Toxicology in Geriatric Patients
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Questions and Answers

Why are geriatric patients often excluded from clinical trials in toxicology?

  • Due to their decreased morbidity and mortality rates from poisoning.
  • As a result of their increased morbidity and mortality rates from poisoning. (correct)
  • Because they require lower doses of medications with narrow therapeutic index.
  • Because they have faster clearance of drugs and toxins.

What physiological changes in the elderly contribute to prolonged toxic effects of drugs and toxins?

  • Slower clearance of drugs and toxins due to reduced renal and hepatic function. (correct)
  • Rapid clearance of drugs and toxins.
  • Increased renal and hepatic function.
  • Enhanced cognitive function.

In what way can cognitive and physical impairment in the elderly lead to accidental poisoning?

  • By enhancing the elimination of toxins.
  • By increasing the absorption of drugs.
  • By reducing medication errors.
  • By causing medication errors or misdiagnosed therapeutic agents. (correct)

How do pharmacokinetic changes in pregnancy impact the toxicokinetics of poisons?

<p>They can result in significant alterations in toxicokinetics of poisons. (A)</p> Signup and view all the answers

Why might specific antidotes require different dosing regimens in pregnant patients?

<p>Because pharmacokinetic changes in pregnancy can lead to prolonged half-life and increased volume of distribution. (C)</p> Signup and view all the answers

Why does physostigmine have a narrowed range of safety in pregnancy?

<p>It can cause hyperactivity and bradycardia in the fetus with even slight overdose in the mother. (D)</p> Signup and view all the answers

What is the main reason for avoiding the use of certain drugs in cases of anticholinergic poisoning during pregnancy?

<p>The direct toxic effect on the fetus (B)</p> Signup and view all the answers

Why is the risk of drug-induced developmental abnormalities highest during early gestational months?

<p>Because it is the time of organogenesis (A)</p> Signup and view all the answers

What contributes to the increased risk of toxicity in geriatric patients?

<p>Decreased total body water and lean body mass (C)</p> Signup and view all the answers

Why do common medications with a low therapeutic index pose a risk to geriatric patients?

<p>As a result of their narrow therapeutic range (A)</p> Signup and view all the answers

What is a common factor contributing to toxicity in geriatric patients taking non-steroidal anti-inflammatories?

<p>Impaired renal function (B)</p> Signup and view all the answers

Why is it important for medical consultants to understand the impact of comorbid conditions on poisoning?

<p>To prevent acute poisoning events (D)</p> Signup and view all the answers

What percentage of adults aged 60 and older in the United States has at least one chronic disease?

<p>77% (B)</p> Signup and view all the answers

How do comorbid illnesses impact the outcome of a primary illness?

<p>They could affect the outcome of the primary illness (B)</p> Signup and view all the answers

What should be considered when deciding to use a drug therapy during pregnancy?

<p>The cost of drug treatment against potential risks (D)</p> Signup and view all the answers

What makes geriatric patients more susceptible to adverse reactions or intentional overdoses with medications?

<p>Multiple medical problems and medications (A)</p> Signup and view all the answers

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