September Quiz

1. Which of the following most accurately describes a fall? A.

An event which results in a person coming to rest inadvertently on the ground or floor or other lower level

An event which results in a person coming to rest inadvertently on the ground or floor or other lower level AND leads to injury

An event which results in a person coming to rest inadvertently on the ground or floor or other lower level AND has a clear, inciting cause

2. Which of the following are false regarding the healthcare burden of falls … A.

Millions of people aged 65 and older experience a fall each year.

Injurious falls lead to three million emergency department visits and more than one million hospitalizations.

The percentage of economic costs paid by Medicare related to falls is expected to decrease in the future.

Approximately 20 percent of falls in people aged 65 and older results in a serious injury.

3. Which of the following is NOT a risk factor for falls? A. B.

Insufficient lighting

Fear of falling

Altered mental status

All of the above are risk factors for falls

4. Which of the following medication classes are not associated with increased fall risk? A. B. C. D.

Antipsychotics

Opioids

Benzodiazepines

Statins

5. Polypharmacy is a significant risk factor for falls. A. B.

True

False

6. Which of the following choices most accurately describes the Tinetti Mobility Test? A.

The Tinetti Mobility Test is positive if significant swaying exists when a patient stands with their feet together, their arms by their sides, and their eyes closed. B.

C. It measures the time period required by the patient to stand up from a chair with arm rests, walk three meters (using usual walking aids if necessary), turn around, walk back, and sit down. It assesses balance and gait using a 16-item test AND classifies fall risk as high, medium, or low.

7. Which of the following choices is not correct based on data from the primary literature? A.

Users of any psychotropic drugs had an increased fall risk of nearly 47%.

B.

C. The time-risk analysis did not demonstrate a significantly elevated risk of falling 0-24 hours after antihypertensive initiation, change, or dose increase. Opioid and antiepileptic use and polypharmacy were significantly associated with increased risk of falling in the meta-analyses.

8. Which of the following choices most accurately describes the steps in medication therapy management? A.

B. Medication therapy review, personal medication record, medication-related action plan, intervention and/or referral Intervention and/or referral, personal medication record, medication-related action plan, medication therapy review

C. Personal medication record, medication therapy review, medication related-action plan, intervention and/or referral

9. Which of the following is NOT a strategy for pharmacists to prevent falls? A.

Provide patients with nonpharmacologic safety tips such as proper footwear, appropriate lighting, etc.

B.

C. Educate patients on the presence of fall-risk increasing drugs and/or polypharmacy Assist with appropriate de-prescribing of potentially inappropriate medications.

D. All of the above are strategies for pharmacists to prevent falls.

10. Gait stabilizing therapy is recommended for all patients taking a fall risk increasing drug. A.

True

B. False