PMH 504
Psychiatric Management of Adult
& Geriatric Patients
MIDTERM EXAM REVIEW
©UOP 2024/2025
,1. Multiple Choice: Which medication is considered first-line
treatment for a 70-year-old patient with newly diagnosed
schizophrenia?
a) Haloperidol
b) Clozapine
c) Risperidone
d) Olanzapine
Correct Answer: c) Risperidone
Rationale: Risperidone is often chosen for geriatric patients due
to its lower risk of extrapyramidal symptoms and better tolerability.
2. True/False: Electroconvulsive therapy (ECT) is contraindicated
in elderly patients with major depressive disorder.
Answer: False
Rationale: ECT can be safe and effective for geriatric patients,
especially those who do not respond to medication or have severe
depression.
3. Fill-in-the-Blank: The antipsychotic medication _______ has a
high risk of causing metabolic syndrome, which is a significant
consideration in managing geriatric patients.
©UOP 2024/2025
, Correct Answer: Olanzapine
Rationale: Olanzapine is associated with weight gain,
hyperglycemia, and dyslipidemia, which contribute to metabolic
syndrome.
4. Multiple Response: Select all that apply. What are the potential
side effects of benzodiazepines in geriatric patients?
a) Increased risk of falls
b) Cognitive impairment
c) Respiratory depression
d) All of the above
Correct Answers: a) Increased risk of falls, b) Cognitive
impairment, c) Respiratory depression
Rationale: Benzodiazepines can cause sedation, impaired motor
coordination, and cognitive dysfunction, leading to an increased
risk of falls and respiratory depression in the elderly.
5. Multiple Choice: A 65-year-old patient with bipolar disorder is
experiencing a manic episode. Which of the following mood
stabilizers is preferred due to its lower risk profile in older adults?
a) Lithium
b) Valproate
c) Carbamazepine
©UOP 2024/2025
Psychiatric Management of Adult
& Geriatric Patients
MIDTERM EXAM REVIEW
©UOP 2024/2025
,1. Multiple Choice: Which medication is considered first-line
treatment for a 70-year-old patient with newly diagnosed
schizophrenia?
a) Haloperidol
b) Clozapine
c) Risperidone
d) Olanzapine
Correct Answer: c) Risperidone
Rationale: Risperidone is often chosen for geriatric patients due
to its lower risk of extrapyramidal symptoms and better tolerability.
2. True/False: Electroconvulsive therapy (ECT) is contraindicated
in elderly patients with major depressive disorder.
Answer: False
Rationale: ECT can be safe and effective for geriatric patients,
especially those who do not respond to medication or have severe
depression.
3. Fill-in-the-Blank: The antipsychotic medication _______ has a
high risk of causing metabolic syndrome, which is a significant
consideration in managing geriatric patients.
©UOP 2024/2025
, Correct Answer: Olanzapine
Rationale: Olanzapine is associated with weight gain,
hyperglycemia, and dyslipidemia, which contribute to metabolic
syndrome.
4. Multiple Response: Select all that apply. What are the potential
side effects of benzodiazepines in geriatric patients?
a) Increased risk of falls
b) Cognitive impairment
c) Respiratory depression
d) All of the above
Correct Answers: a) Increased risk of falls, b) Cognitive
impairment, c) Respiratory depression
Rationale: Benzodiazepines can cause sedation, impaired motor
coordination, and cognitive dysfunction, leading to an increased
risk of falls and respiratory depression in the elderly.
5. Multiple Choice: A 65-year-old patient with bipolar disorder is
experiencing a manic episode. Which of the following mood
stabilizers is preferred due to its lower risk profile in older adults?
a) Lithium
b) Valproate
c) Carbamazepine
©UOP 2024/2025
