Beers Criteria Interactive Quiz

1. Which drug is potentially inappropriate in older adults due to risk of delirium?

A. Acetaminophen B. Diphenhydramine C. Furosemide D. Pantoprazole

Correct Answer: B. Diphenhydramine
Diphenhydramine has anticholinergic effects causing confusion and delirium in older adults.

2. Why are benzodiazepines avoided in the elderly?

A. Liver toxicity B. Falls and fractures C. Ineffectiveness D. Hypertension

Correct Answer: B. Falls and fractures
Benzodiazepines increase sedation and impair balance, raising fall risk in elderly.

3. Which drug is NOT in the Beers Criteria high-risk list?

A. Amitriptyline B. Indomethacin C. Ranitidine D. Loratadine

Correct Answer: D. Loratadine
Loratadine is a second-generation antihistamine with minimal anticholinergic effects and is generally safe in elderly.

4. Main purpose of Beers Criteria?

A. Diagnose geriatric syndromes B. Monitor drug levels C. Identify inappropriate drugs D. Recommend pediatric dosing

Correct Answer: C. Identify inappropriate drugs
Beers Criteria helps avoid drugs with higher risk than benefit in older adults.

5. Why avoid antipsychotics in dementia?

A. Liver damage B. Renal worsening C. Stroke/mortality risk D. Hyperthyroidism

Correct Answer: C. Stroke/mortality risk
Antipsychotics increase risk of stroke and death in dementia patients.

6. Why avoid zolpidem in elderly?

A. Dependency B. No efficacy C. Falls/confusion D. Renal damage

Correct Answer: C. Falls/confusion
Non-benzodiazepine hypnotics cause drowsiness and impaired balance in elderly.

7. Which urinary drug is high-risk in the elderly?

A. Tolterodine B. Tamsulosin C. Nitrofurantoin D. Docusate

Correct Answer: A. Tolterodine
Tolterodine has anticholinergic properties, increasing cognitive risk in elderly.

8. Which PPI is high-risk long-term?

A. Omeprazole B. Sucralfate C. Ranitidine D. Bismuth

Correct Answer: A. Omeprazole
Long-term PPI use increases risks of C. difficile and bone fractures.

9. Which drug causes confusion due to anticholinergic effects?

A. Metformin B. Amitriptyline C. Atorvastatin D. Clopidogrel

Correct Answer: B. Amitriptyline
Amitriptyline is a tricyclic antidepressant with strong anticholinergic side effects.

10. When is nitrofurantoin inappropriate?

A. Acne B. CrCl <30 mL/min C. Skin infection D. Urinary retention

Correct Answer: B. CrCl <30 mL/min
Nitrofurantoin is ineffective and potentially toxic in patients with low renal function.

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