, such as general health, number of medications, and liver and renal function. Test your knowledge of HIV and aging!
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