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What is the anticipated effect of drug distribution on volume in elderly patients
who have increased body fat? ---------CORRECT ANSWER-----------------Increased
volume of distribution for highly lipophilic drugs
One of the most important pharmacokinetic changes associated with aging is
related to renal elimination of drugs. After age 30, what happens in the kidneys? -
--------CORRECT ANSWER-----------------Creatinine clearance decreases
Why do serum creatinine levels often remain within normal limits as we age
despite a decrease in GFR? ---------CORRECT ANSWER-----------------Elderly
generally have less muscle mass and are generally less physically active than
younger adults.
Which of the following drugs may be toxic in elderly patients because serum
albumin levels decrease with age? ---------CORRECT ANSWER-----------------Warfarin
,Which of the following is used to guide dosing of drugs with potentially decreased
renal elimination in elderly patients? ---------CORRECT ANSWER-----------------
Creatinine clearance
Elderly patients are particularly sensitive to anticholinergic drug effects. When a
patient takes a drug such as diphenhydramine which has anticholinergic effects
what are your concerns? ---------CORRECT ANSWER-----------------Increased
confusion
Clinicians will frequently underprescribe medications because of increased
concern about adverse effects. ---------CORRECT ANSWER-----------------True
What source is the most accurate for specific recommendations for childhood
immunizations? ---------CORRECT ANSWER-----------------CDC
How many doses of the DTaP immunization are recommended for young
children? ---------CORRECT ANSWER-----------------5
At what age is it recommended that an adolescent receive a booster of the DTaP
vaccine? ---------CORRECT ANSWER-----------------11-12 years
,As an adult, how often should a tetanus immunization? ---------CORRECT ANSWER-
----------------Every 10 years
What immunizations are recommended to be given at 4-6 years prior to entering
school? ---------CORRECT ANSWER-----------------DTaP, IPV, MMR, Varicella
How many doses of the MMR vaccination are recommended for children? ---------
CORRECT ANSWER-----------------2
What immunization it typically given at birth? ---------CORRECT ANSWER--------------
---Hepatitis B
Which of the following immunizations is for Haemophilus influenza type B? --------
-CORRECT ANSWER-----------------Hib
Why is it recommended that all children receive the HPV vaccination? ---------
CORRECT ANSWER-----------------the human papilloma virus is associated with the
development of cervical cancer in women and males can be carriers of the virus
How many doses of the varicella vaccination are recommended? ---------CORRECT
ANSWER-----------------2
, At what age is it recommended that the annual influenza immunization be started
for a healthy child? ---------CORRECT ANSWER-----------------6 Months
At what age is the meningococcal vaccine often given? ---------CORRECT ANSWER--
---------------18 years
At what age is it recommended that adults receive the pneumococcal vaccine? ----
-----CORRECT ANSWER-----------------65 years
The current recommendation for adults over the age of 65 to receive the follow
up 23-valent pneumococcal vaccine (PPSV23) is: ---------CORRECT ANSWER----------
-------at least one year after the PCV13 vaccine
At what age should an adult get the herpes zoster vaccination (HZV)? ---------
CORRECT ANSWER-----------------60 years, regardless of whether they had a prior
episode of herpes zoster
Because children may develop a low-grade fever after any immunization, counsel
parents they may need to give acetaminophen or ibuprofen for a fever higher
than 38.4 C (101 F). ---------CORRECT ANSWER-----------------True