AGS Beers Criteria Practice Test

These questions are part of the practice quiz. Start practicing

• Which drug combination is explicitly listed as to avoid due to overdose risk in older adults?
• In CrCl less than 50 mL/min, what adjustment is recommended for famotidine?
• For CrCl < 60 mL/min, which drug should have its dose reduced due to CNS adverse effects?
• Which statement best reflects Beers Criteria stance on 1st and 2nd generation antipsychotics in older adults?
• Which medication should be avoided when CrCl < 30 mL/min because it increases GI adverse events?
• Which genitourinary medication is inappropriate for nocturia due to hyponatremia risk?
• Which antiepileptic drug is listed as potentially inappropriate and should be used with caution in older adults?
• In older adults, which medication type is listed as inappropriate due to delirium risk?
• Which antidepressant is explicitly listed among potentially inappropriate medications to be used with caution in older adults?
• Which first-generation antihistamine is listed as having strong anticholinergic properties?
• Which drug interaction increases urinary incontinence risk in older women?
• Which antipsychotic is less likely to precipitate worsening of Parkinson disease symptoms, and is often considered safer in this context?
• Beers Criteria recommends avoiding routinely using two or more of which category of medications due to hyperkalemia risk in CKD stage 3a or higher?
• For CrCl < 30 mL/min, tramadol immediate-release dosing should be:
• Which endocrine medication is considered inappropriate for older adults due to potential for cardiac problems and risks in men with prostate cancer?
• Antidepressants with strong anticholinergic activity are considered inappropriate for older adults because they:
• Which class of analgesics should be avoided when CrCl < 30 mL/min due to risk of AKI?
• What is the recommended action for dofetilide when CrCl is 20-59 mL/min?
• Which medication class should be avoided in heart failure with reduced ejection fraction due to risk of fluid retention?
• Which antiepileptic requires dose reduction when CrCl ≤ 80 mL/min?
• In CrCl less than 50 mL/min, what adjustment is recommended for nizatidine?
• Fondaparinux should be avoided when CrCl is below what value?
• Which is inappropriate for use in older adults due to risk of hypotension when given as an immediate-release formulation?
• In dementia or cognitive impairment, which drug class is listed as inappropriate due to adverse CNS effects and stroke risk with chronic use?
• Beers Criteria highlights a risk associated with using three or more CNS-active drugs in older adults. What is this risk?
• Which opioid is discouraged in older adults due to risk of delirium and neurotoxicity?
• Which drug is not recommended as first-line therapy for atrial fibrillation or heart failure in older adults?
• Clidinium-Chlordiazepoxide is best described as which type?
• Why is combining two anticholinergic medications discouraged in older adults?
• Which anti-infective is listed as potentially inappropriate for older adults?
• For ciprofloxacin when CrCl <30, what is typically recommended?
• In CrCl less than 30 mL/min, which action is recommended for colchicine?
• Oxybutynin is best described as which type?
• Warfarin should be avoided or monitored closely when co-administered with which of the following?
• Which DOAC has guidance to reduce the dose when CrCl is 15-50 mL/min, following manufacturer dosing for indication-specific use?
• Which combination is an example of a Beers Criteria interaction to avoid involving lithium?
• In managing pain in older adults at risk for delirium, what approach regarding opioid use is recommended?
• Which insulin regimen is inappropriate due to higher risk of hypoglycemia and no improvement in hyperglycemia management regardless of care setting?
• Non-COX-2 NSAIDs can increase BP and cause kidney injury. Which factor would increase NSAID-related kidney injury risk?
• Which endocrine medication is not recommended systemically due to carcinogenic potential and lack of cardioprotective effect, though vaginal estrogens may be safe?
• Which statement best reflects Beers Criteria guidance on prasugrel and ticagrelor use in adults aged 75 years or older?
• Fondaparinux should be avoided if CrCl is below what value?
• In Beers Criteria guidance, at what threshold of concurrent CNS-active medications does the risk of falls and fractures notably increase?
• Which analgesic listed is inappropriate for older adults due to GI bleed risk and AKI?
• Theophylline with ciprofloxacin increases risk of toxicity due to decreased clearance. What is the recommended action?
• For CrCl < 30 mL/min, tramadol dosing rules for immediate-release versus extended-release formulations are:
• Under Beers Criteria, which category includes cimetidine, famotidine, and nizatidine?
• Which proton pump inhibitor is listed as inappropriate for older adults due to risks such as C. diff infection, pneumonia, bone loss, and fractures?
• Which statement about desiccated thyroid is correct?
• Central alpha agonists such as clonidine are inappropriate for hypertension in older adults due to risk of CNS effects and bradycardia. Which statement reflects this guidance?
• What is the general Beers Criteria recommendation regarding the number of CNS-active drugs in a patient?
• In CrCl < 30 mL/min, which drug should be avoided because it can cause hyperkalemia and hyponatremia?
• Phenytoin combined with sulfamethoxazole-trimethoprim is associated with which risk?
• Which statement about theophylline interactions with cimetidine or ciprofloxacin is true?
• Which medication is listed as potentially inappropriate for older adults?
• Which of the following is an antispasmodic with strong anticholinergic properties?
• What factor increases the risk of extrapyramidal symptoms with metoclopramide in older adults?
• Which endocrine medication increases risk of thrombotic events and possibly death in older adults with minimal effect on weight?
• Which of the following is a skeletal muscle relaxant with strong anticholinergic properties?
• In CrCl less than 30 mL/min, what is the recommended action for probenecid?
• Which antidepressants are listed as inappropriate for older adults with history of falls/fractures?
• Which statement best differentiates amiodarone from dronedarone for older adults with atrial fibrillation?
• Which class of diabetes medications is listed as potentially inappropriate to be used with caution in older adults?
• Barbiturates should be avoided as a sleep aid in older adults because they are:
• What is a goal of the Beers Criteria?
• Which medication class should be avoided in older adults with syncope due to orthostatic hypotension?
• The Beers Criteria approach to prescribing for older adults emphasizes:
• Which medication is not listed as inappropriate for delirium?
• Nitrofurantoin CrCl threshold for avoidance is below which value?
• Which medication is listed as potentially inappropriate for use in older adults?
• When a patient is taking lithium with ACE inhibitors, ARBs, or ARNI, what is the recommended course of action?
• Which of the following GI medications has strong anticholinergic activity?
• Benzodiazepines (such as diazepam, lorazepam, temazepam) in older adults should be avoided because they:
• Which medication should be avoided in women with urinary incontinence due to potential aggravation of symptoms?
• Dextromethorphan-quinidine should be used with caution for older adults because:
• What adjustment is advised for enoxaparin when CrCl is less than 30 mL/min?
• Which statement correctly reflects Beers Criteria regarding dual RAS blockade in CKD stage 3a or higher?
• What is a primary concern with GI antispasmodics that have strong anticholinergic properties in older adults?
• Which strategy is recommended when non-selective peripheral alpha-1 blockers are used with loop diuretics?
• Hyoscyamine is best described as which type?
• Which skeletal muscle relaxant is a Beers Criteria target for avoidance in older adults?
• Which antiemetic is listed as having strong anticholinergic properties?
• Among the following analgesics, which is listed as potentially inappropriate for older adults due to risks such as delirium or falls?
• Which diuretic is specifically associated with hyperkalemia and hyponatremia in CrCl < 30?
• In older adults, which practice about aspirin for primary prevention is inappropriate?
• Under what condition is scheduled PPI use beyond 8 weeks justified in older adults?
• Which GI medication is known for strong anticholinergic activity and is therefore inappropriate for older adults?
• Which skeletal muscle relaxant is Beers Criteria appropriate to avoid for older adults?
• Which direct oral anticoagulant (DOAC) should be used with caution in older adults due to an increased risk of GI bleeding compared with warfarin?
• Which statement best describes rivaroxaban in the context of long-term treatment of AF or VTE in older adults?
• Mineral oil is inappropriate for older adults because of aspiration risk. Which option correctly lists a safer alternative?
• Which of the following is NOT listed as an inappropriate medication for older adults with a history of falls or fractures?
• In men with lower urinary symptoms/BPH, which drug class is strongly anticholinergic and should be avoided?
• Which of the following medications is NOT listed as potentially inappropriate or to be used with caution in older adults according to Beers criteria?
• In patients with CrCl less than 30 mL/min, which drug should be avoided due to risks of pulmonary toxicity, hepatotoxicity, and peripheral neuropathy with long-term use?
• For prasugrel use in adults 75 years or older, what dosing consideration does Beers Criteria suggest?
• Trospium is best described as which type?
• Which statement is true for dabigatran with CrCl between 15-30 mL/min?
• For older adults with nonvalvular atrial fibrillation or VTE, which medication is least preferred as initial anticoagulation due to higher major bleeding risk and similar or lower effectiveness compared with DOACs?
• Which antipsychotic is among those considered less likely to worsen Parkinson disease symptoms, and is listed as an exception in Beers criteria?
• Which cholinesterase inhibitor should be avoided in older adults whose syncope may be due to bradycardia?
• Compared with DOACs, warfarin in older adults with nonvalvular AF or VTE generally has which bleeding risk and effectiveness profile?
• Which diuretic should be avoided under CrCl < 30 mL/min due to hyperkalemia risk?
• Edoxaban should be avoided if CrCl is below 15 or above 95 mL/min. Which statement is true?
• Meprobamate in older adults is discouraged due to:
• Which statement is NOT a component of Beers Criteria?
• For probenecid in CrCl less than 30 mL/min, what is the rationale behind avoiding it?
• For patients with a history of gastric or duodenal ulcers, which statement about NSAID use is recommended?
• Dipyridamole is inappropriate for use in older adults because it can cause orthostatic hypotension, and a form is acceptable only for cardiac stress testing. Which medication fits this description?
• Which medication is explicitly listed as potentially inappropriate for older adults in the Beers Criteria?
• In patients with CrCl < 30 mL/min, which diuretic should be avoided due to hyperkalemia risk?
• Which antiarrhythmic should be avoided as first-line therapy for atrial fibrillation unless the patient has heart failure or substantial LVH?
• Deprescribing should be considered for older women already using which class of medications?
• Rivaroxaban should be avoided when CrCl is below which threshold?
• In patients with CrCl less than 50 mL/min, what adjustment is recommended for cimetidine?
• Dronedarone has worse outcomes in which subset of heart failure patients, prompting caution in its use?
• Which of the following is NOT among the Beers Criteria listed as having strong anticholinergic properties among first-generation antihistamines?
• Which antidiabetic drug class is inappropriate in heart failure due to risk of fluid retention?
• Clozapine is best described as which type of agent?
• Dronedarone should be avoided in older adults with which conditions?
• Which antibiotic combination is identified as potentially inappropriate for older adults?
• Growth hormone: avoid except for patients rigorously diagnosed with evidence-based criteria with GH deficiency due to established etiology. Which option best reflects this guidance?
• Which first-generation antihistamine is listed with strong anticholinergic properties and is commonly used as a sleep aid?
• Which GI antispasmodic is inappropriate for older adults due to strong anticholinergic activity?
• Which sleep aids are listed among inappropriate medications for delirium due to CNS effects?
• Which medication should be avoided in CrCl <30 mL/min due to risk of hyperkalemia and hyponatremia?
• Which medication–drug interaction is associated with QT prolongation concerns in heart failure?
• Dipyridamole is inappropriate for routine use in older adults, but the IV formulation is acceptable for which purpose?
• What adverse effects are associated with SGLT2 inhibitors in older adults, requiring caution and monitoring?
• Flavoxate is best described as which type?
• Which antiarrhythmic should be avoided in older adults with heart failure due to potential mortality?
• In the behavioral management of dementia, antipsychotics should be avoided unless which condition is met?
• Barbiturates (butalbital, phenobarbital, primidone) in older adults are:
• Which antidepressant is listed as having strong anticholinergic properties?
• Which medication is included in the non-COX-2 NSAIDs group considered inappropriate for older adults?
• In delirium management, if corticosteroids are needed, what dosing approach is recommended?
• Dextromethorphan-quinidine is listed as potentially inappropriate in older adults. What is its primary clinical use?
• Which class should be avoided chronically in older adults due to GI bleed risk, unless a protective agent is used?
• Antiparkinsonian agents with strong anticholinergic activity (such as benztropine and trihexyphenidyl) are not recommended in older adults for:
• Which of the following is an antiparkinsonian agent with strong anticholinergic properties?
• The Beers Criteria is intended for use in which population?
• Central alpha agonists are considered inappropriate for hypertension treatment in older adults due to CNS effects and bradycardia. Which drug is a central alpha agonist?
• Rationale for avoiding antihistamines in older adults includes which of the following?
• Why is nitrofurantoin considered inappropriate for use in older adults?
• Which antiemetic is listed as having strong anticholinergic properties?
• Compared with apixaban, which direct oral anticoagulant has a higher risk of GI bleeding in older adults when used long-term for nonvalvular AF or VTE?
• Beers Criteria audience includes 65 years or older in which settings?
• Ciprofloxacin dosing adjustments are typically required when the patient’s creatinine clearance falls below which value?
• Which factor increases GI bleeding risk when using non-COX-2 NSAIDs?
• Which drug should be avoided in older adults with impaired kidney function (eGFR < 60 mL/min) due to CNS toxicity risk?
• Sulfamethoxazole-trimethoprim should be used with caution in older adults who are on ACE inhibitors, ARBs, or ARNIs and have decreased creatinine clearance because of risk of:
• Which of the following is inappropriate for older adults due to concerns about cardiac effects and safer alternatives available?
• Which medication has minimal effect on weight but increases risk of thrombotic events and possibly death in older adults?
• In CrCl ≤ 80 mL/min, which drug requires dose reduction due to CNS adverse effects?
• Theophylline with cimetidine increases the risk of what?
• For a CrCl of 15-29 mL/min, what is the recommended action for sulfamethoxazole-trimethoprim?
• Which of the following is NOT a CNS-active drug class listed in the Beers polypharmacy context?
• Which antihistamine is considered inappropriate for use in older adults due to anticholinergic effects?
• Benztropine is best described as which type of agent?
• Which drug requires a dose reduction when CrCl is <30 mL/min?
• Beers Criteria are guidelines developed by the American Geriatrics Society to improve the safety of prescribing medications for which population?
• Nitrofurantoin should be avoided in individuals with CrCl below what threshold?
• Edoxaban should be reduced when CrCl is in which range?
• Which NSAID is explicitly associated with higher GI bleed risk and AKI and should be avoided?
• Among sulfonylureas, which is preferred if a sulfonylurea is used in older adults?
• Which antidepressant should be avoided in CrCl < 30 mL/min due to increased GI adverse events?
• Tolterodine is best described as which type?
• For patients on lithium who also take loop diuretics, what is the advised management?
• In older adults with atrial fibrillation or heart failure, the recommended maximum daily dosage for digoxin when used in older adults is:
• Which of the following is NOT a Z-drug?
• Which of the following is an antipsychotic with strong anticholinergic properties?
• In older adults with atrial fibrillation or heart failure, which statement about digoxin is correct?
• Which statement about metoclopramide use in older adults with gastroparesis is correct?
• In older adults with dementia, antipsychotics are associated with an increased risk of:
• For CrCl < 60 mL/min, which drug should have its dose reduced due to CNS adverse effects?
• Tolterodine is best described as which type of agent?
• Dabigatran should be avoided when CrCl is <30 mL/min; for CrCl 15-30 mL/min there is a labeling dose based on PK data. Which drug is this?
• Scopolamine is best described as which type?
• In renal impairment, colchicine can cause which toxicities?
• Which antibiotics are listed as antinfectives to avoid with CrCl <30?
• Beers Criteria includes which of the following in its medication lists?
• In patients with Parkinson disease, which antiemetic is considered inappropriate because it can worsen parkinsonian symptoms?
• For rivaroxaban, what is the dosing recommendation for CrCl between 15-50 mL/min?
• Beers Criteria recommendations for dementia-related behavioral symptoms state that antipsychotics should be used:
• Which medication is inappropriate for hypertension in older adults as a nonselective peripheral alpha-1 blocker?
• Which statement best reflects Beers Criteria guidance on opioids and benzodiazepines in older adults?
• Ergoloid mesylates are avoided in older adults mainly due to:
• Which antidepressant is listed with strong anticholinergic properties and is noted with a dosing threshold of greater than 6 mg per day?
• Opioids combined with gabapentin or pregabalin should be avoided in older adults, except in which scenario?
• If a sulfonylurea is used in older adults, which is preferred over long-acting agents?
• Which of the following is an antimuscarinic used for urinary incontinence with strong anticholinergic properties?
• Which drug requires dose reduction when CrCl ≤ 80 mL/min?
• When starting antidepressants, antiepileptics, antipsychotics, diuretics, or tramadol in older adults, which precaution is emphasized?
• Beers Criteria guidance on SGLT2 inhibitors includes which monitoring emphasis?